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Best Practices for Counseling Adolescents about the Etonogestrel Implant
Affiliation:1. Department of Pediatrics, Nationwide Children''s Hospital, Columbus, OH, USA;2. Department of Pediatrics, Children''s Hospital Colorado, Aurora, CO, USA;3. Department of Obstetrics and Gynecology, University of São Paulo University of São Paulo, São Paulo, Brazil;4. Department of Obstetrics and Gynecology, University of California, Davis, Sacramento, CA, USA;5. Department of Obstetrics and Gynecology, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USA;6. School of Women''s and Children''s Health, Royal Hospital for Women, University of New South Wales, Randwick, New South Wales, Australia;7. Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, USA;8. Sexual Health Service, New Crofte Centre, Newcastle upon Tyne, UK
Abstract:
Among young persons, ease of use, high efficacy, and high acceptability makes the etonogestrel contraceptive implant an important choice for this age group. Adolescent-friendly, patient-centered counseling considers the patient's cognitive development, the influence of friends and family, as well as their own preferences and values. Age-appropriate language, graphics, and models are useful to explain contraceptive options and relevant side effects. Effectiveness, reversibility, safety, noncontraceptive benefits, and side effects are important attributes and should be discussed when teens are choosing a contraceptive method. In this review we describe suggested best practices for counseling adolescents about the etonogestrel implant so they can make informed, prudent decisions about using this contraceptive method.
Keywords:Humans  Adolescent  Etonogestrel  Pregnancy  Female  Progestins  Unplanned pregnancy  Pregnancy in adolescence  Patient-centered care
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