PEDIATRICS Vol. 65 No. 1 January 1980, pp. 1-12
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Contraception in the Adolescent: Current Concepts for the Pediatrician

Donald E. Greydanus MD1 and Elizabeth R. McAnarney MD2

1 Division of Biosocial Pediatrics and Adolescent Medicine, Department of Pediatrics, University of Rochester Medical Center, Rochester, New York
2 Division of Biosocial Pediatrics and Adolescent Medicine, Department of Pediatrics, University of Rochester Medical Center, Rochester, New York

An overview is presented of the major methods of contraception available to the sexually active adolescent. Emphasis is given to the combined birth control pill, while the literature describing absolute and relative contraindications to oral contraception is reviewed. It is noted that adolescents with chronic illness must also be evaluated for contraceptive needs. Other methods covered include the intrauterine device, barrier methods (diaphragm, condom, and vaginal contraceptives), injectable contraceptives, postcoital contraception, and methods under current investigation. The approach to each patient must be individualized, based on her coital activity, understanding of alternatives, medical status, and what method is chosen.




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