Abstract

Abstract:
The fertility rate among adolescents has been increasing, while the general population has been declining worldwide. The increasing rate of unwanted pregnancies during adolescence and their complications, as well as the high incidence of incorrect use and abandonment of contraceptive methods, make us think about the need for new contraceptive options. The pill is the most popular form of reversible contraception due to its high efficacy and ease of use. Injectable hormonal contraceptives are also used by adolescents, as they provide greater discretion. Among the newest options are the subdermal implant, which can remain in use for three years; the transdermal patch, which must be changed weekly; and the vaginal ring, for monthly use. These contraceptive methods provide security and independence to sexually active adolescents. The concept of dual protection, however, cannot be forgotten, due to the high incidence of sexually transmitted diseases (STDs), such as AIDS. Adolescents using a highly effective contraceptive method should be instructed not to forego the use of condoms. The biggest challenge in medical practice, for those who treat teenagers, is making them adapt the chosen method to their lifestyle.

Abstract:
The rate of pregnancy in adolescents has increased, while in the general population it has been declining in the world. The increasing rate of unwanted pregnancies during adolescence and their complications, as well as the great incidence of the incorrect use and the abandonment of the contraceptive methods demonstrates the necessity of new contraceptive options. The pill is the most popular reversible contraception method because of its effectiveness and simplicity of use. Adolescents also use the contraceptive injectable hormones, since they provide them with more discretion. Among the new options there are the subdermal implant that can remain in use for three years; the transdermal contraceptive system, that should be changed weekly; and the vaginal ring that is to be used monthly. These contraceptive methods provide security and independence to the sexually active adolescent. The concept of double protection however, cannot be forgotten, due to the great incidence of STD/AIDS. The adolescent should be warned that the use of a contraceptive method of high effectiveness does not exclude the necessity of the condom use. The greatest challenge for physicians who take care of adolescents is to convince them to adjust the chosen method to their style of life.