Solutions
Abstinence Correct Answers Abstinence is 100% effective in
preventing pregnancy and STDs
Counseling about abstinence and postponement of sexual
intercourse Adolescent should be encouraged to delay sexual
onset Adherence to abstinence is very low
ACOG Committee Opinion on contraceptives- age, consent,
discussion Correct Answers Regardless of the patient's age or
previous sexual activity, address contraceptive needs
Rights to consent vary by state
Emergency contraceptives should be included in discussions
Long‐acting reversible contraceptive [LARC] are excellent
choices for adolescents
Address the misconceptions about contraceptives
Initial reproductive health visit between 13‐15
Adverse Effects of OC Correct Answers Increased risk of
blood clots with increases from 1 per 10,000 to 3-4 per 10,000
The incidence in pregnancy and postpartum is 10-20 per 10,000
Smoking should be discouraged, but it is not a contraindication
for OCs
Antiinfectives that DECREASE hormonal steroid levels in OC
users: Correct Answers • Rifampin
• Griseofulvin
for tinea capitus
, Antiinfectives that DO NOT DECREASE hormonal steroid
levels in OC users: Correct Answers • Tetracycline
• Doxycycline
• Ampicillin
• Metronidazole
• Quinolones
Coercion Correct Answers At no time should the adolescent be
forces to use a method chosen by someone other than herself,
including parent, guardian, partner or health care provider.
Confidentiality Correct Answers Essential component of
reproductive health care
Consideration must be given to establish rapport Billing and
insurances
Affordability care act has expanded access to adolescent
reproductive care
clarify and explain what you can and cannot keep confidential
tell pt you are mandated reporter
Continuous Cycling of CO benefits Correct Answers May
eliminate cycle related symptoms:
Migraine
Dysmenorrhea Menorrhagia (HMB)
PMS
Continuous Cycling of OC Correct Answers no pill free
interval
good for premenstral sx