Comprehensive Adolescent Contraception: A Review

Background: Although teenage pregnancy rates have been declining, the teen birth rate in United States remains higher than most other industrialized nations. 80% of teen pregnancies are unplanned with significant personal and societal consequences. Recent Findings: Long-acting reversible contraception (LARC) methods have high continuation and satisfaction rates and are the first-line contraception option for adolescents. The number of intrauterine devices on the market in the United States has increased. Updates to evidence regarding the effects of progestin and combined hormonal contraceptives on bone health have been reviewed. The efficacy of contraceptive methods based on weight has also been re-evaluated recently. Until now, resources for confidentiality, sexually transmitted infection (STI) screening, and the use of social media have been provided. Conclusion: Providing contraception to adolescents encompasses communication, knowledge of local laws regarding confidentiality, and an understanding of the most effective methods for this population.