oa SA Pharmaceutical Journal - Contraception for first-time users : a problem-orientated guide to product selection and safe prescription : clinical
It is vital that the adolescent makes an informed choice about her sexual activity and behaviour, her method of contraception and issues pertaining to her health in general. These discussions and counselling sessions should be informative but non-judgmental and non-threatening, as the main outcome is to prevent teenage pregnancy and its associated devastating repercussions on the adolescent, her family, the child born to such a young mother, and the public health sector. <br>Contraceptive choices today are numerous - especially in the category of hormonal contraception. New options with regard to delivery systems and new progestogens with novel side-effect profiles have expanded the choices for first-time users. It is possible to find a contraceptive to suit every patient's individual needs, with added benefits such as cycle control, relief of dysmenorrhoea, and treatment for acne. A thorough understanding of the patient's needs and circumstances (taking into account the first and third world setting in South Africa) is necessary. A holistic approach must be followed, and individualising each patient's regimen will aid in compliance and continuing medical input and care well into her reproductive years, until such time when she plans her first child and thereafter.
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