#699 Adolescent Pregnancy, Contraception, Sexual Activity

Question 1

What is the preferred method of contraception for adolescents?

Answer 1

Dual contraception with condoms in addition to more effective methods of contraception

Question 2

Who should make decisions about contraceptions for the adolescent?

Answer 2

The adolescent, where allowed

Question 3

Here was a significant decrease in adolescent pregnancy with a all time low in 2015, why?

Answer 3

Speculated that adolescents are becoming more effective contraception users

Question 4

What is the continuation rate for adolescents using LARC at 12 months?

Answer 4

~80%

Question 5

What is the FDA black box warning on depoprovera?

Answer 5

Warning against bone mineral density loss and that should not be used for more than 2 years.

Bone loss is reversible. No evidence for increased fracture risk. Black box warning not supported by ACOG

Question 6

How can you be reasonably certain a patient is not pregnant?

Answer 6

Less than or equal to 7 days since start of normal menses. No intercourse since last menses. negative pregnancy test.

Question 7

If unable to be certain if patient is pregnant or not and desires contraception (specifically in adolescents), benefit > risks for “quick start” initiation with which methods?

Answer 7

OCP, patch, ring, POP, implant, DPMA. repeat pregnancy tests in 2-4 wks.

NOT IUD

Question 8

What is Title X?

Answer 8

federal program that provides infrastructure funding to community-based family planning centers, as well as funds for direct client services.

Question 9

Are abstinence only programs successful at delaying initiation of sex?

Answer 9

No