Our 23rd Annual Clinical Meeting in San Antonio, Texas is a most logical forum for adolescent
gynecological care being delivered to the next level. From a national perspective,
let's take a look at the very recent edition of the American College of Obstetricians
and Gynecologists (ACOG) Compendium section reflective of the “Committee on Adolescent
Health Care” and identify a distinct parallel with our annual meeting.
1
Specifically, let's take into mind, use of intrauterine contraceptive systems in
adolescents. Did you know that the levonorgestrel-releasing intrauterine system (IUS)
lowers the risk of pelvic inflammatory disease (PID)? The proposed mechanism is cervical
mucus thickening and endometrial thinning.
2
There does not appear to be any adverse effect on future fertility. Of interest,
insertion in the nulliparous patient may be facilitated by administration of misoprostol.
This appears to soften the cervix.
3
The subject of “New and Old Contraceptive Choices in Adolescents” is one concurrent
session at our San Antonio meeting and it provided the means of updating all in attendance
regarding what's the issue and indeed what's the answer.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric and Adolescent GynecologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
ACOG Compendium of selected publications 2009 The American College of Obstetricians and Gynecolgoists 2009.
- Clinical performance of a levonorgestrel-releasing intrauterine system and oral contraceptives in young nulliparous women: a comparative study.Contraception. 2004; 69: 407-412
- Adolescents And IUCDs-Not a contraindication.J. Pediatr Adolesc Gynecol. 2006; 19: 303-305
- Reflex human papilloma virus infection testing detects the same proportion of cervical intraepithelial neoplasia grade 2-3 in young versus elderly women.Cancer. 2005; 105: 194-198
2009 Compendium to Clinical Practice Guidelines The Endocrine Society 2009.
- Clinical assessment of body hair growth in women.J. Clin Endocrinol Metab. 1961; 21: 1440-1447
Clinical Gynecology, E. Bieber, J Sanfilippo, I Horowitz eds. Elsevier 2006.
Article info
Identification
Copyright
© 2009 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
