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Review
. 2020 Oct;33(5):448-454.
doi: 10.1016/j.jpag.2020.06.022. Epub 2020 Jul 2.

Best Practices for Counseling Adolescents about the Etonogestrel Implant

Elise D Berlan  1 , Molly J Richards  2 , Carolina Sales Vieira  3 , Mitchell D Creinin  4 , Andrew M Kaunitz  5 , Ian S Fraser  6 , Alison Edelman  7 , Diana Mansour  8
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Free article
Review

Best Practices for Counseling Adolescents about the Etonogestrel Implant

Elise D Berlan et al. J Pediatr Adolesc Gynecol. 2020 Oct.
Free article

Abstract

Among young persons, ease of use, high efficacy, and high acceptability makes the etonogestrel contraceptive implant an important choice for this age group. Adolescent-friendly, patient-centered counseling considers the patient's cognitive development, the influence of friends and family, as well as their own preferences and values. Age-appropriate language, graphics, and models are useful to explain contraceptive options and relevant side effects. Effectiveness, reversibility, safety, noncontraceptive benefits, and side effects are important attributes and should be discussed when teens are choosing a contraceptive method. In this review we describe suggested best practices for counseling adolescents about the etonogestrel implant so they can make informed, prudent decisions about using this contraceptive method.

Keywords: Adolescent; Etonogestrel; Female; Humans; Patient-centered care; Pregnancy; Pregnancy in adolescence; Progestins; Unplanned pregnancy.

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