Contraception, side effects
- All methods
of contraception are associated with fewer health risks than pregnancy and
delivery, including overall mortality.
- Especially
among adolescents, who generally are healthy, the occurrence of adverse side
effects with most forms of contraception is minimal.
- For example,
the risk of a thromboembolic event in an otherwise healthy teenager taking
oral contraceptives is negligible compared with her risk of developing a
complication associated with an unplanned pregnancy, such as pregnancy-induced
hypertension.
-
Unfortunately, the public misconception is that contraception is dangerous,
ineffective, and too costly for most young women to obtain.
- Condoms and
spermicides provide protection against most but not all sexually transmitted
diseases: Human papillomavirus and herpes simplex virus still can be acquired
if the partner's lesions are located at the base of the penis or on the
perineum.
- In addition,
condoms may break, and non-latex condoms may allow passage of viral particles
(eg, human immunodeficiency virus).
- Oral
contraceptives do not affect a woman's risk for breast cancer, an issue that
was more controversial in the past.
- Although
hair loss occasionally is a side effect of injectable progestin therapy, the
most common side effect is a change in menstrual patterns, namely, prolonged
and irregular bleeding.
References:
Brown RT, Cromer BA. The pediatrician and the sexually active
adolescent. Sexual activity and contraception. Pediatr Clin North Am.
1997;44:1379-1390
Stevens-Simon C. Providing effective reproductive health care and
prescribing contraceptives for adolescents. Pediatr Rev.
1998;19:409-417