Publicação
Long-Term Reversible Contraception in Adolescence: The Reality of a Tertiary Pediatric Hospital in Portugal
| Resumo: | Introduction: Contraception in adolescence is essential to prevent unwanted pregnancies, abortion and sexually transmitted diseases. The use of longacting reversible contraceptive methods (LARCs) has been highly recommended due to their efficacy since they are user independent methods. The aim of this study was to evaluate the use of LARCs in adolescence in the population of a Childhood and Adolescence Gynecology clinic, and to describe the sociodemographic characteristics of the adolescents as well as previous contraceptive practices.Material and Methods: Retrospective analysis that included adolescents using LARCs, monitored in a Childhood and Adolescence Gynecology clinic of a Portuguese tertiary pediatric hospital, between June 2012 and June 2021.Results: A total of 122 adolescents were included, with a median age of 16 (11 – 18) years and 62.3% (n = 76) were sexually active. The preferred method was the subcutaneous implant, placed in 82.3% (n = 101), followed by the Levonorgestrel-Intrauterine System in 16.4% (n = 20) and the copper intrauterine device in 1.3% (n = 1). The main indications for LARCs were contraceptive needs 90.2% (n = 110), abnormal uterine bleeding during puberty in 14.8% (n = 18), dysmenorrhea in 10.7% (n = 13) and need for amenorrhea in 0.8% (n = 1). The median time of implant use was 20 (1 – 48) months and of the LNG-IUS it was 20 (1 – 36) months. The 12-month adherence rate for both was 76.2% (n = 93). The removal rate for reasons besides the expiration date was 9.8% (n = 12) in adolescents who had implants, and no LNG-IUS or copper intrauterine devices were removed. There were no pregnancies after insertion of LARCs.Conclusion: Contraceptive needs were the main reason for choosing LARCs, followed by abnormal uterine bleeding during puberty management and dysmenorrhea. All these factors may contribute to the high rate of satisfaction and continuity of these methods. |
|---|---|
| Autores principais: | Ferro, Beatriz |
| Outros Autores: | Simões, Mafalda; Gomes, Bárbara; Rodrigues, Ângela; Geraldes, Fernanda; Águas, Fernanda |
| Assunto: | Adolescente Contracepção Contracepção Reversível de Longo Prazo Adolescent Contraception Long-Acting Reversible Contraception |
| Ano: | 2023 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | unknown |
| Instituição associada: | Ordem dos Médicos |
| Idioma: | inglês português |
| Origem: | Acta Médica Portuguesa |
| _version_ | 1865920039254753280 |
|---|---|
| author | Ferro, Beatriz |
| author2 | Simões, Mafalda Gomes, Bárbara Rodrigues, Ângela Geraldes, Fernanda Águas, Fernanda |
| author2_role | author author author author author |
| author_facet | Ferro, Beatriz Ferro, Beatriz Simões, Mafalda Gomes, Bárbara Rodrigues, Ângela Geraldes, Fernanda Águas, Fernanda Simões, Mafalda Gomes, Bárbara Rodrigues, Ângela Geraldes, Fernanda Águas, Fernanda |
| author_role | author |
| country_str | PT |
| creators_json_str | [{\"Person.name\":\"Ferro, Beatriz\"},{\"Person.name\":\"Simões, Mafalda\"},{\"Person.name\":\"Gomes, Bárbara\"},{\"Person.name\":\"Rodrigues, Ângela\"},{\"Person.name\":\"Geraldes, Fernanda\"},{\"Person.name\":\"Águas, Fernanda\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Ferro, Beatriz Simões, Mafalda Gomes, Bárbara Rodrigues, Ângela Geraldes, Fernanda Águas, Fernanda |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Adolescente Contracepção Contracepção Reversível de Longo Prazo Adolescent Contraception Long-Acting Reversible Contraception |
| datacite.titles.title.fl_str_mv | Long-Term Reversible Contraception in Adolescence: The Reality of a Tertiary Pediatric Hospital in Portugal Contraceção Reversível de Longa Duração na Adolescência: A Realidade de um Hospital Pediátrico Terciário em Portugal |
| dc.creator.none.fl_str_mv | Ferro, Beatriz Simões, Mafalda Gomes, Bárbara Rodrigues, Ângela Geraldes, Fernanda Águas, Fernanda |
| dc.description.none.fl_str_mv | Introdução: A contraceção na adolescência tem um papel fundamental na sociedade por prevenir gravidezes indesejadas e infeções sexualmente transmissíveis. O uso de métodos contracetivos reversíveis de longa duração (LARCs) tem vindo a ser recomendado pela sua eficácia e perfil de segurança nesta faixa etária. O objetivo deste estudo foi avaliar a utilização de LARCs na população de uma consulta de Ginecologia da Infância e Adolescência e descrever as características sociodemográficas das adolescentes assim como a prática contracetiva prévia.Material e Métodos: Análise retrospetiva que incluiu as adolescentes utilizadoras de LARCs, acompanhadas na consulta de Ginecologia da Infância e Adolescência de um hospital pediátrico terciário português, no período entre junho de 2012 e junho de 2021.Resultados: Foram incluídas 122 adolescentes, cuja mediana de idades foi 16 (11 – 18) anos. Destas, 62,3% (n = 76) eram sexualmente ativas. O método preferencial foi o implante subcutâneo, colocado em 82,3% (n = 101), seguido do sistema intrauterino de Levonorgestrel (SIU-LNG) em 16,4% (n = 20) e o dispositivo intrauterino de cobre em 1,3% (n = 1). As principais indicações para a escolha de LARCs foram desejo contracetivo em 90,2% (n = 110), hemorragia uterina anormal da puberdade em 14,8% (n = 18), dismenorreia em 10,7% (n = 13) e necessidade de amenorreia em 0,8% (n = 1). O tempo mediano de utilização do implante foi 20 (1 – 48) meses e do SIU-LNG 20 (1 – 36) meses. A taxa de continuidade aos 12 meses para ambos foi de 76,2% (n = 93). A taxa de remoção antes do tempo padronizado foi de 9,8% (n = 12) nas adolescentes que colocaram implante, sendo que não foram removidos SIU-LNG ou dispositivo intrauterino de cobre. Não se registaram gravidezes após a colocação de LARCs.Conclusão: O desejo contracetivo foi o primeiro motivo para a escolha de um LARC seguido do controlo da hemorragia uterina anormal e da dismenorreia. Todos estes fatores poderão contribuir para a elevada taxa de satisfação e continuidade destes métodos. |
| dc.format.none.fl_str_mv | application/pdf application/pdf |
| dc.identifier.none.fl_str_mv | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18753 |
| dc.language.none.fl_str_mv | eng por |
| dc.publisher.none.fl_str_mv | Ordem dos Médicos |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.rights.rights.copyright.fl_str_mv | https://creativecommons.org/licenses/by-nc/4.0 |
| dc.source.none.fl_str_mv | Acta Médica Portuguesa; Vol. 36 No. 6 (2023): June; 394-400 Acta Médica Portuguesa; Vol. 36 N.º 6 (2023): Junho; 394-400 1646-0758 0870-399X |
| dc.subject.none.fl_str_mv | Adolescente Contracepção Contracepção Reversível de Longo Prazo Adolescent Contraception Long-Acting Reversible Contraception |
| dc.title.fl_str_mv | Long-Term Reversible Contraception in Adolescence: The Reality of a Tertiary Pediatric Hospital in Portugal Contraceção Reversível de Longa Duração na Adolescência: A Realidade de um Hospital Pediátrico Terciário em Portugal |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Introduction: Contraception in adolescence is essential to prevent unwanted pregnancies, abortion and sexually transmitted diseases. The use of longacting reversible contraceptive methods (LARCs) has been highly recommended due to their efficacy since they are user independent methods. The aim of this study was to evaluate the use of LARCs in adolescence in the population of a Childhood and Adolescence Gynecology clinic, and to describe the sociodemographic characteristics of the adolescents as well as previous contraceptive practices.Material and Methods: Retrospective analysis that included adolescents using LARCs, monitored in a Childhood and Adolescence Gynecology clinic of a Portuguese tertiary pediatric hospital, between June 2012 and June 2021.Results: A total of 122 adolescents were included, with a median age of 16 (11 – 18) years and 62.3% (n = 76) were sexually active. The preferred method was the subcutaneous implant, placed in 82.3% (n = 101), followed by the Levonorgestrel-Intrauterine System in 16.4% (n = 20) and the copper intrauterine device in 1.3% (n = 1). The main indications for LARCs were contraceptive needs 90.2% (n = 110), abnormal uterine bleeding during puberty in 14.8% (n = 18), dysmenorrhea in 10.7% (n = 13) and need for amenorrhea in 0.8% (n = 1). The median time of implant use was 20 (1 – 48) months and of the LNG-IUS it was 20 (1 – 36) months. The 12-month adherence rate for both was 76.2% (n = 93). The removal rate for reasons besides the expiration date was 9.8% (n = 12) in adolescents who had implants, and no LNG-IUS or copper intrauterine devices were removed. There were no pregnancies after insertion of LARCs.Conclusion: Contraceptive needs were the main reason for choosing LARCs, followed by abnormal uterine bleeding during puberty management and dysmenorrhea. All these factors may contribute to the high rate of satisfaction and continuity of these methods. |
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| identifier.url.fl_str_mv | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18753 |
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| institution | Ordem dos Médicos |
| instname_str | Ordem dos Médicos |
| language | eng por |
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| network_name_str | Acta Médica Portuguesa |
| oai_identifier_str | oai:ojs.www.actamedicaportuguesa.com:article/18753 |
| organization_str_mv | urn:organizationAcronym:om |
| person_str_mv | Ferro, Beatriz Simões, Mafalda Gomes, Bárbara Rodrigues, Ângela Geraldes, Fernanda Águas, Fernanda |
| publishDate | 2023 |
| publisher.none.fl_str_mv | Ordem dos Médicos |
| reponame_str | Acta Médica Portuguesa |
| repository_id_str | urn:repositoryAcronym:amp |
| service_str_mv | urn:repositoryAcronym:amp |
| spelling | en-USLong-Term Reversible Contraception in Adolescence: The Reality of a Tertiary Pediatric Hospital in Portugalpt-PTContraceção Reversível de Longa Duração na Adolescência: A Realidade de um Hospital Pediátrico Terciário em PortugalFerro, BeatrizSimões, MafaldaGomes, BárbaraRodrigues, ÂngelaGeraldes, FernandaÁguas, FernandaAdolescenteContracepçãoContracepção Reversível de Longo PrazoAdolescentContraceptionLong-Acting Reversible ContraceptionDireitos de Autor (c) 2023 Acta Médica Portuguesahttp://purl.org/coar/access_right/c_abf2https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18753URLhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18753URLHasVersionhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18753/15470URLHasVersionhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18753/15064URLHasVersion2023-03-03en-USIntroduction: Contraception in adolescence is essential to prevent unwanted pregnancies, abortion and sexually transmitted diseases. The use of longacting reversible contraceptive methods (LARCs) has been highly recommended due to their efficacy since they are user independent methods. The aim of this study was to evaluate the use of LARCs in adolescence in the population of a Childhood and Adolescence Gynecology clinic, and to describe the sociodemographic characteristics of the adolescents as well as previous contraceptive practices.Material and Methods: Retrospective analysis that included adolescents using LARCs, monitored in a Childhood and Adolescence Gynecology clinic of a Portuguese tertiary pediatric hospital, between June 2012 and June 2021.Results: A total of 122 adolescents were included, with a median age of 16 (11 – 18) years and 62.3% (n = 76) were sexually active. The preferred method was the subcutaneous implant, placed in 82.3% (n = 101), followed by the Levonorgestrel-Intrauterine System in 16.4% (n = 20) and the copper intrauterine device in 1.3% (n = 1). The main indications for LARCs were contraceptive needs 90.2% (n = 110), abnormal uterine bleeding during puberty in 14.8% (n = 18), dysmenorrhea in 10.7% (n = 13) and need for amenorrhea in 0.8% (n = 1). The median time of implant use was 20 (1 – 48) months and of the LNG-IUS it was 20 (1 – 36) months. The 12-month adherence rate for both was 76.2% (n = 93). The removal rate for reasons besides the expiration date was 9.8% (n = 12) in adolescents who had implants, and no LNG-IUS or copper intrauterine devices were removed. There were no pregnancies after insertion of LARCs.Conclusion: Contraceptive needs were the main reason for choosing LARCs, followed by abnormal uterine bleeding during puberty management and dysmenorrhea. All these factors may contribute to the high rate of satisfaction and continuity of these methods.pt-PTIntrodução: A contraceção na adolescência tem um papel fundamental na sociedade por prevenir gravidezes indesejadas e infeções sexualmente transmissíveis. O uso de métodos contracetivos reversíveis de longa duração (LARCs) tem vindo a ser recomendado pela sua eficácia e perfil de segurança nesta faixa etária. O objetivo deste estudo foi avaliar a utilização de LARCs na população de uma consulta de Ginecologia da Infância e Adolescência e descrever as características sociodemográficas das adolescentes assim como a prática contracetiva prévia.Material e Métodos: Análise retrospetiva que incluiu as adolescentes utilizadoras de LARCs, acompanhadas na consulta de Ginecologia da Infância e Adolescência de um hospital pediátrico terciário português, no período entre junho de 2012 e junho de 2021.Resultados: Foram incluídas 122 adolescentes, cuja mediana de idades foi 16 (11 – 18) anos. Destas, 62,3% (n = 76) eram sexualmente ativas. O método preferencial foi o implante subcutâneo, colocado em 82,3% (n = 101), seguido do sistema intrauterino de Levonorgestrel (SIU-LNG) em 16,4% (n = 20) e o dispositivo intrauterino de cobre em 1,3% (n = 1). As principais indicações para a escolha de LARCs foram desejo contracetivo em 90,2% (n = 110), hemorragia uterina anormal da puberdade em 14,8% (n = 18), dismenorreia em 10,7% (n = 13) e necessidade de amenorreia em 0,8% (n = 1). O tempo mediano de utilização do implante foi 20 (1 – 48) meses e do SIU-LNG 20 (1 – 36) meses. A taxa de continuidade aos 12 meses para ambos foi de 76,2% (n = 93). A taxa de remoção antes do tempo padronizado foi de 9,8% (n = 12) nas adolescentes que colocaram implante, sendo que não foram removidos SIU-LNG ou dispositivo intrauterino de cobre. Não se registaram gravidezes após a colocação de LARCs.Conclusão: O desejo contracetivo foi o primeiro motivo para a escolha de um LARC seguido do controlo da hemorragia uterina anormal e da dismenorreia. Todos estes fatores poderão contribuir para a elevada taxa de satisfação e continuidade destes métodos.Ordem dos Médicosapplication/pdfapplication/pdfen-USActa Médica Portuguesa; Vol. 36 No. 6 (2023): June; 394-400pt-PTActa Médica Portuguesa; Vol. 36 N.º 6 (2023): Junho; 394-4001646-07580870-399Xengporjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85https://creativecommons.org/licenses/by-nc/4.0 |
| spellingShingle | Long-Term Reversible Contraception in Adolescence: The Reality of a Tertiary Pediatric Hospital in Portugal Long-Term Reversible Contraception in Adolescence: The Reality of a Tertiary Pediatric Hospital in Portugal Ferro, Beatriz Adolescente Contracepção Contracepção Reversível de Longo Prazo Adolescent Contraception Long-Acting Reversible Contraception Ferro, Beatriz Adolescente Contracepção Contracepção Reversível de Longo Prazo Adolescent Contraception Long-Acting Reversible Contraception |
| status | NEW |
| status_str | VoR |
| subject.fl_str_mv | Adolescente Contracepção Contracepção Reversível de Longo Prazo Adolescent Contraception Long-Acting Reversible Contraception |
| title | Long-Term Reversible Contraception in Adolescence: The Reality of a Tertiary Pediatric Hospital in Portugal |
| title_full | Long-Term Reversible Contraception in Adolescence: The Reality of a Tertiary Pediatric Hospital in Portugal |
| title_fullStr | Long-Term Reversible Contraception in Adolescence: The Reality of a Tertiary Pediatric Hospital in Portugal Long-Term Reversible Contraception in Adolescence: The Reality of a Tertiary Pediatric Hospital in Portugal |
| title_full_unstemmed | Long-Term Reversible Contraception in Adolescence: The Reality of a Tertiary Pediatric Hospital in Portugal Long-Term Reversible Contraception in Adolescence: The Reality of a Tertiary Pediatric Hospital in Portugal |
| title_short | Long-Term Reversible Contraception in Adolescence: The Reality of a Tertiary Pediatric Hospital in Portugal |
| title_sort | Long-Term Reversible Contraception in Adolescence: The Reality of a Tertiary Pediatric Hospital in Portugal |
| topic | Adolescente Contracepção Contracepção Reversível de Longo Prazo Adolescent Contraception Long-Acting Reversible Contraception |
| topic_facet | Adolescente Contracepção Contracepção Reversível de Longo Prazo Adolescent Contraception Long-Acting Reversible Contraception |
| url | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18753 |
| visible | 1 |