Presently a medicinal market is represented by the wide spectrum of facilities and methods of contraception. The natural methods of contraception, especially interrupted carnal knowledge, until now are widely used. From data of anonymous questionnaire, no less than 1/3 girls at the first sexual contact depended upon the interrupted sexual intercourse, syringing or calendar method. Gaining some sexual experience, young women, unfortunately, did not become more expert in the questions of choice of contraception. As a result every third sexually active young woman had in anamnesis, at least, one pregnancy and every fifth abortion.
Simplicity, availability, immediate efficiency and confidentiality did contraceptives and spermicides popular at sexually active young people. Half of young respondents of Russia answered, that prefer to use these facilities for carnal knowledge. Female contraceptives, vaginal diaphragms and cervical caps are not almost used by teenagers, because certain skill and address is required to the doctor for an individual selection and teaching to their application rules.
Dignities of barrier contraception allowed recommending partners. In this communication it is necessary to mark her as an obligatory safety measure at carnal knowledge with casual partners or at presence of a few advantages of the use of contraceptives in combination with any highly effective means and method of contraception.
One of variants of a similar combination is the so-called double Dutch method of protection of sexual partners. A method consists in the simultaneous use of contraceptives and combined oral contraceptives (COC) that provides the reliable protection of woman from undesirable pregnancy and both partners from the infections passed by a sexual way.
The use of IUS at teenagers is limited by the risk of origin of extra-uterine pregnancy and making progress of inflammatory diseases of internal privy parts, frequency of irregular menstruations. In addition, girls-teenagers rarely have the steady, regular relationships with a sexual partner.
In accordance with it, delivered the women of to 20 years to the category of persons which can recommend this method, but obligatory medical estimation of risk of his use is required. The use IUS with gestagen by the women of to 20 years is undesirable in connection with the risk of extra-uterine pregnancy.
Introduction of IUS (Multiloud250 on 3 years, Multiloud375 and CupperT380 on 5 years) to the young women, having births or abortion in anamnesis, above-ground by regular sexual life with a permanent partner and not having the inflammatory diseases of vagina and internal privy parts, is possible.
Voluntarily surgical sterilization in some countries is settled to the persons not younger 35 years.
Convertibility is the obligatory condition of choice of method of contraception for teenagers. For avoidance of possible court claims it is necessary strictly to adhere to these legal criteria, even at solicitations of relatives mental backward, mentally and physically waning teenagers having carnal knowledge.
Hormonal contraception at teenagers takes undoubted advantages. Efficiency of contraceptives of hormonal nature is so great, that approaches them to reliability of womanish sterilization. Expected and real index Perl at the use of hormonal contraception small differs from each other.
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