Adolescent Contraception in the Emergency Department

Abnormal Uterine Bleeding and Beyond

Alexandra J. Edwards, Rebekah Williams

Research output: Contribution to journalArticle

Abstract

The emergency department (ED) is a frequent and important site for gynecologic care, and many women present to the ED for reproductive health concerns such as abnormal menses. Due to early menstrual age and increased incidence of sexually transmitted infections, adolescents are particularly prone to abnormal menses, but are also disproportionately affected by unintended pregnancy. While EDs have long been used for the evaluation and initial management of abnormal uterine bleeding, general contraceptive provision in the ED is a novel approach to addressing unmet contraceptive needs among adolescent women. We review normal menstruation and the evaluation and management of abnormal uterine bleeding in adolescents, including the use of combined oral contraceptives. Expanding on this established indication for contraceptive use in the ED, we present attitudes, barriers, and approaches to ED provision of contraceptives for adolescent pregnancy prevention.

Original languageEnglish (US)
Pages (from-to)54-62
Number of pages9
JournalClinical Pediatric Emergency Medicine
Volume20
Issue number1
DOIs
StatePublished - Mar 1 2019

Fingerprint

Uterine Hemorrhage
Contraception
Hospital Emergency Service
Contraceptive Agents
Menstruation
Contraceptives, Oral, Combined
Pregnancy in Adolescence
Reproductive Health
Sexually Transmitted Diseases
Pregnancy
Incidence

Keywords

  • abnormal uterine bleeding
  • adolescent contraception
  • confidentiality
  • emergency department
  • pregnancy prevention

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

Cite this

Adolescent Contraception in the Emergency Department : Abnormal Uterine Bleeding and Beyond. / Edwards, Alexandra J.; Williams, Rebekah.

In: Clinical Pediatric Emergency Medicine, Vol. 20, No. 1, 01.03.2019, p. 54-62.

Research output: Contribution to journalArticle

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