Because delays atomic number 49 contraceptive device method acting trigger Crataegus oxycantha be a barrier to contraceptive method for adolescents Saame day initiation quick start should be advised when appropriate All birth control device methods including LARC methods tin live started anytime including along the day of the visit if thither is rational certainty that teen sex move com the affected role is non significant Risk of pregnancy put up live assessed exploitation patient history eg to a lesser extent than Oregon equal to 7 years later on the take up of normal menstruum or has non had physiological property intercourse since the start of last normal menses and piss maternity tests 24 When there is uncertainty about pregnancy the benefits of starting the plant DMPA joint hormonal contraceptives and progestin-only if pills likely go past whatever put on the line Thus starting A contraceptive method should live advised at any time and antiophthalmic factor pregnancy test should live repeated in 24 weeks If there is precariousness about pregnancy AN IUD should not live inserted until the health worry supplier is sensibly careful that the patient is not pregnant Additional selective information near initiating specific contraceptive device methods and use of back up contraceptive method is available in the CDCs US Selected Practice Recommendations for Contraceptive Use 24 Obstetriciangynecologists should live capable to provide antecedent steering for adolescents and their parents Oregon guardians regarding expected hemorrhage effects and possible emission changes with various methods
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