Abstract | BACKGROUND: Women between the ages of 15 and 24 years have high rates of unintended pregnancy; over half of women in this age group want to avoid pregnancy. However, women under age 25 years have been found to have higher typical contraceptive failure rates within the first 12 months of use than older women. High discontinuation rates may also be a problem in this population. Concern that adolescents and young women will not find hormonal or intrauterine contraceptives acceptable or effective might deter healthcare providers from recommending these contraceptive methods. OBJECTIVES: This review examined randomized controlled trials of hormonal or intrauterine methods used for contraception in women aged 25 years and younger. SEARCH METHODS: In February 2012, we searched the computerized databases Cochrane Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, POPLINE, CINAHL, and LILACS for randomized controlled trials that compared hormonal or intrauterine methods used for contraception in women aged 25 years and younger. We also searched for current trials via ClinicalTrials.gov and the World Health Organization International Clinical Trials Registry Platform (ICTRP). SELECTION CRITERIA: DATA COLLECTION AND ANALYSIS: The first author extracted the data and entered the information into RevMan. Another author performed an independent data extraction and verified the initial entry. Because of disparate contraceptive exposures, we were not able to combine the studies in meta-analysis. MAIN RESULTS: AUTHORS' CONCLUSIONS: Current evidence is insufficient to compare contraceptive efficacy and continuation rates for hormonal and intrauterine methods in women aged 25 years and younger. Limited data suggests that the levonorgestrel intrauterine system may be an acceptable alternative to the combined oral contraceptive in this population.
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Authors | Jennifer H Tang, Laureen M Lopez, Sheila Mody, David A Grimes |
Journal | The Cochrane database of systematic reviews
(Cochrane Database Syst Rev)
Vol. 11
Pg. CD009805
(Nov 14 2012)
ISSN: 1469-493X [Electronic] England |
PMID | 23152281
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, U.S. Gov't, Non-P.H.S., Review, Systematic Review)
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Chemical References |
- Contraceptive Agents, Female
- Contraceptives, Oral, Combined
- Levonorgestrel
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Topics |
- Administration, Topical
- Adolescent
- Adult
- Contraception
(methods)
- Contraceptive Agents, Female
- Contraceptives, Oral, Combined
- Female
- Humans
- Intrauterine Devices
- Intrauterine Devices, Copper
- Levonorgestrel
- Randomized Controlled Trials as Topic
- Young Adult
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