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Such a proposal contrasts with the public, as it was felt that such a decision could only encourage girls to engage in irresponsible sexual behavior. Others have argued that at that age, it is not the girls who should be concerned with sex, but the sciences.
The most common myths related to contraception in adolescents were discussed in more detail in a remote conversation by the obstetrician-gynecologist at the VUL Santara clinic. Dr. Žana Bumbulienė.
Abortions – and for those under 14
About 40 percent are reported. Students in grades 11-12 say they are already having sex, and one in five teens who have attempted such a relationship is under the age of 15.
According to doctors, it is especially painful that the lives of some girls are severely traumatized by abortions carried out during adolescence, which occur in Lithuania between 200 and 200 per year.
“Although these statistics are not very clear, they can only be provided by state institutions, but several hundred minor abortions occur each year,” Ž said. Tuber.
Žana Bumbulienė
According to her, when it comes to the beginning of girls’ sexual life, our country is not very different from other European countries.
“If we talk about the average, we can only rely on anonymous surveys, such studies are often done by VU and Kaunas clinics and we are actually the same age, the average is between 16 and 17 years.” So the 15-year-old also “fits” here, but others will also start at 18.
True, he added, it looks worse in Lithuania when we compare the number of abortions and pregnancies for the same teens.
“The most painful thing is when we talk about abortion, especially for young women under the age of 14. The older the panels, the more abortions are recorded, “added the doctor.
Teens collect information from the Internet
Asked if adolescents in our country really have enough knowledge about ways to protect themselves, Ž. Bumbulienė emphasized that sufficient efforts are being made in the school in Lithuania.
“It looks like we’re trying to provide that information to young people. But it’s that information really only from the school and its students get enough, certainly not.
It is up to the school as well as how teachers can pass it on, talking about these issues. Teens still trust doctors more, and they themselves collect information from the Internet, which, however, is not always real or not so understandable, so more explanation is needed here, ”he said.
The doctor emphasized that the choice of contraceptive methods is currently quite wide, both long-term reversible contraceptives such as pills, rings, patches and condoms, and emergency contraceptives.
Does emergency contraception promote an insecure relationship?
However, regarding the last measure, Ž. Bumbulienė emphasized that this could not be a way to protect a common choice.
“The question of whether this measure is not traumatic for girls is a safe one, it would answer in two ways. What will we consider security? If you have to choose between an abortion or a birth control pill, then of course we choose it.
The emergency contraceptive pill delays ovulation and requires more hormones than the regular pill.
So if I had to use it once, nothing terrible would happen, because these tablets are the only ones that are sold over the counter. So if it happened that a condom broke during the relationship, it is possible to choose that option, “said the doctor.
Contraception
However, he emphasized that this measure is called emergency contraception, since it should be used in extremely rare cases.
“When used frequently, it can cause damage and must be restored to a normal cycle. However, it is important to know that if ovulation has already taken place, the pregnancy will continue to develop and rapid contraception will not work, “added the gynecologist.
When asked if the easy availability of this emergency tool does not encourage teens to have sex earlier, the doctor was reluctant to accept.
“If a teenager takes relationships seriously and responsibly, knows contraception, she will definitely choose safe methods. Even more so because she will definitely go see a doctor,” Ž. Tuber.
There is no ideal contraceptive method.
He asked for a more detailed comment on the issue of compensating for hormonal spirals in teens, which has caused so much discussion, Ž. Bumbulienė emphasized that this topic was widely discussed in the OB / GYN community.
“Let’s start with the fact that society has primarily decided to seek compensation for this measure for all women of reproductive age.
But as we analyzed real financing opportunities, it was decided to ask for it to be for women of a certain age or for the most vulnerable groups. After evaluating this, a group of girls aged 15 to 19 was selected. I want to remind you that abortions at a young age are especially harmful and that pregnancy is still too early overall, ”she explained.
The doctor stressed that there are no medical contraindications for any contraceptive method for adolescents.
“Basically they are healthy girls and we could dedicate everything to them.” And then there are priorities for what would be safer and better. How is today’s youth different from previous times? The girl used to have sex when she was married, she could have been 16 and 20 years old. And now, if 18 start living together, get married, give birth at 27, what to do? “, Thought.
Condom
At this point, he recalled that there is some perception of an ideal contraceptive method that would include 100 percent. Safety and efficacy, such a tool could be started and stopped at any time, regardless of the doctor, it should also provide additional wellness for the body.
“It just caught our eye then. It seems to many that if we start a contraceptive method, it should be safe and effective, but it doesn’t. It looks at how much more effective it can be and at most 99 percent achievable. And these are precisely the long-term methods that, on the one hand, are already independent of the user, because the inserted spiral is simply already in the body.
The tablets should be taken every day. And I don’t think there is a woman who has never forgotten. Especially adolescents are not used to taking any medicine at the same time every day, “explained the doctor.
The hormonal spiral is the safest option for teens.
According to her, when it comes to IUDs, it could be 2 pregnancies out of 1,000 girls, and when it comes to birth control pills, it could be 8 pregnancies out of 100.
“So when we talk about efficiency as the first and most important option, the spiral is a much more efficient option.
In terms of safety, a number of studies have been carried out, including with spirals. When we talk about the IUD, it is a local effect, it works in the uterus, it does not affect the whole body like when taking pills or using a patch, “he said.
The doctor agreed that some of the girls felt pain when inserting the IUD, but this was certainly not mentioned later as a reason to abandon the procedure next time.
pregnant
“Studies have been done in which spirals are introduced to girls between 12 and 17 years old. Only a part of the girls called this pain unpleasant. So you really have to talk about some kind of pain reliever. However, when the girls were later asked if that pain would affect another negative option, they replied no.
He noted that the price of this measure is also a long-term positive.
“It may seem big at a time, but after a few months, you get only a few euros.” Therefore, this topic was widely discussed by gynecologists, “said Ž. Tubercle.
The doctor emphasized that all societies in the world emphasize the fact that spiraling is the method of first choice for adolescents.
A myth that is not suitable for the unborn.
When asked if compensating for that measure for girls is not an incentive not to be afraid of having early sex, the doctor emphasized that it should only be given to a teenager who has seen a doctor.
“It will only happen to those girls who go to the doctor for contraception. And believe me, there really aren’t that many of them, they usually come with mothers. Before the appointment, a medical history is compiled, everything is discussed, and I see nothing wrong. in it ”, explained the clinic doctor.
At the same time, however, it did not hide the existence of side effects of hormonal coils, but this measure can be prescribed even to people with heart problems.
“It just caught our eye then. Without them, the drug would not work. If there is a good effect, there will always be a side effect. For example, in addition to the aforementioned pain of inserting an IUD for girls, it is observed that it is more likely that have an IUD In addition, bleeding and spotting after insertion may be prolonged.
Also, if venous thromboembolism is often feared when prescribing birth control pills, then even girls with heart disease can be given coils, “said Ž. Tuber.
At the same time, the doctor dispelled the myth that the hormonal spiral should not be placed in unborn women. He also emphasized that after removal of the IUD, pregnancy can be planned immediately.
Warns about sexually transmitted diseases.
When asked if this measure does not increase the risk of ectopic pregnancy, the gynecologist assured that it is again more of a myth.
“Because the risk of getting pregnant is much lower here, the risk of an ectopic pregnancy is lower compared to women who don’t wear anything.”
But if the pregnancy has already occurred, it can be ectopic. But there are also cases where a woman with a spiral conceives, normally conceives and gives birth to healthy babies, “she emphasized.
The gynecologist added that this contraceptive method will not protect against sexually transmitted diseases, so the use of condoms is definitely recommended.
Testing for these sexually transmitted diseases, such as chlamydia and gonorrhea, is also recommended before inserting the IUD.
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