Abstract
Adolescence is a time of much change and growth. Though exciting, it can present as a challenging time for the youth as well as for the health-care provider. Adolescence begins with puberty; in addition to experiencing many physical changes, the adolescent patient also undergoes numerous ongoing mental and psychosocial changes, with the transition to adulthood. While it is often assumed that adolescence is the healthiest time in an individual’s life, many common medical problems can arise during this time, especially with respect to sexual and reproductive health. These include abnormal menstruation, need for effective and confidential contraception, sexually transmitted infections, and intimate partner violence.
References
ACT for Youth Center for Excellence. Understanding Sexual Development. [Online]. (2021). Available at: http://www.actforyouth.net/sexual_health/sexual_development/. Accessed 17 Oct 2021.
American Academy of Pediatrics. Policy statement: contraception for adolescents. Pediatrics. 2021;134(4):1244–56.
American College of Obstetricians and Gynecologists. Committee opinion number 518: intimate partner violence. Obstet Gynecol. 2012;119:412–7.
American College of Obstetricians and Gynecologists. Committee opinion number 557 – management of acute abnormal uterine bleeding in nonpregnant reproductive-aged women. Obstet Gynecol. 2013a;121:891–6.
American College of Obstetricians and Gynecologists. Practice bulletin no. 136: management of abnormal uterine bleeding associated with ovulatory dysfunction. Obstet Gynecol. 2013b;122(1):176–85.
American College of Obstetricians and Gynecologists. Committee opinion number 651: menstruation in girls and adolescents: using the menstrual cycle as a vital sign. Obstet Gynecol. 2015;126(6):e143–6.
American College of Obstetricians and Gynecologists. Committee opinion number 789: screening and management of the hyperandrogenic adolescent. Obstet Gynecol. 2019a;134(4):e106–14.
American College of Obstetricians and Gynecologists. Practice bulletin number 152: emergency contraception. Obstet Gynecol. 2019b;126(3):e1–11.
American College of Obstetricians and Gynecologists. Committee opinion number 735: adolescents and long-acting reversible contraception: implants and intrauterine devices. Obstet Gynecol. 2021a;131:e130–9.
American College of Obstetricians and Gynecologists. Practice advisory: updated cervical cancer sceening guidelines. The American College of Obstetricians and Gynecologists. Washington, DC; 2021b.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American Psychiatric Association; 2013.
Blum R. A global look at adolescent pregnancy prevention: strategies for success. Office of Adolescent Health. Rockville, MD; 2013.
Bryson A, Koyama A, Hassan A. Addressing long-acting reversible contraception access, bias, and coercion: supporting adolescent and young adult reproductive autonomy. Curr Opin Pediatr. 2021;33(4):345–53.
Centers for Disease Control and Prevention. Teen-friendly reproductive health visit. [Online]. (2018). Available at: http://www.cdc.gov/teenpregnancy/health-care-providers/teen-friendly-health-visit.htm. Accessed 17 Oct 2021.
Centers for Disease Control and Prevention. Human Papilloma Virus (HPV) Vaccine. [Online]. (2020). Available at: http://www.cdc.gov/vaccinesafety/vaccines/hpv-vaccine.html. Accessed 17 Oct 2021.
Centers for Disease Control and Prevention. About teen pregnancy. [Online]. (2021a). Available at: http://www.cdc.gov/teenpregnancy/about/index.htm Accessed 17 Oct 2021.
Centers for Disease Control and Prevention. Legal status of expedited partner therapy (EPT). [Online]. (2021b). Available at: http://www.cdc.gov/std/ept/legal/default.htm. Accessed 17 Oct 2021.
Crawford-Jakubiak J, Alderman E, Leventhal J. Care of the adolescent after an acute sexual assault. Pediatrics. 2017;139(3):e20164243.
Diedrich JT, et al. Three-year continuation of reversible contraception. Am J Gynecol. 2015;213:e1–8.
Emans SJ, Laufer MR, Goldstein DP. Pediatric and adolescent gynecology. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2019.
English A, Bass L, Dame Boyle A, Eshragh F. State minor consent laws: A summary. 3rd ed. Chapel Hill: Center for Adolescent Health & the Law; 2010.
Ford C, English A, Sigman G. Confidential health care for adolescents: position paper of the society for adolescent medicine. J Adolesc Health. 2004;35(1):1–8.
Gilliam M. Youth reproductive justice: beyond choice, toward health equity. Health Educ Behav. 2020;47(4), 640-641.
Ginsburg K, Kinsman SB. Reaching teens: strength-based, trauma-sensitive, resilience-building communication strategies rooted in positive youth development. 2nd ed. Elk Grove Village: American Academy of Pediatrics; 2020.
Goldenring JH, Rosen DS. Getting into adolescent heads: an essential update. Contemp Pediatr. 2004; 21(64): 64-90.
Guttmacher Institute. State Laws and Policy Report: An overview of consent to reproductive health services by young people. New York City: Guttmacher Institute. (2021)
Higgins J, Kramer R, Ryder K. Provider bias in long-acting reversible contraception (LARC) promotion and removal: perceptions of young adult women. Am J Public Health. 2016;106(11):1932–7.
Hwang LY, Ma Y, Miller Benningfield S, et al. Factors that influence the rate of epithelial maturation in the cervix in healthy young women. J Adolesent Health. 2009;44:103–10.
Ibanez LOSWS, et al. An international consortium update: pathophysiology, diagnosis, and treatment of polycystic ovarian syndrome in adolescence. Horm Res Paediatr. 2017;60(1):371–95.
Klein DGJAW. HEEADSSS 3.0: the psychosocial interview for adolescents updated for a new century fueled by media. Contemp Pediatr. 31(1). 2014: 16-28.
Kliegman RMSGJWBNJ e a. Nelson textbook of pediatrics. 21st ed. Philadelphia: Elsevier; 2020.
Livingstron G, Thomas D. Why is the teen birth rate falling?. [Online]. (2019). Available at: https://www.pewresearch.org/fact-tank/2019/08/02/why-is-the-teen-birth-rate-falling/. Accessed 5 Dec 2021.
Mihaly L, Lambright T, Chang A. Adolescent health working group: sexual and reproductive health toolkit for adolescent providers. San Francisco: Adolescent Health Working Group; 2021.
Morse J, Moos M. Reproductive life planning: raising the questions. Matern Child Health J. 2018;22(4):439–44.
Moscicki A-B, Ma Y, Holland C, et al. Cervical ectopy in adolescents girls with and without human immunodeficiency virus infection. J Infect Dis. 2001;183:865–70.
Moscicki A, et al. Guidelines for cervical cancer screening in immunosuppressed women without HIV infection. J Low Genit Tract Dis. 2019;23(2), 87-101.
Mountjoy M, Sundgot-Borgen J, Burke L, et al. The IOC consensus statement: beyond the female athlete triad – relative energy deficiency in sports (RED-S). Br J Sports Med. 2014;48:491–7.
Neinstein LS, et al. Adolescent health care: a practical guide. 6th ed. Philadelphia: Wolter Kluwer; 2016.
Office of Adolescent Health. Report: Trends in teen pregnancy and childbearing. US Department of Health & Human Services (2017).
Power to Decide. Whoops proof birth control: how to reach women and increase their positive regard for the most effective methods of contraception. Washington DC: Power to Decide; 2015.
Robinson L, et al. Pharmacological treatment options for low bone mineral density and secondary osteoporosis in anorexia nervosa: a systematic review of the literature. J Psychosom Res. 2017;98:87–97.
The Center for Adolescent Health & the Law. Policy compendium on confidential health services for adolescents. 2nd ed. Chapel Hill: The Center for Adolescent Health & the Law; 2005.
The Society of Adolescent Health and Medicine. Position paper of the Society for Adolescent Health and Medicine: medical management of restrictive eating disorders in adolescents and young adults. J Adolesc Health. 2015;56(1):121–5.
Trent M, Gordon CM. Diagnosis and management of polycystic ovary syndrome in adolescents. Pediatrics. 2020;145:S210–8.
Turok D, et al. Levonorgestrel vs. copper intrauterine devices for emergency contraception. N Engl J Med. 2021;384:335–44.
Underwood JM, Brener N, Halpern-Felsher B, et al. Youth risk behavior surveillance – United States, 2019. Morbidity Mortality Week Rep Suppl. 2020;69(1):1–88.
Upadhya KK, Committee on Adolescence. Policy statement: emergency contraception. Pediatrics. 2019;144(6):e201931149.
Weiss Kelly AK, Hecht S, Council of Sports Medicine and Fitness. The female athlete triad. Pediatrics. 2016;137(6):e20160922.
Wilkinson T, Kottke M, Berlan E. Providing contraception for young people. JAMA Pediatr. 2020; 174(9): 823–824.
Witkop CT, Warren MP. Understanding the spectrum on the female athlete triad. Obstet Gynecol. 2010;116(6):1444–8.
Workowski K, Bachmann L, Chan P, et al. Sexually transmitted infections treatment guidelines, 2021. Morb Mortal Wkly Rep Recomm Rep. 2021;70(4):1–192.
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Yonan, T.A., Borzutzky, C. (2022). Common Problems in Adolescent Medicine. In: Shoupe, D. (eds) Handbook of Gynecology. Springer, Cham. https://doi.org/10.1007/978-3-319-17002-2_57-2
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