In a 14-year-old adolescent who is sexually active and wants to prevent pregnancy, which birth control method is best?

In a 14-year-old adolescent who is sexually active and wants to prevent pregnancy, which birth control method is best?

• A. Intrauterine device (IUD)
• B. Diaphragm
• C. Depo-Provera
• D. Ovral

Answer: (C)

For adolescents, the most effective contraception is one that minimizes the need for daily action and is highly reliable. A long-acting injectable progestin given every 12 weeks fits this well: it provides strong pregnancy protection without requiring daily pill-taking or consistent use of a barrier method, and it’s discreet and easy to schedule with a healthcare visit. This makes it a practical choice for teens who may have irregular schedules or difficulty adhering to daily regimens. It’s important to note that this method does not protect against sexually transmitted infections, and fertility typically returns after stopping injections, though the return can be gradual. Compared with an IUD, the injection avoids an invasive insertion procedure, which some adolescents and families prefer, though IUDs are also highly effective. A diaphragm requires planning and correct use with intercourse, and a combined oral contraceptive pill requires daily dosing, which can be challenging for teens.

For adolescents, the most effective contraception is one that minimizes the need for daily action and is highly reliable. A long-acting injectable progestin given every 12 weeks fits this well: it provides strong pregnancy protection without requiring daily pill-taking or consistent use of a barrier method, and it’s discreet and easy to schedule with a healthcare visit. This makes it a practical choice for teens who may have irregular schedules or difficulty adhering to daily regimens.

It’s important to note that this method does not protect against sexually transmitted infections, and fertility typically returns after stopping injections, though the return can be gradual. Compared with an IUD, the injection avoids an invasive insertion procedure, which some adolescents and families prefer, though IUDs are also highly effective. A diaphragm requires planning and correct use with intercourse, and a combined oral contraceptive pill requires daily dosing, which can be challenging for teens.