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AIDS Research and Therapy
Published in: AIDS Research and Therapy 1/2011

Open Access 01-12-2011 | Review

Contraception in HIV-positive female adolescents

Authors: Nadia T Kancheva Landolt, Sudrak Lakhonphon, Jintanat Ananworanich

Published in: AIDS Research and Therapy | Issue 1/2011

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Abstract

Sexual behavior of HIV-positive youths, whether infected perinatally, through risky behavior or other ways, is not substantially different from that of HIV-uninfected peers. Because of highly active antiretroviral therapy, increasing number of children, infected perinatally, are surviving into adolescence and are becoming sexually active and need reproductive health services. The objective of this article is to review the methods of contraception appropriate for HIV-positive adolescents with a special focus on hormonal contraceptives. Delaying the start of sexual life and the use of two methods thereafter, one of which is the male condom and the other a highly effective contraceptive method such as hormonal contraception or an intrauterine device, is currently the most effective option for those who desire simultaneous protection from both pregnancy and sexually transmitted diseases. Health care providers should be aware of the possible pharmacokinetic interactions between hormonal contraception and antiretrovirals. There is an urgent need for more information regarding metabolic outcomes of hormonal contraceptives, especially the effect of injectable progestins on bone metabolism, in HIV-positive adolescent girls.
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Metadata
Title
Contraception in HIV-positive female adolescents
Authors
Nadia T Kancheva Landolt
Sudrak Lakhonphon
Jintanat Ananworanich
Publication date
01-12-2011
Publisher
BioMed Central
Published in
AIDS Research and Therapy / Issue 1/2011
Electronic ISSN: 1742-6405
DOI
https://doi.org/10.1186/1742-6405-8-19

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WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

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