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The choice of the first contraception is very important. The existing methods are numerous. To find the process that invites you requires a specialist's advice. At the teenager, the pill oestroprogestative is the best fashion of contraception. Several elements plead in favor of this choice: - The efficiency of this fashion of contraception;
- Its simplicity of use;
- Its beneficial effects on the teenager's menstrual unrests (irregularity of the cycles, dysménorrhée - or painful menstruation, acne...).
A complete balance and the research of possible contra-indications, in particular the domestic antecedents of venous or arterial thromboses and the tobacco addiction, must precede the prescription of the pill. This contraception must be the subject of a surveillance paraclinique (realization of cervical smears of tracking and blood dosages cholesterol, the triglycerides and glucose). The prescriber's role is to put in guard the teenager against the effects potentially serious of the association tobacco-pill oestroprogestative. In the rare cases of contra-indication to the estrogens, the contraception by a micro-pill pure progestative can be prescribed. He/it agrees then to insist on the necessity of a non-stop hold, at stationary hour, and on the intervening of irregular bleedings. When no of these methods is not adapted, or when the teenager already underwent an interruption voluntary of pregnancy, it can be necessary to have resort to the I.U.D. (classically unadvisable, in France, to the women without child, he remains authorized in several European countries), to the quarterly injections or to the implants of progestatifs. In any case, it is necessary to insist on the necessity on associating to the oral contraception the use of the condom to fight against the transmission risk of the sexually transferable illnesses (MST). It is necessary to indicate to the teenager the possibility to have resort to the "pill of the following day ", in case of non protected report or accident" of contraception. Since some months, it is possible to get in pharmacy of the Tetragynan® or the NorLevo®, to take in the 72 hours according to the report. 2010-10-10
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