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Purpose of Review <p>This review provides an update for clinicians on: (1) person-centered contraceptive counseling; (2) 2024 updates to the Centers for Disease Control and Prevention (CDC) U.S. Medical Eligibility Criteria and Selected Practice Recommendations; (3) emerging and updated contraceptive methods, and (4) innovative models for contraceptive access and service delivery relevant to adolescents.</p> Recent Findings <p>Adolescent-serving clinicians are encouraged to move beyond a focus on pregnancy prevention toward autonomy-centered, developmentally appropriate contraceptive care that recognizes adolescents as emerging decision-makers. The 2024 CDC contraceptive guidelines support more equitable and affirming care through gender-inclusive language and an emphasis on shared decision-making and personal autonomy. Adolescent-relevant evidence-based updates include guidance on depot medroxyprogesterone acetate and venous thromboembolism risk, self-administration of subcutaneous depot medroxyprogesterone acetate, pain management during intrauterine device insertion, management of bleeding irregularities with implant use, and contraceptive counseling for adolescents using testosterone. In parallel, newer contraceptive options expand opportunities to align method selection with adolescents’ preferences. Innovations in contraceptive access, such as telehealth, pharmacist-prescribed and over-the-counter oral contraceptives, mobile health applications, and integration into acute care settings, have expanded in recent years. However, few models have been implemented at scale for adolescents, and barriers to equitable, confidential, and convenient access persist.</p> Summary <p>Clinicians should provide person-centered contraceptive counseling, integrate updated CDC guidance into practice, and offer a broad range of contraceptive methods and access pathways aligned with adolescents’ diverse needs and values. Prioritizing autonomy, flexibility, and responsiveness may advance a more equitable and empowering adolescent contraceptive care landscape.</p>

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Adolescent Contraceptive Care in a Shifting Landscape: Updates for Clinicians

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年3月20日

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  • Bianca A. Allison,
  • Janis L. Sethness,
  • Elise D. Berlan

摘要

Purpose of Review

This review provides an update for clinicians on: (1) person-centered contraceptive counseling; (2) 2024 updates to the Centers for Disease Control and Prevention (CDC) U.S. Medical Eligibility Criteria and Selected Practice Recommendations; (3) emerging and updated contraceptive methods, and (4) innovative models for contraceptive access and service delivery relevant to adolescents.

Recent Findings

Adolescent-serving clinicians are encouraged to move beyond a focus on pregnancy prevention toward autonomy-centered, developmentally appropriate contraceptive care that recognizes adolescents as emerging decision-makers. The 2024 CDC contraceptive guidelines support more equitable and affirming care through gender-inclusive language and an emphasis on shared decision-making and personal autonomy. Adolescent-relevant evidence-based updates include guidance on depot medroxyprogesterone acetate and venous thromboembolism risk, self-administration of subcutaneous depot medroxyprogesterone acetate, pain management during intrauterine device insertion, management of bleeding irregularities with implant use, and contraceptive counseling for adolescents using testosterone. In parallel, newer contraceptive options expand opportunities to align method selection with adolescents’ preferences. Innovations in contraceptive access, such as telehealth, pharmacist-prescribed and over-the-counter oral contraceptives, mobile health applications, and integration into acute care settings, have expanded in recent years. However, few models have been implemented at scale for adolescents, and barriers to equitable, confidential, and convenient access persist.

Summary

Clinicians should provide person-centered contraceptive counseling, integrate updated CDC guidance into practice, and offer a broad range of contraceptive methods and access pathways aligned with adolescents’ diverse needs and values. Prioritizing autonomy, flexibility, and responsiveness may advance a more equitable and empowering adolescent contraceptive care landscape.