Prevention of unplanned pregnancy in young people

The current contraception is well studied, reliable, and available. Adolescents, the most vulnerable group regarding unwanted pregnancy, use low effective contraceptive methods or do not at all. In addition to available contraceptives, effective counselling is needed. In Russia, there is a high pent-up demand for contraception; traditional and low effective methods are mainly used. This fact and a lack of motivation to go to a doctor to choose a method of birth control explain high unintended pregnancy and abortion rates in Russia. The latest-generation progestagen combined oral contraceptives, such as dimia, are the method of choice for young people. Progestagen-containing lactinet tablets may be recommended for those who have contraindications and nursing mothers; it is continuously used every day. Besides planned birth control methods, a condom is required to prevent sexually transmitted/HIV infections. Young people need emergency contraceptive pills, such as single-dose postinor and escapelle, not later than 72 hours after sexual contact. Effective family planning programs ensuring main human rights to choose current contraceptives and skills to use them may deepen young people’s knowledge about reproductive health and improve its quality situation.

young people and adolescents, planned and emergency contraception, reproductive choice, family planning programs, mixed method, combined oral contraceptives, intrauterine contraceptive devices, access, awareness