Is any specific workup required prior to starting an adolescent on the combined oral contraceptive pill (OCP)?
No. Young people require thorough counselling and more frequent follow-up to ensure proper use. Extra precautions are needed to encourage dual protection for the prevention of both pregnancy and sexually transmitted diseases (STD) and periodic reassessment of combined OCP usage and STDs risk are essential. If side effects occur, rapid access to a health care worker will increase adherence. A low threshold for pregnancy testing is recommended prior to initiating the combined OCP (especially if no pelvic exam is being done) as adolescents often seek contraception when they are worried they might be pregnant or have had a recent scare.
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