Adolescent Contraception
Q 1
I would take into consideration the age of the girl and assess the reason she wants to start using the pill as she notes she had not been sexually active before. Her age depicts she is a teenager, and it is clear she is sexually active. I will consider the number of partners the girl has, which in this case, is one boyfriend. Furthermore, I would assess the willingness of both parties to engage in this, the girl and her boyfriend. I will go ahead to consider the fact that the girl is already sexually active as she reports having done it twice without protection. I will check on her cycle pattern, whether regular or regular, to help in my analysis (Fridgen et al., 2017). I will also check on her relationship with her parents and the two siblings she has. I will consider her medical history, and she notes she has not had any gynecological or medical issues. I will check on her school life too.
Q 2
The girl has the intention to protect herself and her boyfriend against teenage pregnancies. She has also agreed to have one boyfriend who in support of her to the decision they are taking. Her further confession of having regular periods is also a good sign for assessing her case. Denying the girl a chance to use contraceptives will not prevent her from having sex because she has already started (Fleming et al., 2015). The best thing to do is to advise her on how concerning the method of birth control she has chosen. The use of a pill does not prevent her from getting sexually transmitted diseases, which is a risk to her (MacGregor, & Khadr, 2016). I will ask her to be sure of having one partner, as she has said. I will then ask her to take an HIV test with the boyfriend to be sure of their health. I will then prescribe the pill to her that she has to take daily. I will ask her to report back for feedback after two weeks.
References
Fleming, N., O’Driscoll, T., Becker, G., Spitzer, R. F., Allen, L., Millar, D., … & Murphy, D. (2015). Adolescent pregnancy guidelines. Journal of Obstetrics and Gynaecology Canada, 37(8), 740-756.
Fridgen, O., Sehovic, I., Bowman, M. L., Reed, D., Tamargo, C., Vadaparampil, S., & Quinn, G. P. (2017). Contraception: the need for expansion of counsel in adolescent and young adult (AYA) cancer care. Journal of Cancer Education, 32(4), 924-932.
MacGregor, K. E., & Khadr, S. N. (2016). Contraception for adolescents (American Academy of Pediatrics). Archives of Disease in Childhood-Education and Practice, 101(2), 61-64.