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[quote=Anonymous][quote=Anonymous][quote=Anonymous]

09:03 again.  Yes, I agree with you that other options might be good for the population as a whole, and that IUDs might be a great choice for an individual teen.  I feel like you keep asking me the same question, or maybe I wasn't clear enough.  [b]My issue with is with ACOG's insistence that IUDs ought to be overwhelmingly the first line of defense for all teens.[/b]  I am saying each teen should be evaluated as an individual, and that many teens are responsible to enough to avoid pregnancy without implanting a device into their uterus which could cause damage.

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Which insistence is that? Here is what ACOG actually says:

ABSTRACT: Long-acting reversible contraception (LARC)—intrauterine devices and the contraceptive implant—are safe and appropriate contraceptive methods for most women and adolescents. The LARC methods are top-tier contraceptives based on effectiveness, with pregnancy rates of less than 1% per year for perfect use and typical use. These contraceptives have the highest rates of satisfaction and continuation of all reversible contraceptives. Adolescents are at high risk of unintended pregnancy and may benefit from increased access to LARC methods.

http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Adolescent-Health-Care/Adolescents-and-Long-Acting-Reversible-Contraception

I also seriously doubt that ACOG would dispute that idea that each teen (or each anybody else) should be evaluated as an individual.

Nor is the purpose of an IUD to be the contraceptive method for irresponsible people. It's one contraceptive method for people to consider who want a highly-effective method of reversible contraception with a high rate of satisfaction.

Now I, personally, do wonder why you are fine with teenagers taking hormones orally, intramuscularly, or transdermally, but not fine with teenagers having devices in their uteruses, but that's beside the point.[/quote]

Since you're ignoring much of what I've said, I'll ignore 90% of the points you're making when providing my answer, too.

I am in no way fine with teens taking hormones, and [i]never [/i]said as much.  However, I do believe that the pill is the the lesser of the evils you're listing.  It is a good option for many people.  It is one of the most studied medications in history, and it is probably wise to have some form of a backup to a condom. Spermicide and diaphragms are probably a much better option for back up, but I know women who have had a lot of trouble getting them in and out as a young nullip.  Plus it diaphrams and spermicide are another another form of birth control that need to be done before the actual act, and you can see how a teen just scrap it altogether.  A pill is remembered during another time of the day, and not during the heat of the moment.

We can keep going round in circles.  I absolutely don't care what you do for your teen, but I'm free to think it's stupid.  I have no vested interest in your teen's uterus.

Although, I'm sure your kid is as dopey as you are.  In which case, like I said upthread, an IUD is probably best.

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