Choice of combined oral contraception for adolescent girls and young women

Kuznetsova I.V.

I.M. Sechenov First Moscow State Medical University, Moscow 119992, Malaya Trubetskaya str. 8, bld. 2, Russia
Objective. To carry out a systematic analysis of the data available in the literature on the use of combined oral contraceptives (COCs) by adolescent girls and young women.
Material and methods. Foreign and Russian articles published in the past 15 years were sought in the international citation database Pubmed for their analysis.
Results. The paper highlights the factors influencing adherence to COC use in adolescent girls and young women (a fear of complications and side effects, the lack of responsibility in young women, a low level of awareness of the benefits and risks of hormonal contraception). It is shown that after adequate medical consultation, the use of COC by adolescent girls and young women can offer additional health and quality of life benefits.
Conclusion. The correct choice of a dosage regimen and hormonal components in the composition of COCs is a guarantee for adherence to contraception in young female users. COCs containing drospirenone and a microdose of ethinyl estradiol (a 24/4 regimen) are one of the most attractive combinations for most adolescent girls and young women today.


combined oral contraceptives
adolescent girls
noncontraceptive effects


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Received 08.12.2017

Accepted 22.12.2017

About the Authors

Irina Vsevolodovna Kuznetsova, MD, professor of the Department of Obstetrics and Gynecology No. 1, Therapeutic Faculty, I.M. Sechenov First Moscow State Medical University. 119992, Russia, Moscow, Malaya Trubetskaya str. 8, bld. 2

For citations: Kuznetsova I.V. Choice of combined oral contraception for adolescent girls and young women. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (1): 35-40. (in Russian)

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