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June 25, 1997

A 17-Year-Old Mother Seeking Contraception, 1 Year Later

JAMA. 1997;277(24):1976. doi:10.1001/jama.1997.03540480076042

In June 1996, at Obstetrics and Gynecology Grand Rounds, Dr David Grimes discussed a 17-year-old woman with a 3-year-old daughter who wanted to prevent pregnancy so that she could finish high school and attend college. Ms B had tried different methods of contraception, but felt she had adverse effects (weight gain and hair loss) from DMPA [depot medroxyprogesterone acetate] and had difficulty remembering to take oral contraceptive pills daily. She had 1 sexual partner, the father of her child, and was using condoms to prevent sexually transmitted diseases. Dr Grimes reviewed the prevalence of unintended pregnancy in teenage women and discussed pros and cons of available methods to prevent pregnancy and sexually transmitted diseases. He recommended an intrauterine device for Ms B.

MS B, THE PATIENT  I've been really good. I am graduating from high school this year and am waiting to hear if I get into a local university