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Báo cáo y học: "Contraception in HIV-positive female adolescents."

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Contraception in HIV-positive female adolescents. | Kancheva Landolt et al. AIDS Research and Therapy 2011 8 19 http www.aidsrestherapy.eom content 8 1 19 AIDS RESEARCH AND THERAPY REVIEW Open Access Contraception in HIV-positive female adolescents Nadia T Kancheva Landolt 1 Sudrak Lakhonphon2 and Jintanat Ananworanich1 2 3 Abstract Sexual behavior of HIV-positive youths whether infected perinatally through risky behavior or other ways is not substantially different from that of HIV-uninfected peers. Because of highly active antiretroviral therapy increasing number of children infected perinatally are surviving into adolescence and are becoming sexually active and need reproductive health services. The objective of this article is to review the methods of contraception appropriate for HIV-positive adolescents with a special focus on hormonal contraceptives. Delaying the start of sexual life and the use of two methods thereafter one of which is the male condom and the other a highly effective contraceptive method such as hormonal contraception or an intrauterine device is currently the most effective option for those who desire simultaneous protection from both pregnancy and sexually transmitted diseases. Health care providers should be aware of the possible pharmacokinetic interactions between hormonal contraception and antiretrovirals. There is an urgent need for more information regarding metabolic outcomes of hormonal contraceptives especially the effect of injectable progestins on bone metabolism in HIV-positive adolescent girls. Introduction Nong is just 15 years old. She was born in a remote part of Thailand infected with HIV since birth. Her father died when she was one year old and her mother passed away when she was six. Nong had a sister but she also died many years ago from AIDS. From an early age Nong was cared for by an old man a distant relative whom she calls grandfather . Nong is smart and very sensitive. She likes going to school she is interested in drama and likes Thai boxing. She does not like to