??????? ????????????: ???????? ????????????


???????? ?????????????

????????? ?????????? ?????????????,

??????? ????? ??????? ??? ?????????????? ????????????? ??????,

?????????? ?? ?????????? ??? ?????????????? ???????? ???????? ?????? ??????? ??? ?????????????? ????????????? ??????, ?????????? ??????????, ?????

? ??????? ???????? ??? ??????? ???? ??? ????? ????????????? ?????? ?????????, ??????????????? ??? ??????????? ??????? ?? ??? ??????? ????? ??????? ????????. ?? ???? ?? ??????? ???????????? ? ?????????????? ??? ?????? ?????????, ?? ?? ????? ??????? ?? ????? ????????? ??????? ???? ???????? ?? ??? ?????? ??????????? ????? ??? ??? ???????? ??? ??????????? ???????????? ???????? (???). ???????, ? ??????? ????????? ?????? ??????? ??? ??????????? ?????? ??? ???????????? ?????????? ?? ????????? ??????, ?????? ?????????? ??? ?????? ????? ??????????? ??????????????? ??? ?????????? ??? ?????? ???? ??? ??? ??????????????? ???????? ????.

??????, ?? ??????????????? ??????? ??????? ?? ????????????????? ?? ???????? ??????? ??????????: ??? ?? ???????????? ???????? (?.?. ???????????? ????????, ?????, ?.?.?.), ??? ???????? ??????? (??????? ????????????, ????????? ???????, ?.?.?.), ??? ????????? ???????? (?????????????? ??????, ???????? ?????????, ????????? ??????????? ?.?.?.) ??? ??? ????? ???????? (?????????? ????????). ???? ??????, ? ????????? ???????????????? ?????????????? ??????? ??? ???? ??????? ????? ? ???????????? ????????, ???? ????????? ?? ??????? ????????????, ??? ?? ??????? ?????? ??? ??????????????? ??????? ???????? ????? ?? 5%, ?? ???????? ?? ??? ?.?.?., ???? ?? ??????? ???? ?????? ??? 45%. ?????????, ????? ??????? ??? ???????????????? ?????? ?? ????? ?????, ???? ?? ?????????? ???????????, ? ??????? ??????????? (DMPA), ? ???????? ?????????, ?? ??????? ????????? ??? ?? ????????? ???????, ????? ????? ??? ???????? ????? ??? ???? ???.

? ????? ??? ????????????? ?????????, ???? ??? ?????????? ??????? ??? ????? ???? ?????? ??? ?????? ???? ?????? ?? ??????? ????? ??? 40%. ???????, ?? ??????? ???? ???????????? ?????? ?? ?? ????? ????? ??? ??????? ??????? ?? 20% ??? ????, ??? ??? ????????? ????? ????????? ??? ?? ???. ?? ??????? ????????????, ??? ???????? ?? ??????? ???????????????? ?????? ?????? ??? ?????? ??? ???? ???, ?????????? ???? ????????? ?????? ??? ???, ??? ?????????? ?????? ??? ???? ??????? ????? ?? ?????????? ??????? ???????. ?? ??????? ????????? ???, ???? ??????????????? ??????? ????? 2%, ??? ?? ??? ?????? ????? ?????? ?? 18%, ??????? ??? ?????? ?? ????? ????? ????????? ????? ???????.

???? ????? ??? ????????? ???????? ????????????, ?? ?????????????? ?????? ??????? ??? ????? ???? ??????????, ???????? ?? ??????? ??? ????? ???? ?????? ??? ???? ???. ?? ??????? ????????? ??? ?? ??? ??????? ????? ????? ????? 0,1%, ?????? ? ???????????? ??????????? ????? ??????? ???? ?? ??????? ?? 6-8% ?????? ??? ??????. ????????, ?? ????? ??????????? ??? ????? ? ?? ????????? ??? ?? ???, ?????????? ??? ???????? ??? ??????????????? ??????????, ??? ?????????????, ??? ????? ??? ??? ?????????????, ??? ??????? ??? ??????? ????????? ???????? ??? ??????????? ??? ??? ???????. ??????, ???????? ????????? ???????, ??? ????? ???????????? ???? ????? ???? ??? ??? ??????? ??? ?????? ??? ??? ????????. ??? ??? ????? ????? ? ???????? ????????? (NuvaRing), ??? ???????? ?? ?????????? ?????????????????? ??? ?? ?????????????????????????. ???????????? ???? ????? ??? ?????? ??? ???????? 3 ????????? ??? ?????????? ??? ??? ????????, ???? ????? ? ????? ???? ????????????. ?????????? ??? ????????????????, ????? ??????? ?????????? ???? ??? ???? ?? ????, ?? ?????? ????? ????????? ?????? ?? ?????????? ??? ???????? ??? ??????? ??? ???????????? ???????????? ????????? ??? ??????? ?? ???????????? ?? ?? ?????????????? ?????? ??? ?? ?????????? ???????????.

????????? ????? ?????? ?? ????? ???? ?????? ????????? ???????????? ??????????????? ???????? ??? ?????? ??? ?????????? ????????. ???????? ??? ???? ??????????? ??????????? (IUD), ??? ???????? ?????? ????????? ?????????????? ????? ??? ????????????? ????? ??? ??????????? ??????????, ????????? ??? ?????? ??? ????? ????????? ??? ??????????? ???? ??????. ?? ??? ??????? ?????????? ?????, ??? ?? ???? ?????? ???????????????. ???????, ???????? ????????????? ???? ?.?.?. ??? ?????????? ??? ???? ??????, ??? ?????????? ???????? ???????????????? ?????????? ??????????, ??????? ??? ??? ???????. ? ????? ???? ???????? ???? ??? ???????????? ??? ????????????? ??? ?????????, ??? ?? ?????????? ???????? ??? ???????? ???????????????, ???????????? ?? ??????????????? ??? ??????????? ???????????? ??? ?????????. ?????????? ????????, ?? ????????? ???????????? ??? ????? ???? ??? ??? ???????? ??? ??????? ???????? ???????????? ?????, ???? ???????? ??????????

??????????????, ????? ????????? ?? ?????????????? ???? ???????? ??? ??????????? ??????????????? ??? ??????, ???????? ???? ???? ????????? ???? ???? ??? ???? ?????????????? ??????, ?? ????????? ????? ???? ???????? ??? ??? ?????????????????? ????. ?? ?????? ?? ?????? ?? ????????????? ?? ????????????? ?? ??????? ???????????? ?? ???? ?????????? ???? ?????, ???? ?? ???????? ??? ???????? ?? ????????? ???, ?? ????????? ???? ?? ?????? ???????? ? ?????? ????????? ?????????????? ??????, ???? ?? ?????????? ?? ?????????? ???? ???????????? ?????? ??? ?? ?????????? ???? ??????? ???????? ????????.

????????????:

1.Committee opinion no. 539: adolescents and long-acting reversible contraception: implants and intrauterine devices. Committee on Adolescent Health Care Long-Acting Reversible Contraception Working Group, The American College of Obstetricians and Gynecologists. Obstet Gynecol. 2012 Oct;120(4):983-8.

2.American Teens' Sexual and Reproductive Health, May 2014. The Alan Guttmacher Institute. Available in https://www.guttmacher.org/pubs/FB-ATSRH.pdf.

3.Experiencing sexuality in youth living in Greece: contraceptive practices, risk taking, and psychosocial status. Tsitsika A, Andrie E, Deligeoroglou E et al. J PediatrAdolesc Gynecol. 2014 Aug;27(4):232-9.

4.Factors related to contraceptive methods among female higher education students in Greece. Donadiki EM, Jimenez-Garc?a R, VelonakisEG,et al. J PediatrAdolesc Gynecol. 2013 Dec;26(6):334-9.

5.CDC Vital Signs, April 2015. Preventing Teen Pregnancy: A Key Role for Health Care Providers. Available in http://www.cdc.gov/vitalsigns/larc/.

6.Contraception for adolescents. Committee on Adolescence. Pediatrics. 2014 Oct;134(4):e1244-56.

National Institute for Health and Care Excellence (NICE) Guidelines: Long Acting Reversible Contraception (September 2014 update) Available in:http://www.nice.org.uk/guidance/cg30/resources/guidance-longacting-reversible-contraception-update-pdf.


16-03-2017