Menstrual concerns and intrauterine contraception among adolescent bariatric surgery XXXX .

@entity407 @entity1 @entity3610 @entity101 @entity6 @entity28 @entity6437 @entity1834 @entity2692 @entity1866 @entity1561 @entity2589 @entity931
OBJECTIVE: Adolescent @entity28 has dramatically increased in recent decades, and along with that so have other medical comorbidities, such as @entity101 , @entity6 , @entity407 , @entity1561 , @entity3610 ( @entity3610 ), and @entity6437 cerebri. @entity28 and related comorbidites may be contraindications to hormonal contraception, making contraception counseling of morbidly @entity28 adolescents more challenging. Obese adolescent females seeking bariatric surgery need effective contraception in the postoperative period. This study is designed to determine the acceptance rate of the @entity2692 -releasing intrauterine device (IUD) and describe common @entity1866 in @entity28 adolescent bariatric surgery @entity1 . METHODS: This is a historic cohort study of adolescent females who underwent bariatric surgery over a 2-year period at a tertiary referral center for pediatric @entity28 . Data were systematically abstracted. The percent of @entity1 with @entity1866 and the acceptance rate for the @entity2692 -releasing IUD were determined. RESULTS: Twenty-five adolescents met inclusion criteria. The mean age was 17.4 years (standard deviation [SD] 2.6), and the mean body mass index (BMI) was 51.4 (SD 6.3) kg/m(2). Eighty-four percent were white. Twenty-eight percent had @entity931 , 32% had @entity2589 , 40% had @entity1834 , and 36% had @entity3610 . Ninety-two percent (23 of 25) underwent IUD placement. CONCLUSIONS: There was a high prevalence of @entity1866 among this sample of severely @entity28 adolescent females. The majority accepted the IUD, indicating it is a viable option among this population.
