{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:21:02Z","timestamp":1769559662280,"version":"3.49.0"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,8,18]],"date-time":"2020-08-18T00:00:00Z","timestamp":1597708800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009504","name":"University of Missouri-Kansas City","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009504","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There is a lack of knowledge regarding menstrual cycles and contraception usage for adolescent transplant patients and families. Solid organ transplant patients start teratogenic medications which have pregnancy implications. We explore adolescent female solid organ transplant recipient and guardian's contraceptive knowledge and attitudes as well as menstrual patterns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional descriptive research design was utilized to collect information from adolescent female transplant patients who are on mycophenolate mofetil after solid organ transplant and their guardians within our freestanding children's hospital via a survey. The sample consisted of all female adolescent patients who have completed a solid organ transplant and are on mycophenolate mofetil from April 2016 through May 2017.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010one patients were approached, of which nineteen patients and seventeen guardians completed the survey. The average age of the patient was 16.2\u00a0years. The average age at time of transplant was 12.2\u00a0years. The type of transplants includes renal (57.1%), heart (23.8%), and liver (4.8%). There were six patients (33.3%) who had a history of sexual activity; among these patients, the mean number of partners in the last year was 1.2. Menstrual concerns included dysmenorrhea, irregular bleeding, and heavy bleeding pre\u2010 and post\u2010transplant, respectively. Participants reported contraceptive counseling prior to and after transplant approximately half of the time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Adolescent solid organ transplant patients have multiple reproductive needs including contraception, dysmenorrhea, and irregular bleeding. Integration of contraceptive knowledge into clinical care received by adolescents with solid organ transplants is supported by knowledge gained through this study.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.13817","type":"journal-article","created":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T03:50:55Z","timestamp":1598586655000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Menstruation and contraception patterns of female adolescent transplant recipients"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7445-7669","authenticated-orcid":false,"given":"Christina","family":"Davis\u2010Kankanamge","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Baylor College of Medicine  Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanette","family":"Higgins","sequence":"additional","affiliation":[{"name":"Department of Surgery Children\u2019s Mercy Hospital  Kansas City MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenifer E.","family":"Allsworth","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Health Informatics University of Missouri\u2010Kansas City School of Medicine  Kansas City MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Strickland","sequence":"additional","affiliation":[{"name":"Department of Surgery Children\u2019s Mercy Hospital  Kansas City MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,8,18]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-2300"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2013.04.010"},{"issue":"6","key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1016\/0010-7824(94)90113-9","article-title":"Progestin\u2010only oral contraception: a comprehensive review","volume":"50","author":"McCann MF","year":"1994","journal-title":"Contraception"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/152692480301300305"},{"key":"e_1_2_10_6_1","unstructured":"Research C for DE and.Postmarket Drug Safety Information for Patients and Providers \u2010 Questions and Answers: FDA Approves a Single Shared Risk Evaluation and Mitigation Strategy (REMS) for Mycophenolate\u2010containing Medicines.https:\/\/www.fda.gov\/Drugs\/DrugSafety\/PostmarketDrugSafetyInformationforPatientsandProviders\/ucm318880.htm#q2. Accessed November 21 2017"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182a5eda9"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2010.02.007"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2014.04.014"},{"issue":"2","key":"e_1_2_10_10_1","first-page":"99","article-title":"Intrauterine contraceptive device failures in renal transplant patients","volume":"26","author":"Zerner J","year":"1981","journal-title":"J Reprod Med"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2014.4158"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.4766"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2014.4171"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2007.01.002"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2005.00969.x"},{"key":"e_1_2_10_16_1","volume-title":"Creasy and Resnik\u2019s Maternal\u2010Fetal Medicine: Principles and Practice","author":"Creasy RK","year":"2009"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2009.05.029"},{"key":"e_1_2_10_18_1","unstructured":"Approved Risk Evaluation and Mitigation Strategies (REMS).https:\/\/www.accessdata.fda.gov\/scripts\/cder\/rems\/index.cfm?event=RemsDetails.page&REMS=37. Accessed November 21 2017"},{"key":"e_1_2_10_19_1","unstructured":"Research C for DE and.Postmarket Drug Safety Information for Patients and Providers.https:\/\/www.fda.gov\/Drugs\/DrugSafety\/PostmarketDrugSafetyInformationforPatientsandProviders\/default.htm. Accessed November 3 2017"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.12238"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40268-017-0175-y"},{"key":"e_1_2_10_22_1","unstructured":"Contraceptive Use in the United States. Guttmacher Institute.https:\/\/www.guttmacher.org\/fact-sheet\/contraceptive-use-united-states. Published August 4 2004. Accessed October 19 2017"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.7182\/pit2014426"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2013.11.008"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2017.01.002"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-1454"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr6503a1"}],"container-title":["Pediatric Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.13817","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/petr.13817","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.13817","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T18:23:23Z","timestamp":1693765403000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/petr.13817"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,18]]},"references-count":27,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1111\/petr.13817"],"URL":"https:\/\/doi.org\/10.1111\/petr.13817","archive":["Portico"],"relation":{},"ISSN":["1397-3142","1399-3046"],"issn-type":[{"value":"1397-3142","type":"print"},{"value":"1399-3046","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,18]]},"assertion":[{"value":"2020-06-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-07-15","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13817"}}