{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T04:09:35Z","timestamp":1745554175173,"version":"3.40.4"},"reference-count":20,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2005,1,1]],"date-time":"2005-01-01T00:00:00Z","timestamp":1104537600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2005,1,1]],"date-time":"2005-01-01T00:00:00Z","timestamp":1104537600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gyn\u00e4kol Geburtshilfliche Rundsch"],"published-print":{"date-parts":[[2005]]},"abstract":"<jats:p>Die Schwangerschafts- und Schwangerschaftsabbruchsraten bei Minderj\u00e4hrigen steigen in Deutschland trotz bester Verf\u00fcgbarkeit von Verh\u00fctungsmittel st\u00e4ndig. Die entsprechenden Einrichtungen und Frauen\u00e4rzte und -\u00e4rztinnen sind aufgefordert, eine bessere Beratung anzubieten und geeignete, complianceunabh\u00e4ngige Kontrazeptiva zu verordnen. Dazu ist es notwendig, die derzeit g\u00fcltige Rechtssprechung zu beachten und die Ausf\u00fchrungen der AG Medizinrecht zur Verordnung von Kontrazeptiva an Minderj\u00e4hrige zu kennen. Orale Kontrazeptiva sind die am h\u00e4ufigsten verordneten Verh\u00fctungsmittel. Ihre Wirkung ist reversibel, sie sind vertr\u00e4glich und sicher. Neuere Entwicklungen sind Pr\u00e4parate mit sehr niedriger Dosierung oder mit neuen Gestagenen, die ovulationshemmmende reine Gestagenpille und die Anwendung von niedrigdosierten monophasischen Mikropillen im Langzyklus. Langzeitkontrazeptiva, wie subdermal implantierbare St\u00e4bchen und hormonhaltige Intrauterinpessare, haben sich l\u00e4ngst etabliert und stellen bei l\u00e4ngerfristigem Verh\u00fctungswunsch auch bei Jugendlichen gute Alternativen zur oralen Kontrazeption dar. Das Spektrum der hormonfreisetzenden Systeme hat sich um den Vaginalring und das Verh\u00fctungspflaster erweitert. Dabei ist die Anwendung f\u00fcr die Frau einfach. Erwartet wird bessere Compliance und die Reduktion ungewollter Schwangerschaften durch Anwendungsfehler. Die Erweiterung des Angebotes an hoch effektiven, kontrazeptiven Systemen l\u00e4sst hoffen, dass den individuellen Bed\u00fcrfnissen noch besser Rechnung getragen wer den kann.<\/jats:p>","DOI":"10.1159\/000087140","type":"journal-article","created":{"date-parts":[[2005,10,10]],"date-time":"2005-10-10T13:31:15Z","timestamp":1128951075000},"page":"235-240","source":"Crossref","is-referenced-by-count":3,"title":["Kontrazeption bei Jugendlichen"],"prefix":"10.1159","volume":"45","author":[{"given":"Sabine","family":"Anthuber","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2005,10,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016%2FS0015-0282%2800%2900719-6"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016%2FS0010-7824%2800%2900104-9"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016%2F0010-7824%2895%2900036-A"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016%2FS0010-7824%2803%2900025-8"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1001%2Farchinte.164.18.1965"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1038%2F369064a0"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007%2Fs001080050076"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016%2FS0010-7824%2898%2900020-1"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1093%2Fhumupd%2F5.6.654"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016%2FS0029-7844%2896%2900488-7"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1080%2F713604447"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016%2FS0010-7824%2802%2900536-X"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016%2FS0015-0282%2899%2900205-8"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1093%2Fhumrep%2F16.3.469"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.contraception.2003.10.006"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.jadohealth.2003.08.017"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016%2FS0015-0282%2801%2903263-0"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1097%2F00001703-200310000-00002"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.3109%2F13814780409044540"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016%2F0140-6736%2892%2991904-M"}],"container-title":["Gyn\u00e4kologisch-geburtshilfliche Rundschau"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/87140","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/87140","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T03:19:29Z","timestamp":1745464769000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000087140"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005]]},"references-count":20,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2005,10,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000087140","archive":["Portico"],"relation":{},"ISSN":["1018-8843","1423-0011"],"issn-type":[{"type":"print","value":"1018-8843"},{"type":"electronic","value":"1423-0011"}],"subject":[],"published":{"date-parts":[[2005]]}}}