tailieunhanh - A New Vision for Adolescent Sexual and Reproductive Health

Fertility drugs can be oral or injectible. The most common fertility drug used is clomiphene citrate (brand name Clomid or Serophene), which is taken orally to help women who are not ovulating or who ovulate irregularly to produce one or more mature eggs. Injectibles are called gonadotropins and stimulate the ovary to produce more follicles in one cycle. Clomiphene citrate and gonadotropins can be used on their own with intercourse, or combined with AI or IVF. Success rates depend on many factors, especially maternal age and the quality of the accompanying sperm. Clomiphene costs $30-$50 a month for the. | ACT for Youth Center of Excellence RESEARCH 4 faCTS and 4 FINDINGS A collaboration of Cornell University University of Rochester and New York State Center for School Safety A New Vision for Adolescent Sexual and Reproductive Health by John S. Santelli and Amy T. Schalet Despite considerable declines in . teen fertility since 1991 birth and pregnancy rates among American teens remain considerably higher than rates among European youth. The differences between American teens and Dutch teens are particularly striking In 2007 teenagers in the United States were eight times more likely to give birth than teenagers in the Netherlands Garssen 2008 Hamilton Martin Ventura 2009 . Compared to teens in the Netherlands why are teen women in the . so much more likely to become teen mothers Understanding the historical and cultural context of these two nations is helpful in imagining more effective solutions to reducing teen pregnancy in Compared to teens in the Netherlands why are teen women in the . so much more likely to become teen mothers the United States. One reason that European youth are less likely to have unintended pregnancies than their American peers is that they have access to better socioeconomic health care and educational resources. Remarkably the factors that increase and decrease the likelihood of teen childbearing are quite similar across nations and cultures. Key factors associated with teen fertility Figure 1 include poverty parental educational attainment family structure and functioning community and peer influences access to education and success in school pubertal timing resiliency and connectedness to family and community involvement in risk behaviors such as alcohol and other drug use and having experienced sexual coercion and abuse Blum Mmari 2006 Kirby Laris Rolleri 2006 . For example young women growing up in poor families are more likely to become teen mothers poverty is also associated with earlier initiation of intercourse and

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