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Re: A Medscape article that might interest you. From: Kirsten Duckitt (kirsten.duckitt@obstetrics-gynaecology.oxford.ac.uk) Sun Oct 1 08:42:44 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Ealgail@aol.com: "Re: LEEP systems" Previous message: Ealgail@aol.com: "Re: 2 Urodynamics cases" Although I have not read the original articel, I just wanted to comment that in the UK we do not routinely perform pelvic examinations on teenagers coming for the oral contraceptive pill yet our teenage pregnancy rates are much higher than in the Netherlands. -- Kirsten Duckitt Clinical Lecturer Oxford <<< D. Ashley Hill 9/30 3:35p >>> Robert- Thanks. It was an interesting article. As a synopsis, the article compared teen pregnancy rates in the US with the Netherlands, and concluded that a primary reason for the lower rates in the Netherlands is because health care providers in that country do not mandate a pelvic exam when a young woman visits the doctor for the first time. Instead, counseling is provided, and a pelvic, if indicated, is done at a later visit. That's a valid point, but I sincerely doubt that's the main reason their country has lower teen pregnancy rates. It's probably an access issue for most teens in the US, although many are apparently unaware of free contraceptive counseling in their communities. Further, even when free contraception is provided, many US teens will not use it. Thanks again, Robert. Ashley -- David Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Orlando, Florida Next message: Ealgail@aol.com: "Re: LEEP systems" Previous message: Ealgail@aol.com: "Re: 2 Urodynamics cases"

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