Exam room 3. Me at the computer, a 16 year old patient sitting on the exam table. We’re discussing her starting oral contraceptive pills for birth control. After her exam and a lengthy discussion, we talk about the pink ones, the white ones, the row of green ones, the ring, the depo shot, and the patch. I’m reminded of my mentors in pediatric gynecology who taught me that if you choose birth control that a girl is interested in trying (if it is the appropriate dose and safe for her) often her compliance in using it improves and her reports/experiences of side effects lessen. Translation: girls are more likely to take the pill correctly and continue to take it if they are motivated to use it. A dangerous reality when it comes to marketing directed at teens. But a good reality if you’re working to help teens avoid unwanted pregnancies. She has her mind set on the pill. I move on to the choice of what pill she has in mind, if any. I uncover concrete sincerity. One of the best responses to my question yet.
Me: “Is there a particular birth control pill you want to start with?”
My patient: “A really good one.”