The Cribsiders S7 Ep158: #158: Plan A, B and C Counseling Adolescents on Contraception
Nov 5, 2025
In this chat, Dr. Tracy A. Wilkinson, an assistant professor of pediatrics specializing in adolescent reproductive health, dives into empowering general pediatricians to discuss contraception with young patients. She emphasizes the importance of starting these conversations early and uncovering what adolescents already know. Dr. Wilkinson addresses common myths, reproductive coercion, and tailors counseling based on patient priorities. She also highlights the importance of confidentiality and the need to include all genders in reproductive health discussions.
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Offer Confidential Time Early
- Always offer adolescents confidential time and ask if they want to discuss birth control.
- Normalize brief private visits routinely so teens feel safe asking before sexual debut.
Start With The Patient's Priorities
- Start counseling by asking what the patient already knows and which method they want to discuss.
- Center the conversation on the patient's values (periods, side effects, fertility, control) not just efficacy.
Best Method Is The One They Will Use
- The "best" contraceptive is the one the patient will actually use.
- Clinician-focused efficacy ranking can miss what matters most to the adolescent.