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Ethics of contraceptive counseling to minors on oral isotretinoin

  • Taylor Adlam
    Affiliations
    Department of Dermatology, Wayne State University School of Medicine, Detroit, Michigan, USA
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  • Jane M. Grant-Kels
    Correspondence
    Corresponding author: Jane M. Grant-Kels, MD, Department of Dermatology, University of Connecticut Health Center, 21 South Road, Farmington, CT. 06032. Tel.: 860-679-3474 // Cell 860-519-7008
    Affiliations
    Department of Dermatology, University of Connecticut Health Center, Farmington, Connecticut, USA

    Department of Dermatology, University of Florida School of Medicine, Gainesville, Florida, USA
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  • Mehdi Farshchian
    Affiliations
    Department of Dermatology, Wayne State University School of Medicine, Detroit, Michigan, USA

    Department of Dermatology, University of Connecticut Health Center, Farmington, Connecticut, USA

    Department of Dermatology, University of Florida School of Medicine, Gainesville, Florida, USA

    Department of Medicine, Division of Dermatology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA
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      When prescribing oral isotretinoin to adolescents, we query them regarding their sexual activity and use of contraception. Often these questions are posed in front of their parent/guardian(s) while completing the iPLEDGE consent form. Patient and parent discomfort is often apparent when we ask these questions. Answers to these questions have become even more pertinent as, in many states, access to an abortion for an unwanted pregnancy while on isotretinoin might be challenging and require travel to another state. Are there ethical issues we need to consider regarding this scenario?

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