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Adolescent confidential contraception — DFSRH MCQ

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EasyContraception in special circumstancesAdolescent confidential contraceptionDFSRH

A 18-year-old requests the implant. She is Gillick competent, reports consensual sex with a 19-year-old partner, and has no safeguarding concerns. Pregnancy can be excluded and she asks whether parental permission is needed. What would you advise this patient?

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Correct answer: E — Provide confidential contraception after appropriate assessment and documentation

Competent young people can receive confidential contraception after appropriate Fraser/Gillick assessment, safeguarding assessment and documentation. Parental attendance is not required solely due to age, and there is no automatic police referral from this vignette. Age does not prohibit hormonal methods, and STI testing should be discussed as part of holistic care. The pearl is that confidentiality and safeguarding are assessed together, not treated as opposites.

Reference: FSRH Service Standards; NICE CKS Contraception