ABSTRACT

A 14-year-old girl attends a family planning clinic wanting to start ‘the pill’. She has been with her boyfriend for 8 months. They both agreed that they wanted to start a sexual relationship and have already had intercourse on two occasions where they did not use contraception. She had never been sexually active before. Her periods started 3 years ago and were initially irregular but she now reports a regular 27-day cycle. She has never had any gynaecological or other medical problems.