{"id":61734,"date":"2026-04-17T08:58:58","date_gmt":"2026-04-17T07:58:58","guid":{"rendered":"https:\/\/www.mediconanet.pt\/?p=61734"},"modified":"2026-04-17T16:32:32","modified_gmt":"2026-04-17T15:32:32","slug":"contracepcao-adolescencia-metodos-seguranca","status":"publish","type":"post","link":"https:\/\/www.mediconanet.pt\/en\/contracepcao-adolescencia-metodos-seguranca\/","title":{"rendered":"Contracep\u00e7\u00e3o na Adolesc\u00eancia: Aconselhamento Pr\u00e1tico"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"61734\" class=\"elementor elementor-61734\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-570cfe3 e-flex e-con-boxed e-con e-parent\" data-id=\"570cfe3\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1761780 elementor-widget elementor-widget-text-editor\" data-id=\"1761780\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2>Introdu\u00e7\u00e3o<\/h2><p>A taxa de gravidezes na adolesc\u00eancia em Portugal tem diminu\u00eddo, mas continua a ser um problema de sa\u00fade p\u00fablica. O acesso \u00e0 <b>contracep\u00e7\u00e3o <\/b>eficaz e aconselhamento adequado \u00e9 fundamental para a sa\u00fade sexual e reprodutiva das jovens.<\/p><h2>Enquadramento legal em Portugal<\/h2><p>Em Portugal, os jovens a partir dos 16 anos podem aceder a consultas de planeamento familiar e obter prescri\u00e7\u00e3o contraceptiva sem autoriza\u00e7\u00e3o parental. Abaixo dos 16, o acesso continua a ser poss\u00edvel, ao abrigo do dever de confidencialidade m\u00e9dica e do superior interesse do menor. O SNS disponibiliza <b>contracep\u00e7\u00e3o <\/b>gratuita ou comparticipada em centros de sa\u00fade.<\/p><h2>M\u00e9todos recomendados<\/h2><p>A OMS e as sociedades cient\u00edficas recomendam que todas as op\u00e7\u00f5es de <strong data-start=\"1700\" data-end=\"1716\">contracep\u00e7\u00e3o<\/strong>\u00a0sejam discutidas com a adolescente, incluindo m\u00e9todos de longa dura\u00e7\u00e3o e revers\u00edveis (LARCs): implante subcut\u00e2neo e dispositivo intrauterino (DIU). Os LARCs t\u00eam taxas de efic\u00e1cia superiores \u00e0 p\u00edlula porque n\u00e3o dependem da toma di\u00e1ria, eliminando o problema do esquecimento.<\/p><h2>A p\u00edlula na adolescente<\/h2><p>A p\u00edlula combinada \u00e9 segura em adolescentes saud\u00e1veis e pode trazer benef\u00edcios adicionais: melhoria da acne, regulariza\u00e7\u00e3o menstrual, redu\u00e7\u00e3o da dismenorreia. \u00c9 importante explicar a toma correta, o que fazer em caso de esquecimento e refor\u00e7ar que a p\u00edlula n\u00e3o protege contra infec\u00e7\u00f5es sexualmente transmiss\u00edveis (IST) \u2014 o preservativo deve ser usado em simult\u00e2neo (dupla prote\u00e7\u00e3o).<\/p><h2>Contracep\u00e7\u00e3o de emerg\u00eancia<\/h2><p>O levonorgestrel 1,5 mg est\u00e1 dispon\u00edvel em Portugal sem receita em farm\u00e1cias. O ulipristal acetato (EllaOne\u00ae) requer receita. A\u00a0<a href=\"https:\/\/www.mediconanet.pt\/efeitos-secundarios-injetaveis-emagrecer\/\" target=\"_blank\" rel=\"noopener\"><b>contracep\u00e7\u00e3o\u00a0<\/b><\/a>de emerg\u00eancia n\u00e3o \u00e9 abortiva e deve ser conhecida por todas as jovens como recurso de seguran\u00e7a.<\/p><h2>Abordagem emp\u00e1tica<\/h2><p>O profissional de sa\u00fade deve criar um ambiente de confian\u00e7a, sem julgamento, respeitando a autonomia e a confidencialidade. A consulta \u00e9 tamb\u00e9m oportunidade para rastreio de IST, avalia\u00e7\u00e3o de rela\u00e7\u00f5es saud\u00e1veis e preven\u00e7\u00e3o de viol\u00eancia.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1545e08 e-flex e-con-boxed e-con e-parent\" data-id=\"1545e08\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8ee3907 elementor-widget elementor-widget-image\" data-id=\"8ee3907\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-17T124545.855-1024x576.jpg\" class=\"attachment-large size-large wp-image-61842\" alt=\"Mulher em consulta online para esclarecimento sobre contracep\u00e7\u00e3o\" srcset=\"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-17T124545.855-1024x576.jpg 1024w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-17T124545.855-300x169.jpg 300w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-17T124545.855-768x432.jpg 768w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-17T124545.855-18x10.jpg 18w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-17T124545.855-600x337.jpg 600w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-17T124545.855.jpg 1366w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9ad30cf e-con-full e-flex e-con e-child\" data-id=\"9ad30cf\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-66e4f21 e-con-full e-flex e-con e-child\" data-id=\"66e4f21\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c44ae3e elementor-widget elementor-widget-heading\" data-id=\"c44ae3e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Perguntas frequentes (FAQ)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-439b5c3 elementor-widget elementor-widget-n-accordion\" data-id=\"439b5c3\" data-element_type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7080\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7080\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> A p\u00edlula afeta o crescimento? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-d801294 e-con-full e-flex e-con e-child\" data-id=\"d801294\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-67dd609 e-flex e-con-boxed e-con e-child\" data-id=\"67dd609\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2204be5 elementor-widget elementor-widget-text-editor\" data-id=\"2204be5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>N\u00e3o. A p\u00edlula pode ser iniciada ap\u00f3s a menarca sem impacto no crescimento estatural.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7081\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7081\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> O implante causa infertilidade? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-f07e3ff e-con-full e-flex e-con e-child\" data-id=\"f07e3ff\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-ba0d7df e-flex e-con-boxed e-con e-child\" data-id=\"ba0d7df\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bd0918d elementor-widget elementor-widget-text-editor\" data-id=\"bd0918d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>N\u00e3o. A fertilidade retorna rapidamente ap\u00f3s a remo\u00e7\u00e3o de qualquer m\u00e9todo contracetivo revers\u00edvel.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7082\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7082\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Os pais t\u00eam de saber? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-1948aa2 e-con-full e-flex e-con e-child\" data-id=\"1948aa2\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-44203e4 e-flex e-con-boxed e-con e-child\" data-id=\"44203e4\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-90363e4 elementor-widget elementor-widget-text-editor\" data-id=\"90363e4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>O m\u00e9dico deve encorajar a comunica\u00e7\u00e3o familiar, mas a confidencialidade \u00e9 um direito da adolescente. A prescri\u00e7\u00e3o n\u00e3o depende de autoriza\u00e7\u00e3o parental.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"A p\\u00edlula afeta o crescimento?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"N\\u00e3o. A p\\u00edlula pode ser iniciada ap\\u00f3s a menarca sem impacto no crescimento estatural.\"}},{\"@type\":\"Question\",\"name\":\"O implante causa infertilidade?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"N\\u00e3o. A fertilidade retorna rapidamente ap\\u00f3s a remo\\u00e7\\u00e3o de qualquer m\\u00e9todo contracetivo revers\\u00edvel.\"}},{\"@type\":\"Question\",\"name\":\"Os pais t\\u00eam de saber?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"O m\\u00e9dico deve encorajar a comunica\\u00e7\\u00e3o familiar, mas a confidencialidade \\u00e9 um direito da adolescente. A prescri\\u00e7\\u00e3o n\\u00e3o depende de autoriza\\u00e7\\u00e3o parental.\"}}]}<\/script>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-02d7fba e-flex e-con-boxed e-con e-parent\" data-id=\"02d7fba\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca91313 elementor-widget elementor-widget-text-editor\" data-id=\"ca91313\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2>Refer\u00eancias<\/h2><a href=\"https:\/\/www.fsrh.org\/\" target=\"_blank\" rel=\"dofollow noopener\">FSRH \u2013 Missed Pill Recommendations<\/a>\n\n<a href=\"https:\/\/www.nhs.uk\/\" target=\"_blank\" rel=\"dofollow noopener\">NHS \u2013 Combined pill: missed pill guidance<\/a>\n\n<a href=\"https:\/\/www.dgs.pt\/\" target=\"_blank\" rel=\"dofollow noopener\">DGS \u2013 Contrace\u00e7\u00e3o de emerg\u00eancia<\/a>\n\n<a href=\"https:\/\/www.infarmed.pt\/\" target=\"_blank\" rel=\"dofollow noopener\">Infarmed \u2013 Prontu\u00e1rio Terap\u00eautico<\/a>\n\n<a href=\"https:\/\/www.acog.org\/\" target=\"_blank\" rel=\"dofollow noopener\">ACOG \u2013 Emergency Contraception FAQ<\/a>\n\n<a href=\"https:\/\/www.ema.europa.eu\/\" target=\"_blank\" rel=\"dofollow noopener\">EMA \u2013 Hormonal contraceptives and thromboembolism<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Introdu\u00e7\u00e3o A taxa de gravidezes na adolesc\u00eancia em Portugal tem diminu\u00eddo, mas continua a ser um problema de sa\u00fade p\u00fablica. O acesso \u00e0 contracep\u00e7\u00e3o eficaz e aconselhamento adequado \u00e9 fundamental para a sa\u00fade sexual e reprodutiva das jovens. Enquadramento legal em Portugal Em Portugal, os jovens a partir dos 16 anos podem aceder a consultas [&hellip;]<\/p>\n","protected":false},"author":13102,"featured_media":61846,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[267],"tags":[],"class_list":["post-61734","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-contracecao"],"jetpack_featured_media_url":"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-17T123227.443.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/61734","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/users\/13102"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/comments?post=61734"}],"version-history":[{"count":7,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/61734\/revisions"}],"predecessor-version":[{"id":61845,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/61734\/revisions\/61845"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media\/61846"}],"wp:attachment":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media?parent=61734"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/categories?post=61734"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/tags?post=61734"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}