Adolescent preventive counseling

Last reviewed: 18 Oct 2025
Last updated: 14 Nov 2025

Summary

Details

  • Resources for adolescent preventive services recommendations
  • Sexual maturity rating scale
  • Health guidance for parents
  • Early adolescence (ages 11-14 years; sexual maturity rating 1-4)
  • Early adolescence healthcare visit: males
  • Early adolescence healthcare visit: females
  • Middle adolescence (15-17 years; sexual maturity rating 4-5)
  • Middle adolescence healthcare visit: males
  • Middle adolescence healthcare visit: females
  • Late adolescence (age 18-21 years; sexual maturity rating 5)
  • Late adolescence healthcare visit: males
  • Late adolescence healthcare visit: females
Full details

Contributors

Authors

William P. Adelman, MD, FAAP

Medical Director

Primary Care Network

Children’s Hospital of Orange County

Orange

CA

Professor of Pediatrics

University of California, Irvine

Irvine

CA

Adjunct Faculty

Perelman School of Medicine

University of Pennsylvania

Children’s Hospital of Philadelphia

Philadelphia

PA

Disclosures

WPA declares that he has no competing interests.

Peer reviewers

Elisabeth Stafford, MD, FSAM, FAAP

Program Director

Adolescent Medicine Fellowship

San Antonio Uniformed Services Health Education Consortium

Division Chief

Adolescent Medicine

Department of Pediatrics

Brooke Army Medical Center

San Antonio

TX

Disclosures

ES declares that she has no competing interests.

Alain Joffe, MD, MPH, FAAP

Director

Student Health and Wellness Center

Johns Hopkins University

Baltimore

MD

Disclosures

AJ declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

American Medical Association. Guidelines for adolescent preventive services: recommendations monograph. Chicago, IL: AMA; 1997:1-12.Full text

Hagan JF, Shaw JS, Duncan PM. Bright Futures: guidelines for health supervision of infants, children and adolescents. 4th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2017.Full text

Ott MA, Sucato GS, Leroy-Melamed M, et al; Committee on Adolescence. Contraceptive counseling and methods for adolescents: clinical report. Pediatrics. 2025 Jul 1;156(1):e2025072218.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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