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Menstrual suppression for adolescents

Altshuler, Anna Lea; Hillard, Paula J. Adams

Current Opinion in Obstetrics & Gynecology: October 2014 - Volume 26 - Issue 5 - p 323–331
doi: 10.1097/GCO.0000000000000098
ADOLESCENT AND PEDIATRIC GYNECOLOGY: Edited by Paula J. Adams Hillard

Purpose of review: The purpose of this review is to highlight the recent literature and emerging data describing clinical situations in which menstrual suppression may improve symptoms and quality of life for adolescents. A variety of conditions occurring frequently in adolescents and young adults, including heavy menstrual bleeding, and dysmenorrhea as well as gynecologic conditions such as endometriosis and pelvic pain, can safely be improved or alleviated with appropriate menstrual management.

Recent findings: Recent publications have highlighted the efficacy and benefit of extended cycle or continuous combined oral contraceptives, the levonorgestrel intrauterine device, and progestin therapies for a variety of medical conditions.

Summary: This review places menstrual suppression in an historical context, summarizes methods of hormonal therapy that can suppress menses, and reviews clinical conditions for which menstrual suppression may be helpful.

Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California, USA

Correspondence to Paula J. Adams Hillard, MD, 300 Pasteur Dr, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA 94305-5317, USA. Tel: +1 650 725 5986; e-mail: paula.hillard@stanford.edu

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins