Treatment of Premenstrual Syndrome with the Desogestrel-only Pill (Cerazette) in an Adolescent Girl

Abstract 

Background

Premenstrual syndrome has been recognized as an important problem in adolescent gynecology.

Case

We here report the treatment of a 13-year-old girl with premenstrual syndrome who had a strong family history of thrombophilia. In this case the combined pill was contraindicated and the use of other pharmacological treatments, such as selective serotonin uptake inhibitors, was considered inappropriate for adolescents. We suggested the use of the desogestrel-only pill, because it is known to suppress ovulation. The outcome was good, with the patient being symptom-free in the follow-up visit, three months later.

Summary and Conclusion

We hope that this report will add another therapeutic option for premenstrual syndrome in teenagers and will be useful in further studies on the treatment of this condition in adolescence.

Key Words: Premenstrual syndrome, Treatment, Adolescence, Progestogen-only pill, Mini-pill, Desogestrel-only pill, Cerazette