Adolescent females with cognitive delays (CD) experience unique physical and emotional
challenges related to menstruation. Providers often recommend hormonal medication
for menstrual management which can treat heavy periods, dysmenorrhea, and provide
contraception. It also helps address hygiene concerns and behavioral changes related
to menstrual blood. The safety of intrauterine devices (IUDs) in adolescents has been
well described; however, data on IUD utilization and safety in patients with CD is
more limited.
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