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Original Study| Volume 32, ISSUE 5, SUPPLEMENT , S23-S29, September 2019

Hormonal Contraceptives, Intrauterine Devices, Gonadotropin-releasing Hormone Analogues and Testosterone: Menstrual Suppression in Special Adolescent Populations

  • Shashwati Pradhan
    Affiliations
    Division of Pediatric and Adolescent Gynecology, Washington Hospital Center, Children's National Medical Center, Georgetown University, Washington, DC
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  • Veronica Gomez-Lobo
    Correspondence
    Address correspondence to: Veronica Gomez-Lobo, MD, Department of Obstetrics and Gynecology, Washington Hospital Center, 110 Irving Street NW, Rm 5B41, Washington, DC 20010; Phone (202) 877-3029; fax: 301-451-2857
    Affiliations
    Division of Pediatric and Adolescent Gynecology, Washington Hospital Center, Children's National Medical Center, Georgetown University, Washington, DC
    Search for articles by this author
Published:April 10, 2019DOI:https://doi.org/10.1016/j.jpag.2019.04.007

      Abstract

      Menstrual suppression (the use of hormonal contraceptive methods to eliminate or significantly decrease the frequency of menstrual cycles) is frequently used in the adolescent population for the management of menstrual symptoms such as heavy or painful periods, premenstrual syndrome, menstrual migraines, or even for patient preference. However, in cases of menstrual suppression in special populations additional risks and benefits need to be considered. The purpose of this article is to review the options and medical considerations for menstrual suppression in patients undergoing chemotherapy who might be at risk of abnormal uterine bleeding, those with intellectual or physical disability, and transgender and gender nonbinary individuals.

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