title: Menstrual suppression in the adolescent.
abstract: Menstrual suppression, the use of contraceptive methods to eliminate or decrease the frequency of menses, is often prescribed for adolescents to treat menstrual disorders or to accommodate patient preference. For young women using hormonal contraceptives, there is no medical indication for menstruation to occur monthly, and various hormonal contraceptives can be used to decrease the frequency of menstruation with different side effect profiles and rates of amenorrhea. This article reviews the different modalities for menstrual suppression, common conditions in adolescents which may improve with menstrual suppression, and strategies for managing common side effects.
authors.affiliation: Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Magee Womens Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA. gerschultzkl@upmc.edu
authors.forename: Kelly L
authors.initials: KL
authors.lastname: Kantartzis
authors.forename: Gina S
authors.initials: GS
authors.lastname: Sucato
mesh_terms: D000293:Adolescent; D001291:Attitude of Health Personnel; D015519:Bone Density / Q000187:drug effects; D003274:Contraceptive Devices, Female / Q000009:adverse effects; D003278:Contraceptives, Oral, Hormonal / Q000008:administration & dosage / Q000009:adverse effects; D005260:Female; D007987:Gonadotropin-Releasing Hormone / Q000819:agonists; D006801:Humans; D017258:Medroxyprogesterone Acetate / Q000008:administration & dosage / Q000009:adverse effects; D008598:Menstruation / Q000187:drug effects*; D008599:Menstruation Disturbances / Q000188:drug therapy*; D057240:Patient Preference; D011372:Progestins / Q000008:administration & dosage
chemical_list: D003278:Contraceptives, Oral, Hormonal; D011372:Progestins; D007987:Gonadotropin-Releasing Hormone; D017258:Medroxyprogesterone Acetate