title: Menstrual suppression for adolescents.
abstract: OBJECTIVE
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California, USA.
authors.forename: Anna Lea
authors.initials: AL
authors.lastname: Altshuler
authors.forename: Paula J Adams
authors.initials: PJ
authors.lastname: Hillard
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services; D003271:Contraceptive Agents, Female / Q000627:therapeutic use*; D003277:Contraceptives, Oral, Combined / Q000627:therapeutic use; D004412:Dysmenorrhea / Q000188:drug therapy* / Q000523:psychology; D004715:Endometriosis / Q000188:drug therapy* / Q000209:etiology / Q000523:psychology; D005260:Female; D006801:Humans; D007434:Intrauterine Devices; D016912:Levonorgestrel / Q000627:therapeutic use*; D008595:Menorrhagia / Q000188:drug therapy* / Q000523:psychology; D017699:Pelvic Pain / Q000188:drug therapy* / Q000209:etiology / Q000523:psychology; D011788:Quality of Life; D016896:Treatment Outcome
chemical_list: D003271:Contraceptive Agents, Female; D003277:Contraceptives, Oral, Combined; D016912:Levonorgestrel