For teens with painful periods, menstrual suppression is worth considering l Expert Opinion

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For teens with painful periods, menstrual suppression is worth considering l Expert Opinion
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Daily News | For teens with painful periods, menstrual suppression is worth considering l Expert Opinion

Medicines used to suppress the period are like the body’s own hormones. These medicines stabilize or thin the lining of the uterus which stops or reduces periods. They come in pills, patches, vaginal rings, injections, and intrauterine devices . Some contain progestin and estrogen. With certain medical conditions, like liver disease or migraine headaches with aura, estrogen is not recommended.

The “mini pill” is a progestin-only pill. If taken at the same time each day, periods lessen and sometimes stop.For some, taking a pill daily may be challenging; hence, the “ .” The patch contains both estrogen and progestin and is changed every week. Patches can be used continuously..” The vaginal ring is about 2 inches in diameter, flexible, and inserted into the vagina. It contains both estrogen and progestin. The ring can be left in for four weeks and replaced continuously.” injections. Depo is progestin-only and is given in the office every three months. Approximately 90% have no bleeding by the fourth dose..

Bottom line: While many of the treatments mentioned can be used for birth control, note that these medicines are often used forlike menstrual suppression. All are safe and reversible. For many teens, menstrual suppression can greatly improve their quality of life. Teens do not have to have a “problem” to suppress their periods — they may just prefer not to have them. Period.

Hayley Goldner is a third-year pediatric resident and Rima Himelstein is an adolescent medicine physician at the Nemours Children’s Hospital, Delaware.

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