Extended cycling or continuous use of hormonal contraceptives for female adolescents

Gold, Melanie A.; Duffy, Kaiyti

doi:10.1097/gco.0b013e32832e493e

Cited by 20 publications

(9 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The progesterone may promote the mitotic process and cause atypia. It is known that the mitotic action on MCF-7 cells of human breast cancer of 19 nor-progestogen (norethindrone, gestodene, and 3-ketodesogestrel) [56][57][58][59][60].…”

Section: Positive Actionsmentioning

confidence: 99%

Causes of Visiting Teenagers in the Pediatric and Adolescence Examining Room

Tsikouras¹,

Deftereou²,

AnnaChalkidou³

et al. 2018

Family Planning

View full text Add to dashboard Cite

Adolescence is the transitional period between childhood and adulthood. Depending on female gonads' function and on hypothalamic-pituitary-ovarian axis activation, results in teenager's body growth, in secondary sex characteristics' development and finally in their reproductive potential. In adolescence, the negative feedback of gonadal steroids on gonadotropins is disturbed. Teenagers presenting with dysfunctional bleedings are usually suspected of hemorrhagic ovarian cysts or endometriosis and require gynecologic examination, evaluation, and hormone therapy. It is of great importance both for teenagers and their parents to understand that hormone therapy is the first line treatment for bleeding disorders in these ages. A detailed medical history is necessary to determine the appropriate treatment plan. Primary care includes the detection of adolescents with acute or chronic pelvic pain that may be associated with endometriosis or other pathologies like mullerian duct abnormalities, imperforate hymen, ovarian teratomas, ovarian torsion, and vaginal absence or atresia. Mullerian duct abnormalities are associated with increased rates of unexplained infertility, spontaneous abortions, and pathological conditions of pregnancy. Specialists, should help teenagers in getting familiar to their bodies, to their sexuality, inform them about the sexually transmitted diseases, and safety options including vaccination and guide them in contraception issues.

show abstract

Section: Positive Actionsmentioning

confidence: 99%

Causes of Visiting Teenagers in the Pediatric and Adolescence Examining Room

Tsikouras¹,

Deftereou²,

AnnaChalkidou³

et al. 2018

Family Planning

View full text Add to dashboard Cite

show abstract

“…There are many indications for menstrual suppression in women and adolescents 4,10 . Menses‐related conditions, such as dysmenorrhea, menorrhagia, abnormal uterine bleeding, premenstrual syndrome, premenstrual dysphoric disorder, and menstrual migraines, can be treated with extended or continuous regimens.…”

Section: Introductionmentioning

confidence: 99%

Extended and Continuous Combined Contraceptive Regimens for Menstrual Suppression

Jacobson¹,

Likis²,

Murphy³

2012

J Midwife Womens Health

View full text Add to dashboard Cite

Many women have medical indications for menstrual suppression or a personal preference to reduce or eliminate monthly bleeding, which can be achieved with extended and continuous regimens of combined estrogen and progestin contraceptives. Combined contraceptives are traditionally administered in a 28-day cycle, with 21 days of a contraceptive pill, vaginal ring, or transdermal patch followed by a hormone-free interval that is usually 7 days. During the hormone-free interval, women either take a placebo pill or do not use their combined contraceptive method. Hormone-related symptoms are significantly worse during the hormone-free interval than the days when the contraceptive is used. Alterations of the standard 28-day cyclic regimen for menstrual suppression include decreasing the frequency of the hormone-free interval, thus extending the time between withdrawal bleeding episodes (extended use), and eliminating the hormone-free interval altogether (continuous use). This article reviews menstrual suppression indications and physiology. Research demonstrating that the effectiveness, safety, and side effects of oral, vaginal, and transdermal extended and continuous regimens are comparable to cyclic regimens is summarized. Findings from studies of women's and health care providers' attitudes toward menstrual suppression also are reviewed. Important topics to include in evidence-based counseling for extended and continuous combined contraceptive use are presented.

show abstract

“…While surgical options also exist, they are rarely necessary 17. Extended or continuous regimens of the combined contraceptive pill are commonly considered 18–20. In a population where chronically reduced mobility and wheelchair use is common, this may be associated with increased embolic risk 21–24.…”

Section: Introductionmentioning

confidence: 99%

The impact of menstruation in adolescents with disabilities related to cerebral palsy

Zacharin

Savasi

Grover

2010

Archives of Disease in Childhood

View full text Add to dashboard Cite

Background Information regarding menstrual difficulties for adolescents with developmental disabilities and their families is limited. Aim To assess the impact of menstruation on adolescents with developmental disabilities and their families, and to compare this to previously reported experiences of age-matched normal girls. Methods Families of girls aged 12–18 years with known disabilities, attending the Royal Children's Hospital, Melbourne, were recruited into a questionnaire based study evaluating issues of menstruation and associated problems, together with the consequent psychological, social and emotional impact on their families and carers. Information was sought regarding menstrual management strategies, outcome satisfaction and specific areas of family concern. Results 103 questionnaires were completed. The average age of participating girls was 15.11 years, mean menarchal age 12.3 years. 79 girls were postmenarchal. The severity of menstrual problems was similar to a normal population. 59 (76%) were happy with the impact of menses on their social activities. More than 50% sought menstrual advice before menarche. Advice seeking strongly correlated with disability severity (p=0.01) and impact of menses on social activities (p=0.01), which in turn were highly predictive of seeking assistance (p=0.005). Carer satisfaction with current management inversely correlated with treatment seeking behaviour (p=0.034). Conclusions Menstrual characteristics in this population are similar to those without disabilities. There is a high level of parental anxiety regarding the impact of menses, particularly when disability is severe. Medical therapies may be required but information for families is lacking. Clinicians should play a proactive and educational role with families and adolescents with disabilities.

show abstract

Extended cycling or continuous use of hormonal contraceptives for female adolescents

Abstract: Extended cycling or continuous use of hormonal contraception offers adolescents an opportunity to decrease, delay or suppress monthly menstruation for health or personal reasons.

Cited by 20 publications

References 27 publications

Causes of Visiting Teenagers in the Pediatric and Adolescence Examining Room

Causes of Visiting Teenagers in the Pediatric and Adolescence Examining Room

Extended and Continuous Combined Contraceptive Regimens for Menstrual Suppression

The impact of menstruation in adolescents with disabilities related to cerebral palsy

Contact Info

Product

Resources

About