Although period suppression is a safe option for teens, some doctors are hesitant to prescribe birth control to their adolescent patients for this purpose.
She would bleed for weeks on end, leaving her weak and dizzy. Nearly a year later, she finally visited her primary care doctor, who diagnosed her with a bleeding disorder and recommended birth control to suppress menstruation.
Adolescents have been able to safely suppress their period with birth control for decades. Hormonal birth control can make the blood that flows during menstruation less frequent and less intense, and it can sometimes stop periods completely. But not every menstruating teenager is made aware of that option.
“For some youth, that’s not a big deal,” Upadhya said. “But referring them out can add barriers to care like finding a new provider, additional medical appointments, and building rapport with someone new who may or may not be receptive to adolescent contraceptive needs.” She didn’t seek management of her period until she ended up in the emergency department with heavy bleeding at age 18. She had a
The absence of progesterone signals the body to start bleeding. Taking the placebo pills for a week allows the body to go through progesterone withdrawal. Patients who do not take the placebo pills can suppress their period because they never get the signal to have a period. can cause some period suppression, bleeding frequency is not as predictable as it is with the pill, Berger-Chen said.
But most adolescents are 95% of their total adult height by the time they reach their first menstrual cycle, Berger-Chen said. Most girls will only growthe risk of breast cancer, but after a patient stops taking the prescription, the risk goes back to baseline. Starting the pill at a young age will not change their lifelong risk.
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