A question for you

From: Joseph Shaeffer (jescnm@uswest.net)
Fri Jan 12 15:20:03 2001


One of the Peds in my office asked me to see if anyone had any ideas regarding the following clinical scenario:

an 11 y/o developmentally delayed female, sexually abused, now sexually promiscuous, menarche 2 years ago, poor family situation, poor hygiene, hates having periods, started on Depo Provera 150 mg IM in June of 2000 for contraception as well as hoped for amenorrhea, still having regular menses after 2 doses, any thoughts to what would be better to use for contraception and the induction of amenorrhea?

Thanks for you thoughts,

--
Joseph Shaeffer ARNP/CNM
Spokane WA




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