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Re: A question for youFrom: Anna Meenan, MD (annam@uic.edu)Fri Jan 12 16:14:58 2001
At Fri, 12 Jan 2001, Joseph Shaeffer wrote: > >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 > Could still become amenorrheic. Sometimes takes 6-12 months. Otherwise could consider using combination OCP's daily without taking 7 days off every month (i.e. throw away the placebo pills and start a new pack q 3 weeks). I have heard that women who don't want to have periods do this a lot. I am unsure, however, if one needs to stop them every several months and have a withdrawal period to maintain the health of the endometrium. Any OB-Gyn's out there familiar with this practice or have any guidelines? I have never actually recommended this to any of my patients except for just one cycle to avoid menses on a honeymoon or when planning to go hiking in grizzly bear country.
-- Anna Meenan, MD
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