Understanding Combined Oral Contraceptives for Menstrual Suppression in Adolescents

Overview

Teenagers who suffer from disorders like dysmenorrhea and endometriosis may find it particularly difficult to manage their menstrual symptoms[i]. Combined Oral Contraceptives (COC) have become a promising treatment for menstrual suppression. Teenagers’ experiences with COC will be examined in this blog, with an emphasis on the medication’s effectiveness, adverse effects, and general acceptability.

Role of COCs in Menstrual management

COCs can greatly reduce menstrual-related diseases and are intended to control hormonal swings. They can result in lighter and more regular menstrual periods by inhibiting ovulation and stabilizing the endometrial lining. According to recent research, COCs can effectively treat dysmenorrhea and heavy menstrual flow, which enhances the quality of life for many teenagers.[ii]

The effectiveness of COCs

According to research, teenagers who are trying to suppress their periods typically handle ongoing COCs well. The vast majority say that their symptoms, such as lighter periods and less pelvic pain, have significantly improved. According to one study, for example, 84.6% of teenagers with dysmenorrhea reported that their symptoms improved after beginning COCs. Because of their high efficacy rate, COCs are a desirable choice for young women who are struggling with crippling menstrual problems.

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Concerns and Adverse Reaction

Some users worry about adverse effects, including breakthrough bleeding, despite the advantages. Nearly 41.3% of teenagers in the evaluated trials said they had this problem while taking COCs, however, it did not lead to many stopping the drug. The fact that just 42% of those who stopped did so due to breakthrough bleeding indicates that many teenagers benefit this adverse event.

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Acceptance and Persistence

Adolescents’ general acceptance of COCs is positive. Before choosing COCs, many patients tried a numeral of different methods of managing their periods, suggesting that they were looking for efficient fixes for their issues. Among individuals who started treatment, the median time on COCs was almost 12.3 months, demonstrating a dedication to successfully controlling their symptoms.

Conclusion
Teenagers with pelvic discomfort and dysmenorrhea can effectively suppress their periods using combined oral contraceptives. For young women looking for treatment from debilitating menstruation issues, COCs present a promising alternative because to their high rate of symptom resolution and tolerable side effects. Prioritizing each patient’s needs and preferences when thinking about contraception is crucial as long as healthcare practitioners continue to encourage collaborative decision-making with their patients.

References

[1] https://www.sciencedirect.com/science/article/abs/pii/S1054139X24004348

[2] https://journals.lww.com/co-obgyn/abstract/2014/10000/menstrual_suppression_for_adolescents.2.aspx

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