Clinical Fact Sheets: Menstrual Suppression(Updated April 2. The adjustment of the menstrual cycle, or menstrual suppression, via hormonal contraception allows women to have less frequent periods and avoid bleeding at inconvenient times in their lives. Menstrual adjustment also helps to suppress medical conditions that are exacerbated by menstruation and the cyclical variations in female hormones. Menstrual suppression has been practiced for many years worldwide, and a number of surveys indicate that women are interested in eliminating menses completely or reducing its frequency to less than once a month. There is an absence of evidence to support regular menstruation as medically necessary, as well as an absence of evidence to suggest that suppressing menstruation is deleterious to a woman. Benefits of Menstrual Suppression Menstrual benefits of suppressing periods include a reduction in dysmenorrhea, menorrhagia, premenstrual syndrome, and perimenopausal symptoms (e. Nonmenstrual benefits include a reduction in menstrual migraines, endometriosis, and acne and an improved sense of well- being. The contraceptive patch releases the hormones oestrogen. How quickly the hormones leave your system: there is no delay in the return of fertility. On the fourth week, no patch is worn, and a girl's period should start during. The birth control patch may be a good choice for sexually active young. Controlling your period with birth control. Contraceptive Patch or Vaginal Ring. The contraceptive patch. The licence for the patch states that if you start using the patch on the first day of your period.Disadvantages of Menstrual Suppression The major disadvantage of menstrual suppression is an increase in breakthrough bleeding during the first few cycles using a hormonal method as the body adjusts to the new hormone balance. Some women may be uncomfortable suppressing menstruation and may have difficulty determining if they are pregnant, should pregnancy occur. Methods of Menstrual Suppression Use of Combined Oral Contraceptives The most common way to reduce or suppress menstruation is to change the manner in which a monophasic combined oral contraceptive (COC) is taken. With this method, the placebo week from the standard 2. Extended use refers to a variety of patterns. For instance, Seasonale. The majority of studies show that the practice is well accepted by patients and confirm that menstrual suppression offers a number of desirable benefits. The largest trial to date of an extended- regimen COC was conducted with Seasonale (3. The duration of withdrawal bleeding was comparable on both regimens, but the frequency of scheduled bleeding was less with the extended regimen. The frequency of unscheduled bleeding episodes was initially higher with Seasonale than with Nordette but declined with each successive cycle. Evra Patch; Contraceptive Ring. This form of period prevention has the added advantage of. How your period delay treatment works depends on. Your menstrual period should start during your patch-free week. When Switching From the Pill or Vaginal Contraceptive Ring to the Patch. Identify Your Drugs: Use the RxList Pill Identifier Tool. Contraceptive Patch Contraceptive Ring. When to start delaying your period? You can start using your period delay tablets three days before you expect to start your next period and it should be used three times a day. A Contraceptive Patch looks like a square bandage. Your menstrual period should start sometime while the Patch is off. The Patch should not be worn. Continuous use refers to the administration of COCs for an unlimited time without interruption to eliminate menstrual periods. A number of studies have demonstrated that continuous OC use is safe and eliminates menstrual periods in 5. Lybrel TM is an FDA- approved continuous COC packaged as an entire year of active pills. Use of COCs for Nonmenstrual Benefits Several studies show that COCs can be prescribed to relieve menstruation- related complaints, such as breast tenderness, bloating, menstrual migraine, and premenstrual syndrome or premenstrual dysphoric disorder, as well as medical conditions such as endometriosis and acne. Other Hormonal Methods In addition to COCs, other contraceptive methods can be used on a similar schedule to suppress menstrual bleeding. These methods are described in the table below. Combined oral contraceptives (including dedicated product Seasonale. Clinicians may employ the medical term, menstrual suppression, while patients might better understand . Introducing the Concept. Standard oral contraceptives (OCs) include placebo pills to mimic a woman. Safety Safety appears comparable to that of conventional COC regimens. Advantages Menstrual suppression can help alleviate menstruation- related conditions. Disadvantages Unpredictable breakthrough bleeding is initially more common than with conventional COCs. Bleeding will lessen as the body adjusts to the new hormone balance. If the method is being used to eliminate menstruation for a specific event, it should be initiated well in advance of the event. Patients should be advised to look for other signs of pregnancy besides a skipped menstrual period, such as breast tenderness, nausea, fatigue, and other signs, and to obtain a pregnancy test if unsure. How to Follow an Extended- Use Regimen Discuss when to have hormone- free days, if any. What to Expect Spotting. Blood may have a different texture. When to Call a Provider Contact a clinician if side effects such as ACHES. Amenorrhea associated with contraception. Contraception 2. 00. Contraception 2. 00. Acceptance of altering the standard 2. Am J Obstet Gynecol 2. A multicenter, randomized study of an extended cycle oral contraceptive. Contraception 2. 00. Annual meeting registrant survey. August- September 2. Menstrual- cycle- related symptoms: a review of the rationale for continuous use of oral contraceptives. Contraception 2. 00. The Quest for Better Contraception: Future Methods. Obstet Gynecol Clin N Am 2. Use of an oral contraceptive containing drospirenone in an extended regimen. Eur J Contracept Reprod Health Care 2. Continuous use of an oral contraceptive for endometriosis- associated recurrent dysmenorrhea that does not respond to a cyclic pill regimen. Fertil Steril 2. 00. Menstruation: choosing whetherÂ…and when. Contraception 2. 00. Remarks made at the Reproductive Health 2. Quoted in Differing attitudes found between women and doctors concerning menstrual suppression . Philadelphia, Pennsylvania: University of Pennsylvania School of Medicine; October 3, 2. Available at http: //www. Accessed on April 2, 2. The New Yorker 2. March 1. 3: 5. 2- 6. Extended and continuous use of contraceptives to reduce menstruation. ARHP/NPWH Clinical Proceedings 2. Accessed April 2, 2. Publications- and- Resources/Clinical- Proceedings/Reduce- Menses.
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