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An endocrine perspective on menstrual suppression for adolescents: achieving good suppression while optimizing bone health

Authors
  • Lahoti, Amit1
  • Yu, Christine2
  • Brar, Preneet Cheema3
  • Dalgo, Austin1
  • Gourgari, Evgenia4
  • Harris, Rebecca5
  • Kamboj, Manmohan K.6
  • Marks, Seth7
  • Nandagopal, Radha8
  • Page, Laura9
  • Raman, Vandana10
  • Reynolds, Danielle G.11
  • Sarafoglou, Kyriakie12, 13
  • Terrell, Carrie14
  • Stanley, Takara L.15
  • 1 Le Bonheur Children’s Hospital and University of Tennessee Health Science Center, USA , (United States)
  • 2 University of Chicago, USA , (United States)
  • 3 NYU Grossman School of Medicine, USA , (United States)
  • 4 Georgetown University, USA , (United States)
  • 5 Boston Children’s Hospital, USA , (United States)
  • 6 Nationwide Children’s Hospital at The Ohio State University, USA , (United States)
  • 7 Children’s Hospital HSC Winnipeg, Rady Faculty of Health Sciences, University of Manitoba, Canada , (Canada)
  • 8 Elson S. Floyd College of Medicine, Washington State University, USA , (United States)
  • 9 Duke University, USA , (United States)
  • 10 University of Utah, USA , (United States)
  • 11 University of South Florida, USA , (United States)
  • 12 University of Minnesota Masonic Children’s Hospital, USA , (United States)
  • 13 University of Minnesota College of Pharmacy, USA , (United States)
  • 14 Gynecology, Midwifery and Family Planning at the University of Minnesota Medical School, USA , (United States)
  • 15 Massachusetts General Hospital and Harvard Medical School, USA , (United States)
Type
Published Article
Journal
Journal of Pediatric Endocrinology and Metabolism
Publisher
Walter de Gruyter GmbH
Publication Date
Aug 13, 2021
Volume
34
Issue
11
Pages
1355–1369
Identifiers
DOI: 10.1515/jpem-2020-0539
Source
De Gruyter
Keywords
Disciplines
  • Review Article
License
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Abstract

Suppression of menstruation and/or ovarian function in adolescent girls may be desired for a variety of reasons. Numerous medical options exist. The choice of the appropriate modality for an individual patient depends on several factors based on differences in the efficacy of achieving menstrual suppression as well as in their side effect profiles. Adolescence is also a period of bone mass accrual in girls, and several of these modalities may negatively influence peak bone mass. This review focuses on the efficacy of achieving menstrual suppression and the effect on bone health of the various options through an overview of the current literature and also highlights areas in need of further research.

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