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Extended cycle hormonal contraception in adolescents
Gina S Sucato1, Kelly L Gerschultz
1Division of Adolescent Medicine, Department of Pediatrics, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA. Gina.Sucato@chp.edu
Current Opinion in Obstetrics & Gynecology
|September 6, 2005
Summary
Extended hormonal contraception cycles are of high interest to adolescents and providers for managing menstrual complaints and preferences. This approach offers improved contraceptive efficacy and is generally well-tolerated, with no significant adverse effects noted.
Area of Science:
- Reproductive Endocrinology
- Adolescent Gynecology
- Contraception
Background:
- Adolescents increasingly seek hormonal contraception for menstrual cycle management and personal preference.
- Extended hormonal contraceptive cycles are gaining traction among both patients and healthcare providers.
Purpose of the Study:
- To review recent findings on extended hormonal contraceptive cycles.
- To highlight the relevance of these findings for adolescent populations.
Main Methods:
- Literature review of recent studies on extended hormonal contraceptive cycles.
- Analysis of data concerning adolescent preferences and provider prescribing habits.
Main Results:
- Adolescents express a strong preference for less frequent menstruation.
- Extended cycling regimens are well-tolerated and increase contraceptive efficacy by enhancing ovarian suppression.
- Studies show no adverse metabolic changes or pathological endometrial findings; breakthrough bleeding is the most common side effect, often manageable.
Conclusions:
- Extended hormonal contraceptive cycling demonstrates high interest and is supported by growing evidence of safety and efficacy.
- Further research with adequate adolescent samples is needed to investigate long-term effects on cancer, thrombotic disease, and fertility.