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Managing menstruation for medically complex paediatric patients.

Susan H Gray1,2

  • 1Pediatrics, University of Virginia School of Medicine, Charlottesville, USA smh5g@virginia.edu.

Archives of Disease in Childhood
|May 29, 2024
PubMed
Summary
This summary is machine-generated.

Managing periods in medically complex children requires evidence-based, off-label hormonal strategies. This review guides physicians on interventions to improve quality of life for pediatric patients with problematic menses.

Keywords:
Adolescent HealthChild HealthPaediatrics

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Area of Science:

  • Pediatric Endocrinology
  • Adolescent Gynecology

Background:

  • Physicians require evidence-based guidance for managing menses in medically complex pediatric and adolescent patients.
  • Many hormonal medications used for menstrual management are prescribed off-label, lacking specific indications beyond contraception.
  • Limited access to hormone management specialists and misconceptions about menstruation can hinder appropriate care.

Purpose of the Study:

  • To outline patient-centered strategies for medically indicated off-label hormonal regimens in pediatric patients.
  • To inform physicians on interventions for improving quality of life in medically complex girls with problematic periods.
  • To provide guidance on managing menses, including predictability, ovulation prevention, pain reduction, and amenorrhea.

Main Methods:

  • Review of current evidence-based, patient-centered strategies for hormonal menstrual management.
  • Analysis of off-label medication use for specific medical conditions in pediatric patients.
  • Discussion of approaches to improve quality of life through menstrual cycle regulation.

Main Results:

  • Evidence supports the use of specific hormonal medications and strategies for various medical conditions.
  • Off-label prescribing for menstrual management is crucial for medically complex pediatric patients.
  • Interventions can make periods more predictable, prevent ovulation, reduce pain, or eliminate menses.

Conclusions:

  • Physicians need clear guidelines for off-label hormonal menstrual management in complex pediatric cases.
  • Patient-centered strategies can significantly improve the quality of life for girls with problematic periods.
  • Addressing misconceptions and specialist availability is key to optimizing care for pediatric menstrual issues.