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Menstrual extraction in the adolescent

T C Key, A K Kreutner

    Journal of Adolescent Health Care : Official Publication of the Society for Adolescent Medicine
    |December 1, 1980
    PubMed
    Summary
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    Menstrual extraction is a safe and effective procedure for adolescents experiencing a missed period. This method can serve as an introduction to effective birth control, with results comparable to adults.

    Area of Science:

    • Reproductive Health
    • Adolescent Gynecology

    Background:

    • Menstrual extraction (suction aspiration) is rarely performed in adolescents.
    • Adolescents may benefit from early, safe reproductive health interventions.

    Purpose of the Study:

    • To evaluate the safety and efficacy of menstrual extraction in adolescents.
    • To assess the complication rates and long-term outcomes of menstrual extraction in this demographic.

    Main Methods:

    • Retrospective review of 90 menstrual extractions performed on 82 adolescents between January 1977 and March 1979.
    • Analysis of patient demographics, procedure outcomes, and complication rates.

    Main Results:

    • Major complications occurred in only two patients (2.2%).

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  • One pregnancy continued, potentially preventable with improved follow-up adherence.
  • Post-procedure adoption of oral contraceptives and IUDs suggests utility in promoting contraception.

    • Conclusions:

    • Menstrual extraction is a viable and safe option for adolescents.
    • The procedure can be an entry point to effective contraception methods for young women.
    • Adolescent outcomes are comparable to those reported in adult populations.