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Thread: Delaying the period

  1. #1
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    Default Delaying the period

    I have opened this thread to ask your opinion.
    Because is summer and holiday season, many young girls, come and ask me how to delay the period because is interferring with their holiday plans. By reading I found some things: contraceptive pill, starting a new packet immediately after finishing the current one (but some of the girls are not on the pill), Orgametril (I think Norethisterone is the brand name) is another option and with less adverse effects, and, at this point is my choice.
    Other methods: Calcium Chlorid, or phytonadione, but I have doubts on their effect, and do not like their adverse effects - clots, or intense bleeding after stop taking the medications.

    So what is you opinion, other sugestions?

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    luna,

    As long there is no personal or family history of VTEs and she is a non-smoker; I think the OCPs are still the best option. Any OCPs are acceptable. Just have her skip the 4th week pills which are usually sugar or iron pills and start a new pack. Ank if they continue to use them for the rest of the year then they should at least have 2 menses per year to reduce risk of uterine malignancy. I have used this approach for many women, especially those in professional careers without any adverse outcomes.
    Hope this helps.

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    Quote Originally Posted by tigerman View Post
    luna,

    As long there is no personal or family history of VTEs and she is a non-smoker; I think the OCPs are still the best option. Any OCPs are acceptable. Just have her skip the 4th week pills which are usually sugar or iron pills and start a new pack. Ank if they continue to use them for the rest of the year then they should at least have 2 menses per year to reduce risk of uterine malignancy. I have used this approach for many women, especially those in professional careers without any adverse outcomes.
    Hope this helps.
    i agree with this...there is no use on taking 4th week iron pills..instead they should start a new pack..but i don't advice to stop cycle for more than 3 months..OCP is good choice...

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    Thanks for your answers.
    I know that the continous OCPs are the best choice, but some them are not on the pills and refuse to take some, I need to know other safe options...

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    luna,

    Non-pill options are limited and not always successful. The approved non-pill options for menstrual suppression (at least in the U.S.) are Depo-Provera Injection, Mirena IUD, and Implanon implants. The problem with these options is that they frequently cause break-through bleeding and it may take a long time before the bleeding/spotting episodes stop completely. I have a patient who is a physician's wife who opted for the Depo-Provera option but had spotting for one full year before menses ceased completely.
    Other options, althouth not approved in the U.S., are the NuvaRing and Ortho Evra patches.
    I would not recommend the non-commercial and herbal products that are available. They ones that actually work usually have an estrogenic effect which as you know is the main reason for the havoc during PMS and since we do not know the dose to clinical effect ration; it would be difficult to predict the side effects/complications.

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