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Menstruation


Question

Our 12-year-old daughter began her menstrual cycle and really doesn't understand it, although she is better now. Her flow seems unusually heavy and it just runs down her. Should we take her to her doctor to see if anything can be done?

Answer of our experts

Typically, the DepoProvera shots (progesterone) will eventually decrease the blood flow of the menstrual periods, or stop them altogether. Initially, though, there can be increased blood flow that could last up to 9-12 months. Also, an oral contraceptive ("the pill") will help regulate flow. Parents have reported difficulty with their daughters understanding menstrual periods. I would think it helpful for parents of young, adolescent daughters with CdLS to discuss several issues with their health care provider, including control of bleeding, prevention of pregnancy, and sexuality, preferably prior to the onset of menses

TK 7-13-10

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Recommendation(s)

Can individuals with CdLS have children?

R20
Sexual education appropriate to the level of understanding should be offered, and contraception management should follow local standard for the general population.
R21
Hysterectomy is indicated if abnormally heavy bleeding at menstruation is present and does not respond to medical treatment.

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