As tranexamic acid and mefenamic acid can be taken at times when periods are heavy or painful, the patient can continue these as long as they are required. They can also be offered as a back-up when hormonal therapy is about to be withdrawn. Hormonal treatments are best taken for a few months and can be withdrawn on a trial basis at a time that is socially convenient such as during a school holiday.
Dysmenorrhoea (painful periods) in adolescents tends to occur when ovulation (egg-release) is occurring. Mefenamic acid (Q 24.17) may reduce pain as well as the amount of blood that is lost. The combined oral contraceptive pill suppresses ovulation and is probably the most effective treatment. Treatment may be required for some years.
Please click on the required question.
- 1 Our baby has had a little vaginal bleeding. Is this worrying?
- 2 What are intersex states?
- 3 Our toddler does not seem to have a normal opening down below. What should be done?
- 4 My little girl has a vaginal discharge. What might be the cause?
- 5 What is puberty?
- 6 What is precocious puberty?
- 7 Our teenage daughter's periods have not started yet. When should we seek medical advice?
- 8 Our daughter's periods are occurring infrequently. Should we be concerned?
- 9 What is adolescence?
- 10 What is acne and how can acne be treated?
- 11 Our teenage daughter seems to have more body hair than we would expect. What should be done?
- 12 Our teenage daughter's periods are so heavy that she has to be absent from school. What can we do?
- 13 How does the doctor determine the treatment of heavy periods for an adolescent?
- 14 How long should treatment of heavy periods be continued with an adolescent?
- 15 Should a D and C (cervical dilatation and curettage Q 24.12) be performed for an adolescent with period problems?
- 16 Are there any particular worries about a teen pregnancy?
- 17 What should be the purpose of sex education?
- 18 My adolescent daughter is being difficult. Could she have an underlying hormone problem?
- 19 Are there any special contraceptive considerations for teenagers?
- 20 What contraceptive options are available to adolescents?
- 21 Are there any medical worries if a young teenager takes the oral contraceptive pill?
- 22 Can a teenager use emergency contraception?
- 23 Where can I obtain more information?
- 24 Could I have some child support groups and teen support groups?
- 25 Could I have some acne support groups?
Thank you for choosing to visit us.
This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.
