Hormonal Treatment for Severe Menstrual Pain in Teens - Obstetrics and Gynecology

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Regarding menstrual pain?


I visited the obstetrics and gynecology department, and the doctor prescribed me PIPETHANATE, medroxyprogesterone, and mefenamic acid.
He mentioned that I would start hormone therapy in a few days because I have severe menstrual pain, but the cause is unclear.
The doctor said he also doesn't understand why I'm in pain.
I am currently 15 years old and experience menstrual cramps, ovulation pain, and pain before and after my period.
I have been taking painkillers for over a year.
The doctor suggested trying hormone therapy first, but I have a few questions to ask:
1.
I have heard that taking hormones can be harmful and may lead to abdominal diseases.
Is this true? Should I take them?
2.
Will taking these medications affect my endocrine system? I am currently taking antidepressants.
Thank you, doctor.

mimi, 10~19 year old female. Ask Date: 2005/02/18

Dr. Lü Lizheng reply Obstetrics and Gynecology


The statement that taking hormones is bad and may lead to abdominal diseases is incorrect.
Hormonal therapy should be used when necessary and avoided when it is not.
It is important to consider the possibility of uterine hypertonicity, endometriosis, and premenstrual syndrome.
If there has been sexual intercourse, the potential for inflammation should also be considered in order to provide appropriate treatment.
In addition to medication, regular exercise can be beneficial, and traditional Chinese medicine may also be worth trying.
Sincerely, Lu Li-Cheng.

Reply Date: 2005/02/18

More Info


When it comes to hormonal treatment for severe menstrual pain, particularly in teenagers, it's essential to understand both the potential benefits and risks associated with such therapies. Your physician has prescribed a combination of medications, including Pipethanate, Medroxyprogesterone, and Mefenamic Acid, to help manage your symptoms. Let's break down your concerns and provide some clarity on these treatments.


1. Concerns About Hormonal Treatment and Cancer Risks
It's a common concern that hormonal treatments may increase the risk of certain cancers, particularly breast and endometrial cancers. However, the risk associated with hormonal treatments can vary significantly based on several factors, including the type of hormone therapy, duration of use, and individual health history. In adolescents, the use of hormonal treatments is often considered when the benefits outweigh the risks, especially in cases of severe menstrual pain (dysmenorrhea) that does not respond to over-the-counter pain relief.

Medroxyprogesterone, a synthetic form of progesterone, is commonly used to regulate menstrual cycles and alleviate pain associated with hormonal fluctuations. While there are some studies that suggest long-term use of certain hormonal therapies may be linked to an increased risk of certain cancers, the evidence is not definitive, especially in younger populations. Your doctor likely believes that the potential benefits of alleviating your severe pain and improving your quality of life outweigh these risks.


2. Effects on Endocrine Function
Hormonal treatments can indeed affect your endocrine system. Medications like Medroxyprogesterone can alter your natural hormone levels, which may lead to changes in your menstrual cycle, mood, and overall hormonal balance. Since you are also taking antidepressants, it's crucial to monitor how these medications interact. Some antidepressants can influence hormonal levels and vice versa, potentially leading to side effects such as mood swings, weight changes, or alterations in menstrual patterns.

It's essential to have open communication with your healthcare provider about all the medications you are taking, including antidepressants. They can help you monitor any side effects and adjust your treatment plan as necessary. Regular follow-ups will allow your doctor to assess the effectiveness of the hormonal treatment and make any needed changes.


3. The Role of Hormonal Treatment in Managing Dysmenorrhea
Hormonal treatments can be very effective in managing severe menstrual pain. They work by regulating the hormonal fluctuations that can lead to painful cramps and other symptoms associated with menstruation. In your case, since the cause of your pain is not clearly identified, hormonal therapy may help to stabilize your hormonal levels and reduce the severity of your symptoms.

Mefenamic Acid, a non-steroidal anti-inflammatory drug (NSAID), is often prescribed for pain relief and can be used in conjunction with hormonal treatments. This combination can provide a more comprehensive approach to managing your symptoms.


Conclusion
In summary, while there are valid concerns regarding hormonal treatments and their potential risks, they can also provide significant relief for severe menstrual pain. It's crucial to weigh these risks against the benefits, especially in the context of your quality of life. Regular monitoring and communication with your healthcare provider will be key to ensuring that your treatment plan is effective and safe. If you have ongoing concerns about the medications or their effects, don't hesitate to discuss them with your doctor. They can provide personalized advice based on your health history and current situation.

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