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Doctors urged to offer continuous contraception. (Reduced or Absent Menstrual Bleeding).
LOS ANGELES -- New and established forms of contraception work equally well for women who want to reduce menstrual bleeding or discontinue their periods altogether, Dr. Anita Nelson announced at a press conference during the annual meeting of the American College of Obstetricians and Gynecologists.
Oral contraceptives were first developed "by gray-haired guys ... who decided women wanted to have a period every month. Mel Gibson, who knows what women want, was not on the panel," quipped Dr. Nelson, professor of obstetrics and gynecology at the University of California, Los Angeles.
Menstruation is associated with headaches, bloating, menstrual cramps, mood swings, and anemia, besides being inconvenient, Dr. Nelson said. "We really need to empower women not to take it anymore.
Continuous contraception is an easy way to sharply reduce or end menstrual cycling. Oral contraceptives, the transdermal norelgestromin/ethinyl estradiol patch (Ortho Evra), and the vaginal ring (etonogestrel/ethinyl estradiol, the NuvaRing) can all safely be used without a break to allow for withdrawal bleeding, according to Dr. Nelson.
Dr. Nelson has disclosed that she receives grant and research funds and speaker's honoraria from many corporations that manufacture contraceptives, including Organon Inc., which manufactures the vaginal ring, and Ortho-McNeil, which makes the birth control patch.
One low-dose estrogen/progestin combination oral contraceptive under development is moving in a direction some women have already undertaken on their own. Called Seasonale by developers at the Eastern Virginia Medical School, this ethinyl estradiol-levonorgestrel combination is designed to be taken daily for 84 days with a 7-day hiatus, reducing yearly periods from 13 to 4.
A few active women have long been following roughly the same pattern on their own by skipping the hormonal hiatus offered by 7 days' worth of placebo pills in each package. Dr. Nelson said female residents often follow that regimen to avoid adding menstrual issues to their relentless schedules. Other women have quietly advised each other to take back-to-back pill packs to avoid ...
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