{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T13:11:14Z","timestamp":1771333874755,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,3,15]],"date-time":"2017-03-15T00:00:00Z","timestamp":1489536000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Requests for assistance in menstrual management and menstrual suppression are a common, emotive and sometimes controversial aspect of adolescent disability care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To review the uptake and outcomes of menstrual suppression among adolescent patients with developmental delay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review of the medical records of adolescent females with intellectual disability referred for menstrual management to the Paediatric and Adolescent Gynaecology Clinic, Children's Hospital at Westmead, Sydney, for the three\u2010year period between January 1, 2010 and January 1, 2013.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty adolescent patients with developmental delay were identified. A third (<jats:italic>n<\/jats:italic>\u00a0=\u00a028) of the patients were pre\u2010menarcheal at first review with parent\/caregivers seeking anticipatory advice. Of the post\u2010menarcheal patients, the median age of menarche was 12\u00a0years (range 10\u201315\u00a0years). First and second line interventions were documented as were reasons for change where applicable. The combined oral contraceptive pill (<jats:styled-content style=\"fixed-case\">COCP<\/jats:styled-content>) was the most frequently used therapy (67%), and 19 patients in total had a levonorgestrel releasing intrauterine system (<jats:styled-content style=\"fixed-case\">LNG<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IUS)<\/jats:styled-content> inserted (31%). Our study population differs from similar previously published groups in the marked absence of the use of depot medroxyprogesterone acetate or the subdermal etonogestrel releasing device.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>As a paediatrician, it is important to address menstrual management issues and allay caregiver concerns with appropriate advice. Our study supports the use of the <jats:styled-content style=\"fixed-case\">COCP<\/jats:styled-content> as sound first line management in achieving menstrual suppression. The <jats:styled-content style=\"fixed-case\">LNG<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IUS<\/jats:styled-content> appears to be a favourable second line option. Further investigation into longer\u2010term outcomes and potential complications of device insertion is recommended.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12595","type":"journal-article","created":{"date-parts":[[2017,3,16]],"date-time":"2017-03-16T03:18:43Z","timestamp":1489634323000},"page":"346-350","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Menstrual management in developmentally delayed adolescent females"],"prefix":"10.1111","volume":"57","author":[{"given":"Irene","family":"Chuah","sequence":"first","affiliation":[{"name":"Department of General Medicine The Children's Hospital at Westmead The Sydney Children's Hospital Network  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"McRae","sequence":"additional","affiliation":[{"name":"Academic Department of Adolescent Medicine The Children's Hospital at Westmead The Sydney Children's Hospital Network  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim","family":"Matthews","sequence":"additional","affiliation":[{"name":"Department of Adolescent Medicine The Children's Hospital at Westmead The Sydney Children's Hospital Network Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann M.","family":"Maguire","sequence":"additional","affiliation":[{"name":"Institute of Endocrinology and Diabetes The Children's Hospital at Westmead The Sydney Children's Hospital Network  Sydney New South Wales Australia"},{"name":"Discipline of Child and Adolescent Health Sydney Medical School University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharine","family":"Steinbeck","sequence":"additional","affiliation":[{"name":"Academic Department of Adolescent Medicine The Children's Hospital at Westmead The Sydney Children's Hospital Network  Sydney New South Wales Australia"},{"name":"Discipline of Child and Adolescent Health Sydney Medical School University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,3,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1083-3188(03)00025-1"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2011.02163.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2013.04.014"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2007.10.008"},{"key":"e_1_2_7_6_1","unstructured":"High Court of Australia.Department of Health and Community Services v JWB and SMB (Marion's Case)1992. 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