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Menstrual suppression in adolescents with disabilities is an important part of care given the anxiety that can surround this issue. Combined oral contraceptive pills (COCPs) have traditionally represented first-line treatment but show varying efficacy.
To compare the effectiveness of COCPs, depot medroxyprogesterone acetate (Depo-Provera) intramuscular injections, and a progesterone-containing intrauterine system (IUS) in this setting, investigators conducted a retrospective chart review in 68 adolescents with disabilities who presented to an Australian gynecology clinic between 2005 and 2015. The primary outcome was the proportion of patients achieving menstrual suppression after three outpatient visits. The researchers also examined time f…