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Puberty/Birth Control


Pytanie

My daughter has been having her period for about a year now. Are there any contraindications to putting her on birth control? I want to make sure that I won't be causing her any medical problems by their use. She is on Depakote sprinkles and Zantac.

Odpowiedź naszych ekspertów

There is no general contraindication for the birth control pill in persons with CdLS. There are medical conditions that make the pill a poor choice, such as seizure disorder, family history of clotting disorders and so on. There is now a patch form, which makes a good choice for girls with significant gastrointestinal problems. With your daughter, both birth control pills and Depo-Provera (an injection given every three months) would be safe to use with a seizure disorder. Some anticonvulsants will decrease steroid levels and can theoretically decrease the efficacy of the pill. However, Depakote (an anti seizure medication) does not have this effect and so the birth control pill is fine to use. Depo-Provera actually has its own anticonvulsant effect and is a good option

NB/TK 7-13-10

Zatwierdzone przezClinical Advisory Board (CAB)
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Zalecenie(a)

Can individuals with CdLS have children?

R20
Należy zaoferować edukację seksualną dostosowaną do poziomu zrozumienia, a leczenie antykoncepcyjne powinno być zgodne z lokalnymi standardami dla populacji ogólnej.
R21
Histerektomia (usunięcie macicy) jest wskazana w przypadku występowania nieprawidłowych, obfitych krwawień miesiączkowych, które nie reagują na leczenie farmakologiczne.

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Please take note that the Ask the Expert service is comprised of volunteer professionals in various areas of focus. Answers are not considered a medical, behavioral, or educational consultation. Ask the Expert is not a substitute for the care and attention your child’s personal physician, psychologist, educational consultant, or social worker can deliver.

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