A case of unusual course of adolescent menorrhagia: decidual cast as a side effect of treatment.

Abstract:

OBJECTIVE:To present an unusual side effect of therapy for adolescent menorrhagia, with commentary on management options. DESIGN:Case report. SETTING:Tertiary gynecologic center. PATIENT(S):A 13-year-old girl presenting with profuse uterine bleeding. INTERVENTION(S):Dysfunctional uterine bleeding was diagnosed, and pharmacologic therapy with a monophasic oral contraceptive (OC) pill was introduced. MAIN OUTCOME MEASURE(S):A large decidual cast occurred during treatment. RESULT(S):After finishing therapy with OC followed by three cycles of cyclic progestogen, the patient experienced regular menses. CONCLUSION(S):A large decidual cast may occur during treatment of adolescent menorrhagia with OCs; patients should be informed about this possibility, to reduce stress connected with the appearance of this side effect.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Torres A,Baszak-Radomańska E,Torres K,Paszkowski T,Staśkiewicz GJ,Wozniakowska E

doi

10.1016/j.fertnstert.2009.07.997

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

1748.e5-7

issue

5

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(09)02493-5

journal_volume

92

pub_type

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