Abstract
To present an unusual side effect of therapy for adolescent menorrhagia, with commentary on management options. Case report. Tertiary gynecologic center. A 13-year-old girl presenting with profuse uterine bleeding. Dysfunctional uterine bleeding was diagnosed, and pharmacologic therapy with a monophasic oral contraceptive (OC) pill was introduced. A large decidual cast occurred during treatment. After finishing therapy with OC followed by three cycles of cyclic progestogen, the patient experienced regular menses. 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.
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