Abstract
MENSTRUAL disturbances in adolescence consist of two varieties, those of rhythm and those of amount and duration of bleeding. Both types of disturbance usually are temporary since ultimately the girl's own ovaries mature sufficiently to establish normal menstrual rhythm and flow. While menstrual irregularity presents no clinical problem, excessive or persistent bleeding does require medical intervention. Two distinct therapeutic approaches have been successfully employed in such cases, but each has serious disadvantages. When the bleeding is of serious proportions, surgical treatment, i.e., curettage and packing of the uterus, and even laparottomy for excision of ovarian cysts has been undertaken. It is obviously undesirable to submit patients to the risk of anesthesia and operation upon the genital tract if some way of avoiding it is available.2 For less serious bleeding, male sex hormone in large doses has been successfully used; this therapy involves the risk of inducing such masculinization as acne, h...
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