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What casues heavy and long periods?

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Posted on Fri, 25 Jul 2014
Question: Fourteen year old daughter has extremely heavy and 8 day long periods, has mood swings and extensive acne breakouts prior and during her periods. Consulted both a dermatologist and gynecologist regarding the use of birth control pills to even out all of the above, particularly her heavy and painful bleeding. and extreme hormonal based mood swings. Based on what I've read--weight gain, depression, nausea, possible increase of depression, I'm very hesitant to start her one of these two; Monessa 28 or Trinessa 28 tabs for a variety of reasons. She is not sexually active and is a track and field athlete with frequent track meets that she must be prepared for--any advice?
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Answered by Dr. Eric Goldstein (1 hour later)
Brief Answer:
BCP

Detailed Answer:
Hello. I just read through your question.
What you are describing is very common among girls in this age group. Periods can be irregular, unpredictable, and heavy, in the earliest years of menstruation. This doesn't mean it will remain so throughout life.
The problem becomes more difficult because the idea of using birth control pills in girls this age, especially those not sexually active, is something parents didn't think they would have to consider. However, though it make take some tinkering with the dosage early on, this is often the cure. Birth control pills give us the advantage of being able to control acne as well.
I've seen this approach work many times. It will certainly not interfere with her track and field activity, it can only help. As I said earlier, there may be some adjusting of the dosage. Once the right dosage is given, however, she will feel more comfortable.

Good luck.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Eric Goldstein (21 minutes later)
Quick question: what is the possibility of weight gain from low dose Mononessa 28"s which has never been an issue with long, lean daughter?
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Answered by Dr. Eric Goldstein (20 minutes later)
Brief Answer:
Follow Up

Detailed Answer:
Thank you for the follow up question.
There is a slight possibility of water retention. I feel this is less of a concern in someone as physically active as she is. I wouldn't worry about it.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Eric Goldstein

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Practicing since :1999

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What casues heavy and long periods?

Brief Answer: BCP Detailed Answer: Hello. I just read through your question. What you are describing is very common among girls in this age group. Periods can be irregular, unpredictable, and heavy, in the earliest years of menstruation. This doesn't mean it will remain so throughout life. The problem becomes more difficult because the idea of using birth control pills in girls this age, especially those not sexually active, is something parents didn't think they would have to consider. However, though it make take some tinkering with the dosage early on, this is often the cure. Birth control pills give us the advantage of being able to control acne as well. I've seen this approach work many times. It will certainly not interfere with her track and field activity, it can only help. As I said earlier, there may be some adjusting of the dosage. Once the right dosage is given, however, she will feel more comfortable. Good luck.