When are oral contraceptives (OCs) indicated in the management of dysmenorrhea?

Updated: Sep 23, 2019
  • Author: Karim Anton Calis, PharmD, MPH, FASHP, FCCP; Chief Editor: Michel E Rivlin, MD  more...
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OCs may be an appropriate choice for patients who do not wish to conceive. Combination OCs suppress the hypothalamic-pituitary-ovarian axis, thereby inhibiting ovulation and preventing prostaglandin production in the late luteal phase. This generally reduces the amount of menstrual flow and alleviates primary dysmenorrhea in most patients. Use of OCs in a manner that reduces the number of menstrual cycles may be beneficial for some patients. [65, 66]

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