For gender-diverse youth who have started to menstruate (have periods), bleeding can be a source of distress. Medications are utilized to lighten or stop bleeding. There are many medications that can be used for menstrual suppression. Many of these medications are also used as birth control. These include medications like birth control pills, injections, and intrauterine devices. Other prescription medications, called progestins, can also be used for this purpose.
Typically, before initiating medication for menstrual suppression, a physical examination is conducted as well as pregnancy testing, and health history. Sensitive exams are usually not needed to begin menstrual suppression. Medical providers talk with patients about various options. After beginning menstrual suppression, patients are seen for follow-up visits to make sure the medication is tolerated and then on an intermittent basis for check-ups.