Indications for menstrual suppression with hormonal contraceptives^[1]

Category	Condition	Clinical example
Gynecologic	Dysmenorrhea
	Premenstrual symptoms
	Endometriosis-related bleeding or pain
	Uterine fibroids (leiomyomas)
	Adenomyosis
	Abnormal uterine bleeding	Heavy menstrual bleeding Irregular bleeding
Hematologic	Anemia (inherited or acquired)	Sickle cell disease Transfusion-dependent thalassemia Iron deficiency anemia
	Anticoagulation
	Coagulation disorder	ITP/thrombocytopenia von Willebrand disease Hemophilia
	Malignancy
	Bone marrow suppression	Chemotherapy Hematopoietic cell transplant
Neurologic	Menstrual migraine
Neurologic	Catamenial seizures
Challenges with menstrual hygiene	Intellectual or developmental delay
	Wheelchair requiring patients	Spinal cord injury Spina bifida Cerebral palsy
	Limited dexterity	Rheumatoid arthritis Cerebral palsy
Work or social indications	Military deployment or space travel
	Athletes
	Extended travel
	Camping or wilderness experience
Conditions worsened by menses	Irritable bowel syndrome
	Asthma
	Anaphylactoid reactions
	Catamenial pneumothorax and/or hemoptysis
	Postural tachycardia syndrome

ITP: immune thrombocytopenic purpura.

Reference:

Altshuler AL, Hillard PJ. Menstrual suppression for adolescents. Curr Opin Obstet Gynecol 2014; 26:323.

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Indications for menstrual suppression with hormonal contraceptives[1]