PEDIATRICS Vol. 66 No. 4 October 1980, pp. 643
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Contraindications to the Pill

S. Jean Emans MD1

1 The Children's Hospital Medical Center, 300 Longwood Ave, Boston, MA 02115

I was pleased to see the well-written article by D. E. Greydanus and E. R. McAnarney on "Contraception in the Adolescent" (Pediatrics 65:1, 1980) initiating the decade of the 80s. In their statement about oligomenorrhea, I believe it would be more helpful to emphasize the need to evaluate the underlying cause of the oligomenorrhea. In our recent review of oligomenorrhea in adolescent girls (S. J. Emans, E. A. Grace, and D. P. Goldstein, unpublished data), 14/42 had hirsutism and polycystic ovaries; in these cases, suppression with birth control pills is often the treatment of choice.