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Clinical Notes
May 1, 1967

Suppression of Menstruation: A Hygienic Measure in the Care of Mentally Retarded Patients

Author Affiliations

From Pacific State Hospital, Pomona, Calif.

JAMA. 1967;200(5):414-415. doi:10.1001/jama.1967.03120180102023

THE PURPOSE of this report is to outline a safe and efficient method of suppressing menstruation as a hygienic measure in the care of mentally retarded patients. In hospitals for the mentally retarded, menstruation can give rise to difficult problems, particularly in the care of severely or profoundly retarded patients. There are those who will not wear any type of sanitary protection, those who misuse soiled napkins and tampons, and those with unusually heavy flow.

With the advent of the newer 19-nor-progestogens, complete suppression of ovulation and menstruation by medical means became practical and safe. In his work on endometriosis, Kistner1-5 has proven that a state of pseudopregnancy can be maintained for long periods without deleterious effects. The safety of these drugs has also been well substantiated by other investigators.6,7

Program  A program of menstrual suppression was started at this hospital in August 1963, using norethynodrel with mestranol