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Encephalopathy and psychosis following administration of the combined oral contraceptive pill in an 11-year-old female.
Busby, Gail; Bancroft, Karen.
Affiliation
  • Busby G; Department of Obstetrics and Gynaecology, Royal Bolton Hospital, Bolton, Lancashire, UK. gailbusby@doctors.net.uk
Gynecol Endocrinol ; 23(6): 361-2, 2007 Jun.
Article in En | MEDLINE | ID: mdl-17616863
We report herein the first case of psychosis after short-term use of the combined oral contraceptive (COC) pill in a young patient with no previous psychiatric history. An 11-year-old girl was placed on the COC pill for treatment of menorrhagia, 5 months after her menarche. She developed an initial encephalopathy, which progressed to psychosis. The estrogenic component of the COC pill is the most likely cause of this psychosis. COC pills should be used with caution in patients with an already high estrogenic state as occurs near menarche.
Subject(s)
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Collection: 01-internacional Database: MEDLINE Main subject: Psychoses, Substance-Induced / Schizophrenia, Paranoid / Brain Diseases / Contraceptives, Oral, Combined Type of study: Diagnostic_studies Limits: Child / Female / Humans Language: En Journal: Gynecol Endocrinol Journal subject: ENDOCRINOLOGIA / GINECOLOGIA Year: 2007 Document type: Article Country of publication: Reino Unido
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Collection: 01-internacional Database: MEDLINE Main subject: Psychoses, Substance-Induced / Schizophrenia, Paranoid / Brain Diseases / Contraceptives, Oral, Combined Type of study: Diagnostic_studies Limits: Child / Female / Humans Language: En Journal: Gynecol Endocrinol Journal subject: ENDOCRINOLOGIA / GINECOLOGIA Year: 2007 Document type: Article Country of publication: Reino Unido