<s>[INST] Hello doctor, I want to stop having menstrual period. I am 38 and widowed. I go through pains in both period and ovulation. Kindly recommend a drug that can stop ovulation and menstruation permanently. Thank you. [/INST] Hello. For stopping menses, few medical options are there but you have to be on hormones continuously and it could have some long-term side effects as well. But, if you go for a surgical option, it would be permanent with no side effects. You can have continuous Progesterone withoutwithdrawal or continuous oral contraceptive pills will out pill free tablets but continuous as well as cyclic hormones have their own specific side effects like endometrial hyperplasia, unscheduled bleeding or spotting, mood variations, breastengorgement, stroke, high blood pressure, clotformation, breast and endometrial cancer, etc. Another option is gonadotropin-releasing hormone to reduce sex hormone production but can cause bone pain and menopausal side effects within six months. Even then, if you want to have medical treatment or find it convenient, I would like to say it is temporary and the choice is yours. It is better to have a total abdominal hysterectomy as you do not need fertility. It is a whole surgery, but if done nicely there should be no long-term side effects. So, the complete removal of the uterus will give you complete cessation of menses. For more information consult an obstetrician and gynaecologist online --> </s>