Getting rid of Endometriosis completely without some invasive procedures might be tough.

And even if you go through those procedures, there’s still a chance the symptoms, like pain, could return. 

But hey, there’s hope that even if you can’t fully cure it, you can still find ways to deal with the symptoms.

One effective approach to managing Endometriosis symptoms is through hormonal therapies, specifically birth control methods. 

In this article, we will examine how birth control for Endometriosis can help control endometriosis-related pain and improve overall quality of life.

Understanding Endometriosis and hormonal influence

Endometriosis is closely linked to Estrogen and Progesterone, the hormones that regulate the menstrual cycle. 

These hormones natural rise and fall can exacerbate Endometriosis symptoms, particularly during the menstrual period. 

Hormonal therapies aim to balance these hormone levels to alleviate pain and prevent the development of Endometriosis.

Which is the best birth control for Endometriosis

Woman holding birth control pills
Woman holding birth control pills

The best birth control options to manage Endometriosis symptoms generally depend on age, symptoms, and overall health. 

However, most doctors recommend continuous use of Progestin-only methods rather than combined birth control. 

Progestin hormonal therapy

Progestins, or Progesterone-like hormones, can effectively treat Endometriosis when used in a long-term continuous fashion. 

They work by thinning the uterine lining, stopping regular periods, and reducing breakthrough bleeding. 

There are various forms of Progestin-only methods that offer choices to suit individual preferences. These include: 

  • Pills:Norethindrone Acetate and Dienogest taken daily
  • Injections: Medroxyprogesterone (Depo-Provera) is administered every 3 months
  • Intrauterine Device (IUD): Levonorgestrel-releasing IUD (Mirena) is inserted into the uterus and releases medication for up to 5 years
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Birth control for Endometriosis pain

One of the primary challenges with Endometriosis is managing the excruciating pain associated with the condition. 

In recent years, birth control has emerged as a significant and effective component of the treatment plan for Endometriosis-related pain. 

Some of the birth control methods to help with pain include:

Levonorgestrel Intrauterine Device

The Progesterone-releasing intrauterine system has been found to be beneficial in managing pain associated with Endometriosis. 

This IUD reduces the severity of Dysmenorrhea (menstrual pain), pelvic pain, and deep Dyspareunia (pain during deep penetration). 

This happens because of the impact of Levonorgestrel IUD on the lining of the uterus.

Etonogestrel implant

It is a subdermal Progesterone implant that helps ease pain in Endometriosis. 

They prevent ovulation, thin the endometrium, and alter cervical mucus. 

These changes reduce pain and menstrual bleeding. 

According to a 2008 study, after 6 months of use, there was a 68% decrease in pain. 

While changes in bleeding patterns may occur, many women find these implants effective and continue using them. 

Warning:
If you have conditions such as Hypertension, Diabetes, or High cholesterol, or if you are overweight, using this implant can increase the risk of blood clots, stroke, or heart attack. 

Depot Medroxyprogesterone Acetate

DMPA is an injection that can be self-administered, and it can reduce pain associated with Endometriosis. 

It works by stopping ovulation (the release of an egg), and it also affects the cervical mucus and lining of the uterus.  

Studies suggest an 80% improvement in pain during sex while using DMPA.

Hormonal vaginal ring and patch

Using the contraceptive vaginal ring or transdermal patch can help ease pain in women with Endometriosis. 

In a 2009 study, both methods proved to reduce pain symptoms, but the vaginal ring was more effective.

It was especially effective with deep rectovaginal lesions. 

Treating Endometriosis without birth control

Treating Endometriosis without birth control aims at managing symptoms and reducing the growth of endometrial tissue outside the uterus. 

One such treatment option is Danazol, a synthetic Androgen. 

This effectively addresses Endometriosis symptoms by shrinking the endometrial tissues.

Danazol is administered orally, usually 2-4 times daily, with doses ranging from 400-800 mg daily. 

Its mechanism of action involves making endometrial tissue inactive, thereby alleviating pelvic pain associated with Endometriosis. 

Fact:
Danazol has been reported to relieve pain in approximately 90% of women.

Additionally, Danazol lowers Estrogen levels, which contributes to the management of the condition.

Side effects of Danazol

PMS Bloating
Suffering from bloating

While Danazol can be effective in treating Endometriosis, it is essential to be aware of potential side effects. 

These can include changes in the menstrual cycle, mild weight gain, bloating, and androgenic effects such as increased hair growth, acne, and oily skin or hair.

Conclusion

Birth control methods have been used to manage Endometriosis symptoms. 

Progestin-only options like pills, shots, and IUDs are often suggested for long-term use to help stop Endometriosis from getting worse. 

They work by balancing hormones, making the lining of the uterus thinner, and reducing how much you bleed during your period.

There are lots of birth control choices that can help ease Endometriosis pain. 

Some of these are the Levonorgestrel IUD, the Etonogestrel implant, the DPMA shot, the hormonal vaginal ring, and the patch.

Overall, these new hormonal therapies offer hopeful options for managing Endometriosis symptoms well.

Frequently Asked Questions

Can birth control help Endometriosis?

Yes, birth control can help manage symptoms of Endometriosis. Birth control pills suppress ovulation and control the menstrual cycle, which can help alleviate symptoms of Endometriosis, like pelvic pain and heavy periods. Additionally, birth control pills can reduce the growth of Endometrial tissue outside of the uterus.

How do birth control pills affect endometrium?

Birth control pills affect the endometrium (the lining of the uterus) by thinning it out. This can result in lighter periods and less tissue build-up outside of the uterus in cases of Endometriosis.

Can you treat Endometriosis without birth control?

While birth control is a common treatment for Endometriosis, it’s not the only option. Other treatments include Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) for pain relief, Gonadotropin-Releasing Hormone (GnRH), surgery to remove endometrial tissue (laparoscopy), or, in severe cases, a hysterectomy.

Is hormonal IUD good for Endometriosis?

A hormonal Intrauterine Device (IUD) can also be an effective treatment for Endometriosis. Hormonal IUDs release Progestin, which can help thin the endometrial tissue and reduce menstrual bleeding and pelvic pain. Some women find hormonal IUDs to be a convenient and effective long-term treatment option for managing their Endometriosis symptoms. 

Citations:
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