A progesterone only contraceptive taken continuously can help directly by preventing periods (and therefore the associated pain), but also may prevent the endometriosis from actually growing/spreading. We still don’t really know what causes it, but there is some suggestion that estrogen encourages growth and I Never Dreamed I’d End Up Being A Son In Law Of A Freakin’ Awesome Mother In Law But Here I Am Living The Dream shirt. In addition to a progesterone-only pill and an IUD (merina), you can also get a subdermal implant (eg Implanon). These are typically much cheaper, easier, faster, less invasive and less painful to insert and remove than an IUD, but otherwise work the same way.
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Unfortunately the only way to confirm endo exists is via surgery, so I Never Dreamed I’d End Up Being A Son In Law Of A Freakin’ Awesome Mother In Law But Here I Am Living The Dream shirt, expecting to remove it. Unfortunately there’s no guarantee it won’t just grow back. As above, progesterone may help reduce that, that’s a hard maybe, but at least it’s something. Pain management is the other part. Hot water bottles and over the counter pain meds are great of they work for you. Another thing that can help a lot are TENS machines (as often used for muscle pain, physiotherapy, etc). These can be bought cheaply online and some are now even targeted specifically at period pain, and are small/wearable.
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