Can my endometriosis flare be managed with alternate medicine?

Question

Hi doctor,

I have run out of my usual prescribed medication for endometriosis, and I am now experiencing a flare-up and struggling to manage the pain.

My GP normally prescribes this for me, and I can attach my repeat prescription form as proof. Unfortunately, I have not been able to access the same medication here.

I found your service online, and I would prefer to use this rather than going to a walk-in clinic, if that is possible.

Could you please let me know if you are able to prescribe based on my existing prescription?

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

Severe endometriosis pain requires prompt medical assessment. Register with a local GP (general practitioner) as soon as possible. They can access your existing health records and prescribe your medication. A pharmacist may also provide an emergency supply if you have proof of the prescription, although this is not guaranteed, so it is important to clearly explain your situation.

The height and weight provided are not physically possible for a 35-year-old woman and indicate major data entry errors, making any remote assessment unsafe. Your pain needs in-person evaluation.

The probable causes include recurrence of endometrial-like tissue inflammation outside the uterus and the possible development of new adhesions or an endometrioma.

The investigations needed include an immediate abdominal and pelvic examination with a proper pain assessment, followed by an urgent pelvic ultrasound scan. Additional tests may include a full blood count, inflammatory markers such as CRP (C-reactive protein), and a urinalysis. It is also important to review previous surgical or histology records confirming endometriosis.

The treatment plan involves:

Urgent in-person assessment for pain relief, including NSAIDs (non-steroidal anti-inflammatory drugs) like Naproxen or stronger analgesics if required.
A short course of progestogens such as Norethisterone may help suppress the flare-up.
Longer-term hormonal suppression should be restarted or reviewed based on the patient’s usual regimen, such as the combined oral contraceptive pill or a progesterone-only pill, ensuring correct and consistent dosing. Long-term care should include referral back to a gynecologist to update the ongoing management plan.

Preventive measures include continuous and uninterrupted use of prescribed hormonal therapy, maintaining regular follow-up with a gynecologist, keeping a pain diary to track triggers, and considering supportive therapies like physiotherapy and dietary changes.

I hope this has helped you.

Please feel free to reach out to me again for further queries.

Thank you.