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Which birth control method is the best for endometriosis?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My periods will last usually for five days on average. It hurts tremendously even with pain medication and birth control. I would get horrible periods since I was about 12 years. In my 15 years age, I used to vomit on the first day of my period, but vomiting stopped in the past two years. Before one year I have been diagnosed with endometriosis and prescribed birth control to help ease symptoms. My current medication is only over-the-counter painkiller and doctor did not prescribe any medication as she felt it would not help me. I am considering switching from hormonal pill birth control to an IUD.

I have researched on the internet and I would prefer a hormonal method because I have endometriosis. My heavier periods and cramps sound absolutely horrible. However, I have also read that a lot of women experience weight gain and moodiness with the hormonal methods, the two things I do not need in my life. Which method is better for me? I am 19 years old, moderately sexually active with a serious relationship, generally healthy (prone to colds and flus), no serious medical issues in the family aside from my endometriosis and no history of cancer or ectopic pregnancies. Please suggest me.

Answered by Dr. Anindya Das

Education:

MBBS

Professional Bio:

Dr. Anindya Das is a well-experienced Obstetrics and Gynecologist with 19 years of clinical experience. He completed his MBBS from The West Bengal University in 2005. He then completed his MS in Obstetrics and Gynecology from the University of Calcutta in 2010. He treats his patients with love and care. He is currently working in Kolkata, West Bengal.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Both pills and IUD (intrauterine device) have their own advantages and disadvantages. If you are thinking of switching from hormonal pills to IUD only because of complications like weight gain and mood swing, then think twice. Studies have failed to demonstrate these complications of pills. Now, regardingIUD, it is associated with irregular bleeding and pain, especially in the first few months. Mirena is a hormone containing IUD can help in reducing your pain of endometriosis. But, it might cause cessation of periods, which is not harmful physically. If you can, then accept it psychologically. My suggestion would be if you are satisfied with any specific birth control, then do not change it..

Medically reviewed by iCliniq medical review team
Published At June 16, 2016
Reviewed At April 23, 2024

Education:

MBBS

Professional Bio:

Dr. Anindya Das is a well-experienced Obstetrics and Gynecologist with 19 years of clinical experience. He completed his MBBS from The West Bengal University in 2005. He then completed his MS in Obstetrics and Gynecology from the University of Calcutta in 2010. He treats his patients with love and care. He is currently working in Kolkata, West Bengal.

This doctor is not available for online consultations on the platform anymore.

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Decision Helper
Endometriosis Birth Control Decision Helper

Which birth control is best for your endometriosis?

This tool helps you weigh options for managing endometriosis symptoms with birth control. Answer a few questions to get personalized guidance.

  • Understand your current management effectiveness.
  • Evaluate concerns about side effects.
  • Explore options for better symptom control.

This tool provides educational information only and does not diagnose, treat, or replace professional medical advice. Consult a qualified healthcare professional for personalized medical guidance.

Education:

MBBS

Professional Bio:

Dr. Anindya Das is a well-experienced Obstetrics and Gynecologist with 19 years of clinical experience. He completed his MBBS from The West Bengal University in 2005. He then completed his MS in Obstetrics and Gynecology from the University of Calcutta in 2010. He treats his patients with love and care. He is currently working in Kolkata, West Bengal.

This doctor is not available for online consultations on the platform anymore.

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