I am looking for a strong birth control to manage endometriosis. Do the more potent birth control pills attack endometriosis more aggressively? I was on a 1-35 estrogen progestin birth control combination pill called Necon and it made me severely nauseated so my doctor lowered the dosage to 1-25 estrogen progestin combination pill called Lutera . The higher dosage eliminated more symptoms but the lower dosage had less nausea. I am thinking long term. I just had my lap to remove endometrial growths and try to clear adhesions want to keep them gone. Do you ladies have a thought on that?
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No birth control pill can attack endo or reduce endo, sorry
All hormonal treatments only work to reduce your levels of oestrogen thus slowing or in some cases stopping endo growth. As we are mammals, even males, we all produce oestrogen to some degree so endo will always grow. What makes it worse is when there's large amounts of endo it can produce it's own oestrogen and as it grows with that, it will grow more when there's lots of it.
The only way to reduce growth and the amount of endo is a laparoscopic excision of endo. The surgeons cut out the endo, thus reducing symptoms as there's less. Unfortunately it will always return but excision is proven to reduce the regrowth speed a lot more compared to other methods; laser (diathermy or heat), ablation (sanding or air blasting) as these only remove the top layer of endo.
Hormones are all some women need to control their symptoms, or some just want a normal ish life with reduced symptoms, some really are opposed to surgical intervention, and others just need time to consider all options.
I've previously on hormones for 10 ish years while doctors didn't want to / couldn't diagnose endo. Finally the hormones stopped having any effect and all my syptoms were just there, the docs finally paid attention after much pushing; my endo required surgery. Two laps later and it's all removed well as much as they could see, my symptoms are so much more reduced. Have a read of my experience if you're worried about stuff:
"All this effort does pay off - my story - hope it helps !"
You can search for it on here or look through my profile
From my understanding, birth control pills work for endo by stopping your cycle, and therefore reducing pain. As such it doesn't actually matter which one you take, as long as it prevents you from ovulating, and having a period if taken continuously.
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