Treating endometriosis with birth control
July 28, 2012 1:03 PM Subscribe
Had an endometrioma surgically removed. Deciding whether to start the pill.
posted by perryfugue to health & fitness (5 answers total) 4 users marked this as a favorite
Female, 24. I had a 10cm endometrioma removed via laparoscopy earlier this month. The doctor was able to save my ovary and tube (where the cyst was growing), said the cyst "peeled away" easily, and didn't find endometriosis anywhere else. I haven't had any complications from the surgery and feel loads better. My doctor recommended I start Ortho Tri-Cyclen Lo to minimize future symptoms and said the lifetime risk of recurrence is about 20%. I have a few questions:
1. I have never taken HBC. Are there side effects to starting the pill mid-cycle, other than needing to use backup contraception for the first seven days? My period ended about a week ago and I don't really want to wait another month to start taking the pill, but I also have read that the "Quick Start" method increases the likelihood of breakthrough bleeding and other side effects and don't know how true that is.
2. Endometriosis is incurable, right? Like, even though they didn't find it anywhere else, don't I still have it and won't it get worse over time? Also, if you have endo, how have your experiences been with birth control?
Other background info: I have always had extremely painful menstrual cramps and moderate, seemingly hormonal acne. I do want children eventually and am worried about losing my fertility to endo.
I realize everyone is different, but generally, I'd like to hear others' experiences with endometriosis and birth control. This is all very new to me and health forums on these topics (outside MeFi, I mean) all seem to deterioriate into hysterical worst-case anecdotes that just freak me out. I've avoided HBC in the past because I didn't want to deal with the side effects, but after this ordeal, the possible side effects of BC seem preferable to growing another painful cyst. Thoughts?