What are the pros and cons of birth control vs surgery for endo treatment? Does birth control really work? Is taking birth control a bad idea if you have mental struggles, being suicidal in the past etc. I’m 19, have had terrible period pain, vomiting, and chronic pelvic pain for years. My doctors think I have endo. Trying to figure out best course of action. Thank you! (Would love to keep my name anonymous from the public too)
When should endometriosis be re-evaluated?
I’m 33years old. I was diagnosed with stage 1 endometriosis via laparoscopy in 2021 when doing fertility treatments. My symptoms were/are infertility, pain with sex,
November 5, 2025
Hello, I’m sorry you’re going through this situation.
Contraceptives are the first line of medical treatment for endometriosis. However, if you have significant injuries to nerves, ligaments, bowel, ovaries, etc., excisional surgery will be necessary.
Hormonal treatment with pills should always be accompanied by an appropriate anti-inflammatory diet and pelvic rehabilitation. I suggest you visit a center specializing in endometriosis to evaluate your case and provide the appropriate treatment.