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19

Mar

Hormonal Suppression

Posted by steph 

Doctors say that one way of managing the pain of Endometriosis is through Hormonal Suppression. THIS CLAIM IS HIGHLY DISPUTED. Please see Dr. David Redwine’s articles entitled, “What is the theory behind danazol and why don’t you recommend it?” and “What about GnRH agonists?”

If you choose to try hormonal suppression, your doctor will recommend that you take a birth control pill, such as Yasmin, or a GnRh agonist, such as Danazol or Lupron, for two to six months.

Your period will stop during this time, and according to doctors, the symptoms and pain of Endometriosis should stop as well. You will need to see your doctor again after two or three months, at which time a determination will be made to either keep you on the hormonal suppression for anywhere from two more months to indefinitely (with GnRH agonists, you CANNOT stay on these drugs indefinitely as they pose a health hazard). This all depends on whether you are responding well emotionally and physically to the hormonal suppression.

It is VERY important to note how your body and mind is reacting to the hormonal suppression. If you are at all distressed, in pain, or even worried about the effects the hormonal suppression is having on you, contact your doctor immediately to find out how best to get off of the medication and/or if it is feasible to try a different hormone.

The same risks apply to hormonal suppression as they would to hormone replacement therapy and to just taking The Pill.

For more info:

  • Fact or Myth? Hormonal treatments treat/cure endometriosis
  • Hormone Suppression in the Differential Diagnosis of Chronic Pelvic Pain
  • Pre and post operative medical therapy for endometriosis surgery
  • Various articles via Google search term hormonal+suppression+endometriosis

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Important Pages

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Mankoski Pain Scale

0 - Pain Free

1 - Very minor annoyance - occasional
minor twinges. No medication needed.

2 - Minor Annoyance - occasional
strong twinges.
No medication needed.

3 - Annoying enough to be distracting.
Mild painkillers take care of it.
(Aspirin, Ibuprofen.)

4 - Can be ignored if you are really
involved in your work, but still
distracting. Mild painkillers remove
pain for 3-4 hours.

5 - Can't be ignored for more than 30
minutes. Mild painkillers ameliorate
pain for 3-4 hours.

6 - Can't be ignored for any length of
time, but you can still go to work and
participate in social activities.
Stronger painkillers (Codeine,
narcotics) reduce pain for 3-4 hours.

7 - Makes it difficult to concentrate,
interferes with sleep. You can still
function with effort. Stronger
painkillers are only partially effective.

8 - Physical activity severely limited.
You can read and converse with effort.
Nausea and dizziness set in as factors
of pain.

9 - Unable to speak. Crying out or
moaning uncontrollably - near delirium.

10 - Unconscious. Pain makes you
pass out.

© Andrea Mankoski

Organisations

  • Endometriosis Association

  • Endometriosis Research Center

  • endometriosis.org

  • World Endometriosis Foundation

  • Center for Endometriosis Care

Symptom Tracking

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    monthly menstrual cycles!

Endo Products


  • HagRag.com - cloth
    menstrual pads

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    (mention you saw them here
    and get 10% off your order!)

  • Bed desk - use for books,
    writing, laptop, eating while
    bedridden from the pain

Endo Blogs

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  • Ready Go: Battling Endometriosis
  • SansUterus
  • Squidgeaboo’s Endo Blog
  • The Battle Continues…
  • The Ins and Outs of Endo
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