Combi Pill Vs. Progesterone Only Pill? | MyEndometriosisTeam

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Combi Pill Vs. Progesterone Only Pill?
A MyEndometriosisTeam Member asked a question πŸ’­

Hi Endosisters! πŸ™

So I'm new here - I've just had my diagnostic laparoscopy, prior to that I was on depo provera (injection) for 5 years as it was so bad, however I felt that the side effects were getting worse and gave up after battling with anxiety, hot flushes, low libido, acne etc.πŸ™„

I have tried the Kyleena IUD, it didnt sadly work for me... it actually made things worse at the time! πŸ˜ͺ

There isn't much online about the combination pill vs the progesterone pill for endo, I realise that… read more

posted December 10, 2019
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A MyEndometriosisTeam Member

I take daysee (only get a period every three months)
Since being on it I feel my hormones aren't as wack. MY endo pain isn't as bad. This is my third birth control I am trying and sticking with it.

posted December 11, 2019
A MyEndometriosisTeam Member

My understanding is that the progestin only pill will prevent pregnancy; it's just not as effective as the combo one. That's what my gyno said anyway. I was on OrthoTricyclen for a year in college and it was awful; I was such a witch with a capital B.

Then I used Nuvaring for 4 months when my periods started getting bad. It was the best four months of my life, but then I had a pulmonary embolism. Not to scare you away from it at all; just to let you know that's why I don't have any further experience with combination birth control.

I was on Micronor (progestin only) for about 6 months. It didn't really help the pain. But, this was also before my hysterectomy for severe adenomyosis that I had. So hard to judge.

You might like this podcast; I found it fascinating. She's not saying don't take birth control; she's saying what to do to maximize health and wellness while on it:
http://www.jessicamurnane.com/the-pill-post-bir...

posted December 10, 2019
A MyEndometriosisTeam Member

Hi Chloe. It does seem to be different depending on the person.
After my lap I started with combined pill and I did not take it well - it actually caused more pain! Then when I switched to progestin (dienogest under trade name of Visanne) within one week I could already feel the difference. I've now been taking it for a couple of months and I feel the best I ever had (I've also made lifestyle changes but nevertheless).
It also depends if you want your pill to be a contraceptive as well as progesterone only pill will not prevent pregnancy.
I guess you might start with one treatment, see how you feel for a couple of months and then if you don't think it's right for you see if you can change it.
Good luck and I hope you'll finally find your way to relieve the symptoms.

posted December 10, 2019
A MyEndometriosisTeam Member

Hey Chloe. Thanks for the kind words and you are most welcome. Hope the podcast helps. I hear you on worry about the clot risk. It is pretty minimal but is there. I am bummed Depo stopped working. Did they consider Nexplanon? And yes, estrogen fuels endo and the endo implants can make their own estrogen. So the birth control is really just trying to mask the pain. I wish it could stop endo from growing!

posted December 11, 2019
A MyEndometriosisTeam Member

Thanks Katherine, really appreciate your thoughts and advise. The podcast looks great - thank you! Sorry to hear of your troubles on your endo journey, however you sound so positive and I am really grateful for the insight.

I am terrified of the clot risk with the combi options, I know it is low risk but still... risk is risk right!? What I find interesting is the theory that endo needs eostrogen to grow therefore I worry about the impact it could have long term on a combined option...

It is frustrating as depo worked for me for a while as I desperately needed it to carry on with my career, but then the side effects just started escalating out of control and going through menopausal symptoms at 28 wasn't fun!

Thanks again and have a super weekend ahead x

posted December 11, 2019

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