Connect with others who understand.

  • Learn from expert-reviewed resources
  • Real advice from people who’ve been there
  • People who understand what you’re going through
Sign Up Log In
Powered By
Real members of MyEndometriosisTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

My obgyn has suggested trying Orilissa. I'm scared to try this because I've heard such mixed reviews. My other concern is I don't know that I understand the goal of taking this. I asked about surgery to remove my endo because it wasn't treated during my diagnostic lap. My dr says my lesions are too mild and it wouldn't be helpful? He also doesn't do excision so I would need to get referred elsewhere. If you can only take Orilissa for a few months-years what happens when you finish taking it? I'm… read more

August 6
 · 
Be the first to react
A MyEndometriosisTeam Member

I just want to validate how hard it is to find good endometriosis support from doctors. I was recently told that the only way to get propper care is to go to Boston because the one good doctor in RI (who performed my hysterectomy) left to do research instead of active practice. I have not had the courage myself to invest the time and energy into seeking care in Boston but I thought I would offer that validation that if you are trying to find good care in Rhode Island that is really hard right now. I was also offered Orlissa and my research yeilded similar questions so I did not opt for it myself. Pain returned for me after a hysterectomy with extensive attempts to excise all endometrial adhesions. All that to say, this moderator's feedback that surgery alone is not the full answer for everyoneis is very true. If I do get the energy/courage to go up to Boston to see if the specialists there are more help I will let you know. I wish it was easer. Hang in there. You are not alone.

August 15
MyEndometriosisTeam

These are really thoughtful questions, and it's great that you're doing your research before making any decisions. Let's break this down.

What Orilissa actually does

Orilissa (elagolix) is a GnRH antagonist, meaning it works by lowering estrogen levels in your body. Since endometriosis lesions are fueled by estrogen Show Full Answer

These are really thoughtful questions, and it's great that you're doing your research before making any decisions. Let's break this down.

What Orilissa actually does

Orilissa (elagolix) is a GnRH antagonist, meaning it works by lowering estrogen levels in your body. Since endometriosis lesions are fueled by estrogen, reducing estrogen can slow their growth and reduce pain. It doesn't remove existing lesions — it essentially puts them in a quieter state.

What happens when you stop taking it

This is a very valid concern. Once you stop, estrogen levels return, and lesions can become active again. So yes, it manages symptoms rather than eliminating the root cause. That said, for some people, meaningful pain relief during that window genuinely improves quality of life.

The time-limited use issue

Orilissa is typically used for a limited period because lowered estrogen can cause side effects like:

- Hot flashes
- Bone density loss
- Vaginal dryness

These risks are why long-term use isn't always recommended. On your doctor's advice about mild lesions

Some specialists believe that for certain presentations of endometriosis, hormonal therapy alone can provide adequate symptom control without surgery. However, it's worth noting that not all doctors perform excision surgery, and getting a second opinion from an excision specialist could give you a clearer picture of your options.

Surgery + Orilissa together

Some evidence suggests that combining hormonal therapy with surgical removal of lesions may reduce pain more effectively than either approach alone. This is something worth discussing with an excision specialist if you pursue a referral.

A MyEndometriosisTeam member shared that after multiple excision surgeries, symptoms eventually returned — highlighting that even surgery isn't a permanent fix for everyone. Endometriosis is a chronic condition, and management is often an ongoing process rather than a one-time solution.

The bottom line

Seeking a referral to an excision specialist for a second opinion seems very reasonable given your concerns. You deserve a provider who can offer you the full range of options and help you weigh what makes the most sense for your specific situation. Don't be afraid to advocate for that.

August 6

Related Questions

View All
A MyEndometriosisTeam Member asked a question 💭
Middletown, CT

A MyEndometriosisTeam Member asked a question 💭
Scituate, RI