Oral contraceptive pills (OCPs) are a primary treatment for endometriosis-related pain with efficacy comparable to that of GnRH analogues. Continuous-use OCP regimens have the theoretical advantage of suppressing menstruation. Contraceptive vaginal ring and transdermal patch may control endometriosis pain as well as OCPs.

Progestin-only contraceptives can treat endometriosis pain. These include progestin-only pills, injection, IUD, and implant.

The efficacy of various treatments for endometriosis pain varies greatly among patients. Several contraception methods may need to be tried before symptom control is achieved.

Helpful Resources

Non Contraceptive Indications for Hormonal Contraceptive Products
Your Birth Control Choices Fact Sheet
Pill User Guide
Progestin-Only Pill (Mini Pill) User Guide
Medical Eligibility for Initiating Contraception

Sources

Schrager S, Falleroni J, Edgoose J. Evaluation and Treatment of Endometriosis. Am Fam Physician. 2013 Jan 15;87(2):107-113.

Leyland N, Casper R, Laberge P, Singh SS, Society of Obstetricians and Gynaecologists of Canada. Endometriosis: diagnosis and management. J Obstet Gynaecol Can. 2010 Jul;32(7 Suppl 2):S1-32.

Pharma-free

The Reproductive Health Access Project does not accept funding from pharmaceutical companies. We do not promote specific brands of medication or contraception. The information in the Contraceptive Pearls is unbiased, based on science alone.