Endometriosis is a common disorder that occurs when the tissue that lines your uterus starts to grow outside the uterus. Dealing with endometriosis can be a painful, uncomfortable experience that affects everything from your general wellbeing to your ability to get pregnant.
More than 11 percent of women between the ages of 15 and 44 are affected by endometriosis, making it a common health problem. Endometriosis often becomes particularly problematic as you enter your 30s and 40s, when it can seriously affect your fertility.
While endometriosis can’t be cured, it can be treated. Birth control pills, such as the combined and progestin-only pill, are one of the most effective treatments for managing the symptoms of endometriosis.
Below, we’ve explained how and why endometriosis develops, the most common symptoms, as well as how you could potentially use hormonal birth control to manage pain, spotting and other common symptoms caused by endometriosis.
Endometriosis is a disorder that causes your endometrium, the natural lining that forms inside your uterus, to grow outside your uterus.
If you have endometriosis, the endometrium can grow inside your fallopian tubes, in the outer section of your uterus, on your ovaries and even in areas such as your bowel, bladder, vulva, rectum and abdominal wall.
Although very uncommon, endometriosis can also affect parts of your body far away from your uterus, such as your brain and lungs.
Endometriosis can cause a range of symptoms. Depending on its severity, you may notice one or several symptoms. The most common symptoms of endometriosis include:
Currently, scientists don’t know exactly what causes endometriosis to develop. However, there are several factors that are closely linked to endometriosis:
Endometriosis can affect you at any age, from your teens until menopause. However, it’s most common as you enter your 30s and forties.
While there are no definite signals that you’ll develop endometriosis, there are a few common warning signs. These include:
If you’re concerned about endometriosis, the best approach is to talk to your healthcare provider. They’ll be able to diagnose endometriosis using a pelvic exam or imaging procedure such as an MRI test or ultrasound scan.
Endometriosis treatment can be pursued a couple different ways, generally either through medication and/or surgery. A common type of medication used in endometriosis treatment is hormonal birth control, such as the hormonal IUD or the pill.
The birth control pill’s main use may be pregnancy prevention, but did you know endometriosis and birth control sometimes work well together? If you have severe pain, abdominal cramps or other discomfort during your period as a result of endometriosis, your healthcare provider might prescribe you an extended or continuous-cycle combined birth control pill to delay or prevent your period.
Extended-cycle birth control pills, such as Seasonique® and LoSeasonique®, allow you to control your period so that it only happens four times per year. This means you’ll deal with issues such as pain, cramps and other discomfort less frequently.
The continuous-cycle birth control pill goes even further, allowing you to continually stop your period. This type of pill uses a combination of levonorgestrel and ethinyl estradiol to prevent ovulation and prevent you from having a period.
Although these pills won’t get rid of endometriosis, they can make it far easier to manage by stopping you from getting your period. Because these pills are hormonal contraceptives, they will also prevent you from becoming pregnant during treatment.
If you’re planning to become pregnant or don’t respond to hormonal treatments, your healthcare provider might recommend another treatment option.
Endometriosis is often treated using pain medication, which can make cramps and discomfort easier to tolerate. Common treatments for endometriosis include over-the-counter painkillers and nonsteroidal anti-inflammatory drugs (NSAIDs) such as naproxen.
These drugs are often used as a first line of treatment for endometriosis, before hormonal birth control and other treatments. Pain medication can also help to manage endometriosis if you’re planning to become pregnant and do not want to use hormonal birth control.
Most of the time, the pain, cramps and discomfort caused by endometriosis can be managed using hormonal birth control. However, if you have severe endometriosis that doesn’t seem to respond to hormonal birth control, you may need to have the endometrium surgically removed.
Endometriosis is usually removed through laparoscopic surgery, also known as keyhole surgery. Although surgery can provide relief from symptoms and a significant improvement, it’s still possible for endometriosis to reoccur in the future without hormonal treatment.
Finally, severe cases of endometriosis can be treated via a hysterectomy. This type of surgery prevents you from becoming pregnant in the future and is only used if you have no intention of getting pregnant.
It’s important to remember that there’s no “best” treatment for every case of endometriosis. If you’re concerned about endometriosis, the best option is always to talk to your doctor about treatment options and their potential benefits for you.
From preventing you from becoming pregnant to treating acne, endometriosis and a wide range of other health conditions, the birth control pill has a huge variety of benefits.
Our guide to birth control and acne goes into detail on how the birth control pill can prevent acne breakouts, while our guide to birth control side effects covers the most common and uncommon potential side effects of hormonal birth control.