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Doctor insights on: Endometriosis And Mirena

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Dr. Michael Traub
1,227 doctors shared insights

Endometriosis (Definition)

An abnormal condition where the lining tissue of the uterus, is located outside the uterus. The displaced tissue, just like the tissue lining the uterus, bleeds during each menstrual cycle. Endometriosis can be very painful, and can result ...Read more


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I have endometriosis and am on mirena (levonorgestrel) and have had 3 doses of lupron but i'm still getting pain, what should I do?

I have endometriosis and am on mirena (levonorgestrel) and have had 3 doses of lupron but i'm still getting pain, what should I do?

Surgery?: I you have active endometriosis you should talk with a knowledgeable doctor about laparoscopy for surgical treatment. Results are usually very good, good wishes. ...Read more

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I was diagnosed with endometriosis in 2011, had the mirena (levonorgestrel) coil fitted in 2012 and for the first six months things were brilliant but now for the past?

I was diagnosed with endometriosis in 2011, had the mirena (levonorgestrel) coil fitted in 2012 and for the first six months things were brilliant but now for the past?

Mirena (levonorgestrel) cant helpendo: Endometriosis on the pelvic surfaces typically causes pain in the time prior to and partly into the menstrual flow. Endometriosis that is in the muscle of the uterus (also called adenomyosis) causes pain during menstruation as well as heavy bleeding. The Mirena (levonorgestrel) iud will only help with the adenomyosis near the iud and not the endometriosis farther away. ...Read more

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I have had mirena (levonorgestrel) for 3 months and am having worse pain with endometriosis. I can barely feel the tip of the string. How do I know if pain is ok?

I have had mirena (levonorgestrel) for 3 months and am having worse pain with endometriosis.  I can barely feel the tip of the string.  How do I know if pain is ok?

Pain is not ok: It would be wise to consult your Gyn, to have a pelvic sonogram, to reevaluate your diagnosis of "endometriosis", ..and confirm that your Mirena (levonorgestrel) is in proper place in your uterus. Since the cause of pelvic pain and the alleviation of pelvic pain are often quite challenging, you may have to review/rediscuss your options for medical management and / or surgical treatments periodically. ...Read more

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For the experts - might the mirena (levonorgestrel) device help endometriosis?

Most likely: This iud produces a small amount of Progesterone that has been impregnated into the unit. The Progesterone will treat the endometriosis if the dose is high enough. Also the Progesterone may inhibit ovulation which also will stop the growth of endometriosis. ...Read more

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How soon after getting mirena (levonorgestrel) out do I ovulate? I have endometriosis but had a surgery to remove it ~4 weeks ago

How soon after getting mirena (levonorgestrel) out do I ovulate? I have endometriosis but had a surgery to remove it ~4 weeks ago

Varies: It is possible to ovulate very soon after removing the Mirena (levonorgestrel). This is partially due to the fact that many women still ovulate with a Mirena (levonorgestrel) in place. I always warn my patients to use backup contraception as soon as the Mirena (levonorgestrel) is out and while they are waiting for their period to regulate. ...Read more

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I have endometriosis and PCOS. I have a Mirena (levonorgestrel) that expires in March. My goal is no periods and keeping my endo at bay. What is my best option?

Continuous OCP: Being 35 with PCOS puts you at risk of several metabolic problems like high cholesterol, pre-DM & DM. The first step is getting a full endo check-up & making sure all is OK. Then from the Gyn side you could go back on Mirena, (levonorgestrel) take continuous OCP's which are now felt to be very safe with 3 month cycles, you could do depot Provera (not ideal but good). Lupron (primarily for endometriosis) or others. ...Read more

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I have been diagnosed with endometriosis I have had two laproscopy and also been treated with 2 six month doses of lupron depot to help control the pain i also have mirena my doctor tells me there is nothing else he can do for the pain i constantly have p

Endometriosis: First, has your doctor treated all visible disease at each laparoscopy - or used it mainly for diagnosis? If the latter, you might benefit from seeing a specialist surgeon. If 'yes, ' has your doctor helped you rule out other possible causes of pain (besides endometriosis?) bladder or intestinal disease? A pain management specialist may also be able to help. Best wishes! ...Read more

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My obgyn has recommended mirena (levonorgestrel) to assist with heavy / irregular and painful periods and endometriosis. Is this safe?

My obgyn has recommended mirena (levonorgestrel) to assist with heavy / irregular and painful periods and endometriosis. Is this safe?

Yes: In most cases Mirena (levonorgestrel) is safe in this situation. You and your doctor should review the risks and benefits and proceed accordingly as long as serious causes of bleeding have been ruled out. ...Read more

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Endometriosis treated by yaz (drospirenone and ethinyl estradiol) and then evra for 5yrs. Got mirena in Nov. Had sex for first time 2 weeks ago. Feel nauseous. Never found strings before ?

Endometriosis treated by yaz (drospirenone and ethinyl estradiol) and then evra for 5yrs. Got mirena in Nov. Had sex for first time 2 weeks ago. Feel nauseous. Never found strings before ?

Find the strings now: If you can't find the IUD strings by placing a finger in the vagina, have your MD do an exam and confirm that the IUD strings are present. If the IUD has migrated elsewhere or been expelled you will be at risk for conception. ...Read more

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Endometriosis, pelvic floor dysfunction,and vulvodynia confirmed. Mirena (levonorgestrel) in place no period for 2 years. Started bleeding today. 5mm kidney stone also?

Endometriosis, pelvic floor dysfunction,and vulvodynia confirmed. Mirena (levonorgestrel) in place no period for 2 years. Started bleeding today. 5mm kidney stone also?

Here are some ...: Known to you (as I assumed you have already been evaluated and confirmed), dealing with the 5-mm stone should be the current priority of care. So, strain urine for retrieving stone if passed and continue dealing and coping with intractable CPPS (chronic pelvic painful syndrome). For further additional symptoms and healthy issues, work close with your available professionals timely. ...Read more

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Ttc for yr tried everything have two other children had mirena (levonorgestrel) surgically removed and some endemetriosis removed could that be the problem plz help!

Ttc for yr tried everything have two other children had mirena (levonorgestrel) surgically removed and some endemetriosis removed could that be the problem plz help!

Endometriosis: Individuals with endometriosis have trouble concieving depending on the severity of the endometriosis. However, it seems that you have two children from before that is a good sign. my recommendations is to get an ovulation kit and timed intercourse every other day to optimize your chances of pregnancy when you ovulate Best wishes Dr M ...Read more

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Is endometriosis hereditary

Is endometriosis hereditary

Yes.: Not all patients with endometriosis have a family history, but many do. If you are having pelvic pain, severe pain with your periods or pain on penetration with intercourse, you should see your gynecologist. While you can not see endometriosis on an ultrasound, you can see other sources of pelvic pain. Robotic laparoscopic surgery is the best way to see endometriosis. ...Read more

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Can endometriosis be cured?

Can endometriosis be cured?

Managed: Cured might be a stretch. It can be surgicaly treated and removed, and medically managed. With treatment, the symptoms can be minimized or eliminated. ...Read more

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How painful is endometriosis?

Variable: In some women, even a large amount of endometriosis causes no pain. In other women a small amount causes significant pain. Women feel a variety of different pain symptoms and the severity is different from person to person. It can be debilitating or it can be very mild. ...Read more

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What's done for endometriosis?

What's done for endometriosis?

Endometriosis: Surgery is the gold standard, and reduces the amount/extent of disease. The most effective medical treatment is the drug lupron(r). It is costly with some side effects, but is safe and often as good for pain as surgery. The injectible contraceptive depo-provera gives mixed results. A much older drug, danazol, is mostly no longer used. ...Read more

Dr. Marvin Ott
1 doctor shared a insight

Mirena (Definition)

Levonorgestrel is a women's ...Read more