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  • Q&A with Australian Health Practitioners

    Other than the pill what options could minimise breakthrough bleeding?

    I had endometriosis removed in 2010 from the Pouch Of Douglas. My pain is significantly better but I still experience breakthrough bleeding. I have tried Yasmin, Brevinor, Brevinor 1 and am currently on Microgynon 50, and still breakkthrough bleed for the week before my cycle, with pain. I have tried taking Microlut with my pill, but still bleed. Primolut with the pill didn't work either and really affected my moods. My period also lasts the full 7 days even on the pill. I am unable to ‘skip a period’ as my body just won't allow it. My gynocolegist insists the pill is the way to go and says this is as good as it is going to get for me. Are there any other methods besides the pill that will enable me to bleed less and not break through after a month or two? I am 30 and looking to have a family hopefully in the next 3 years. I have been on the pill since I was 15 and worry about being on it so long.
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    Women's Health Queensland Wide provides free health information for Queensland women. View Profile

    The Mirena coil is a small plastic T-shaped intrauterine device that is increasingly being used to treat women with endometriosis. It contains a progestogen (progesterone-like substance) that is released into the uterus over a period of 5 years.Mirena has been used around the world as a contraceptive since the early 1990s. However, it is only in the last few years that Gynaecologists have begun investigating its possible use for the treatment of endometriosis, even though it has not been approved for this use in most countries.
    Little information is available on the use of Mirena for women with endometriosis. Only a few studies have been published, the longest of which followed women for 3 years. However, to date, the studies indicate that it is an effective treatment for endometriosis.
    Perhaps you could have a conversation with your gynaecologist as to whether this may be an option for you. He/she is best placed to advise you about your suitability.
    Women’s Health Educator
    Health Information Line, Women’s Health Queensland Wide
    Women living in Queensland can also call our Health Information Line - a free information and referral service for Queensland women - on 3839 9988 or 1800 017 676 (toll free outside Brisbane).
    Please note that all health information provided by Women’s Health Queensland Wide is subject to this disclaimer

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