Treatment

Understanding your options is the first step toward relief and a better quality of life.

Combined or progestin-only hormones

For adolescents, doctors often recommend starting with combined or progestin-only hormonal therapy. It manages symptoms by thinning the uterine lining and halting menstrual periods.

GnRH medications

GnRH agonists are potent medications that lower estrogen levels and temporarily stop the menstrual cycle. Providers generally avoid them as a first-line treatment because of potential long-term problems, and reserve them for more complex cases where other treatments haven’t given enough relief.

Laparoscopy

A minimally invasive surgery that can both diagnose and treat endometriosis. Surgeons use a laparoscope and specialized instruments to excise (cut out) or burn lesions. It can provide significant symptom relief for many people.

Hysterectomy

The most definitive procedure, where the uterus is completely removed. It is only suitable for people willing to give up future fertility, and many states restrict access for patients under 18 because of its permanent nature.

Take action. If you or someone you know has persistent pelvic pain, seek medical advice and advocate for your health. Knowing that delays happen can help you push for answers.