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Home Formulary 7.0 Contraception, Gynaecology and Urinary Tract Disorders 7.1.3 Endometriosis-related pain

7.1.3 Endometriosis-related pain

ChoiceDrug

Consider a trial of paracetamol 500mg or NSAID (see 10.1.1) for up to 3 months

Formulary choices

Combined oral contraceptive (see 7.3.1)

Or

Progestogen-only contraceptive (oral, parenteral, implant, IUS). (See 7.3.2 )

Prescribing Notes

  • Prescribe as per NICE NG73 and NICE CKS: Endometriosis.
  • Symptoms, particularly pelvic pain and abnormal uterine bleeding, may be better controlled if the combined oral contraceptive is taken continuously for 90 days.
  • GnRH analogues should only be prescribed under the supervision of a gynecologist.

 

 

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