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Home Formulary 7.0 Contraception, Gynaecology and Urinary Tract Disorders 7.1.3 Endometriosis (previously diagnosed by laparoscopy)

7.1.3 Endometriosis (previously diagnosed by laparoscopy)

ChoiceDrugDosage
1st choiceCombined oral contraceptive

See section 7.3.1

Or
Progestogen-only contraceptives (oral, parenteral, implant, IUS)

See section 7.3.2

Prescribing Notes

  • See NICE NG73 Endometriosis: diagnosis and management, 2017.
  • Symptoms, particularly pelvic pain and abnormal uterine bleeding, may be better controlled if the combined oral contraceptive is taken continuously for 90 days.
  • Progestogens should generally be prescribed under specialist supervision.
  • GnRH analogues should only be prescribed under the supervision of a gynaecologist.

 

 

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