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7.1.3 Endometriosis (previously diagnosed by laparoscopy)

1st choice

Combined oral contraceptive, see Section 7.3.1


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.