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.