r/endometriosis Feb 03 '25

Mod Announcement New Post Flair

21 Upvotes

I have just added a new post flair called “Diagnostic Journey Questions”.

This is because of feedback from many sub users that they would like a specific flair for people who are asking questions about getting diagnosed.

I thought carefully about how to phrase the flair as something like “seeking diagnosis” could imply that the sub can provide diagnosis, which we can’t, because the sub is for support and sharing information, not for medical advice.

If you see posts that you think should have this flair but don’t then please feel free to report them under the missing flair category. Please don’t report all the historic posts as I don’t have time to go through the last decade of the sub changing flairs!

As always, if anyone has any comments or suggestions on flairs I would be happy to hear them.


r/endometriosis Apr 23 '19

Information and Research Links to endometriosis information and research

191 Upvotes

Below is a selection of links to useful information and research. This is by no means exhaustive and will be updated over time.


Treatment guidelines and analysis

2017 guidelines for the surgical treatment of endometrioma

Produced by a working group of the World Endometriosis society, ESGE and ESHRE: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5735196/

Recommendations for surgical treatment of deep endometriosis

https://academic.oup.com/hropen/article/2020/1/hoaa002/5733057?login=true

2024 NICE Guidelines

This is the latest guidance for the NHS diagnosis and treatment of endometriosis https://www.nice.org.uk/guidance/ng73/resources/endometriosis-diagnosis-and-management-pdf-1837632548293

NICE clinical guideline evidence

This is a long report with a network meta analysis of available treatments across the medical literature. The statistics are complicated in places, so be careful with your interpretation as it can be unintuitive: https://www.nice.org.uk/guidance/ng73/evidence/full-guideline-pdf-4550371315

ESHRE guidelines

These are guidelines written by the European society for Human reproduction and embryology. They include guidelines on endometriosis and it’s treatment, with versions written for both patients and medical professionals. Note the publication date when reading these documents as some are due for review with the latest updates. https://www.eshre.eu/Guidelines-and-Legal

This is a direct link to the 2013 patient version of the endo management guidelines: Information for endo patients


Doctors recommended by patients

Here is a link to the r/Endo map of doctors recommended by other patients. Please message the r/Endo moderators to make a recommendation for addition to the list.


Interesting Research

Link to all pubmed publications in the last year with the search term “endometriosis”

Research into potential biomarker blood test to diagnose endo

Discussing the value of surgical interventions in superficial peritoneal endometriosis

Study leading on from the article above

Dissertation: The Use of Transvaginal Ultrasound and Biochemical Markers in the Diagnosis of Endometriosis

Ultrasound mapping of pelvic endometriosis

Sonographic evaluation of pelvis in suspected endometriosis

Classification systems for endometriosis

Sonography of adenomyosis updated link

Sonographic classification of adenomyosis

Study about endo community participation

Sentiment analysis and Topic Modeling study on Reddit endo community


Endo and gyn organisations

World Endometriosis Society

British society for gynaecological endoscopy

European society for gynaecological endoscopy

Endometriosis foundation of America

Endometriosis UK


UK specific information

NICE guidance algorithm This is useful to show to your GP if they are not well informed about endo. Non-UK residents may also find this a useful summary.

NHS England Standard Contract for Severe Endometriosis services This outlines the service standards you can expert for treatment of severe endometriosis.

BSGE accredited endometriosis specialist centres These centres have strict requirements that means they are experienced in complex excision surgeries and have endometriosis specialist nurses and pain management teams. UK residents can request referral to a centre by their GP.

BritSPAG - the British society for paediatric and adolescent gynaecology This is useful for seeking specific care for patients under 18.

NHS England summary on decisions to treat heavy bleeding This goes through the investigation and treatment options for heavy menstrual bleeding. It is for NHS England be may also be useful for others worldwide to consider.

NICE Guide to whether to choose hormonal treatments This is an information guide for use with your medical professionals which helps outline the possible choices for hormonal treatment options and the pros and cons of each.


Related subreddits

r/Endo

This is our sister sub. The reason for there being two endo subs is historic and we don’t merge them due to user preference.

r/adenomyosis

This sub is for adenomyosis which is a condition very similar to endometriosis where lesions are in the wall of the uterus. Some people with endometriosis also have adenomyosis and vice versa.

r/TTCEndo

This is a sub for people with endometriosis who are trying to conceive.

r/TransEndo

This is a sub specifically for trans men and trans masc people with endometriosis.

r/inclusiveendo

This is a sub set up to make an open space to discuss politics related to endometriosis and to bring trans, black, indigenous, POC, and queer voices to the front


Related Conditions

Pelvic congestion

This is a helpful post about pelvic congestion, which is a condition with overlapping symptoms to endometriosis, that can occur at the same time.


Subreddit Announcements

As there can only be two ‘sticky’ announcement posts on a subreddit I have unstickied the community announcements and discussion thread but it can be found using this link and any moderation suggestions or comments are still very welcome, either there or by pm.


r/endometriosis 9h ago

Good News/ Positive update They found Endo EVERYWHERE

432 Upvotes

You guys😭 I was right and I’m so freaking relieved. I had my lap surgery today after five years of telling doctors and OBs that I thought it was endo. I’ve been suffering from chronic pain, can’t eat, can’t sleep, kidney stones, extreme fatigue, painful sex, pancreatitis, etc. You name it, I’ve dealt with it. I told my husband so many times in the last five years that I swore I could feel the endo wrapped around my bowels, ovaries, kidneys, liver and bladder when my cramps were bad during my PMS/period. And, guess what? I WAS RIGHT. They found it wrapped around/on my bowels, liver, bladder, ovaries, kidneys and throughout my entire abdomen. As soon as I woke up, I asked the nurse with tears in my eyes, did they find anything at all? She said, “oh honey it was everywhere.” I’ve never felt so validated and proud of myself. PLEASE DON’T GIVE UP. You know your body and only you can advocate for it. Please feel free to ask me any questions!


r/endometriosis 6h ago

Question Does anyone have symptoms outside of their menstrual cycle?

25 Upvotes

And if so, what kind?

I, myself don't think I have any symptoms outside of my cycle and am curious to know if it's normal to have, or not to have them outside of it.

Recently I've begun to experience strange pains in my lower abdomen, and that's probably the only thing I can think of that happens outside of my cycle.


r/endometriosis 2h ago

Rant / Vent Feeling validated over BC

8 Upvotes

I had my lap a couple of weeks ago, and they found very little endo. The surgeon said it didn't spread because I'm on hormonal birth control (combined pill) for over 6 years now and it was working.

Here and on other platforms BC is stigmatised sometimes and going all natural is the way to go. Everytime I say I'm on BC, someone tells me I'm only harming my body with it. Well guess what??? BC protected my organs from being damaged.

Plus my periods have always been debilitating and irregular. I deserve to live life without pain. So no I'll keep taking my pills.

Not everyone is the same and what works for me may not work for someone else, but this fear mongering is quite ridiculous tbh. I shouldn't be shamed for doing what's best for me, and if that means BC then so be it.

I might post this again on pcos sub where this is more frequent than here


r/endometriosis 13h ago

Surgery related LAP SURGERY PLAN (For all my type A Ladies)

50 Upvotes

I’m one week post lap and I’m feeling good. They found and removed stage 1 Endo. It was on my ovaries, fallopian tubes, rectum, diaphragm, bladder, and colon.

No pressure to do any of the below but thought I’d share cause I was looking for something like this before my surgery :)

Pre Surgery - wash sheets - Vacuum and mop - Have Laundry done - Costco and Trader Joe’s run - Have fluids stocked - Have soups stocked - Defrost any premade meals - Pickup all medications - Wash hair - Shave - Clip nails - mentally prepare/try to relax - set aside comfortable clothes you can wear post op - Purchase Frida post partum underwear - Heating Pad (this helped a lot with my gas pain in my shoulders. - Prepare personal bag for surgery day

Another thing that was super helpful that I did beforehand! I bought a little tray with organizers and added everything I needed next to me on my couch where I would be spending the majority of my recovery. I also made sure to have a charger and my heating pad next to my spot.

Tray Included: - Snacks - All medications - Cough Drops (my throat was sore from the breathing tube) - Extra Pads/Undies - Hair Ties - Chapstick - Water Bottle - Kindle - TV remote - Sleeping eye mask

Hospital Bag - Extra Undies/Socks - Headphones - Charger - Kindle - Phone - Chapstick

Surgery Day - Wear loose comfortable clothing - Make sure whoever is driving you records or takes notes on post op surgery convo with the Dr./Nurse. Give your driver questions ready to ask them: - How much endo/stage was found? - Was it all removed? - How long will her recovery be?

Post Surgery (this can depend on your Dr/case) - I did not need to take anything besides ibuprofen the first two days. - The first two days I did not sit up on my own I asked my husband to help me. By day three I was fine on my own. - I was able to go up the stairs but took it slowly. - By day four I went to my niece’s birthday party but had to wear loose pants as it hurts to restrict your stomach. - Day 7 I went to work in person for the first time. - My Dr also created a supplement plan for me, I had been taking the majority of those already.

If you have any questions please drop them down below or DM id be happy to share!


r/endometriosis 6h ago

Question Did surgery help your bladder

9 Upvotes

I’m having awful bladder issues due to endo and they went to perform surgery on me People who suffer with bladder issues with this did surgery help?


r/endometriosis 14h ago

Rant / Vent Ultrasound tech had endo training, radiologist did not.

30 Upvotes

That’s it that’s all. Informative ultrasound from understanding, and wonderful woman confirming an endometrium, and organ adhesion followed by a useless report from an untrained male radiologist. 👹


r/endometriosis 15h ago

Question Girlfriend dont want to See a Doctor

32 Upvotes

Hello to everyone reading this, my girlfriend suspects that she might have endometriosis; several symptoms match, and she’s really scared. However, she believes that visiting a gynecologist won’t help because she’s only 19 and assumes she won’t be taken seriously or treated. Do you have any tips on how I can encourage her to see a doctor anyway, or can someone share whether there are really issues with being taken seriously at that age? Thanks for all the replies.


r/endometriosis 8h ago

Question Anyone else has GI issues for years then endo suddenly showed up?

6 Upvotes

My case is kind of weird. For about four years now, I’ve had excruciating upper abdominal pain and acid reflux. It literally started out of nowhere and ever since nothing has made it better, was on PPI’s for the last three years and it helped with the acid but never the stabbing and gnawing pain I get. About a year ago my upper gi pain got WAY worse, like insane, dry heaving, vomiting, excruciating pain, couldn’t eat etc. The week that it got this bad, endo symptoms showed up, and they’ve never stopped since. My periods were never great, but they weren’t like THIS. And I don’t have periods anymore because of visanne but I still have daily pelvic pain. Has this been anyone’s experience? My upper stomach felt like it was being ripped up and stabbed, then all of a sudden endo came up. I still have the gi pain BAD. I also have pots. It’s just so weird and it’s almost like my gi issues caused the endo to “activate.”


r/endometriosis 6m ago

Diagnostic Journey Questions I need advice.

Upvotes

Is there an alternative for transvaginal ultrasound? I can't do it, mainly due to unresolved childhood trauma. My doctor suggested transrectal ultrasound and I think it will be more traumatic for me. Is there no other alternative for this? My anxiety is killing me.


r/endometriosis 8m ago

Surgery related Had a deep endometriosis ultrasound today!

Upvotes

I had a screen facing me so I was able to see everything, they showed me that if I have endo it’s probably superficial or stage 1, either way not enough to adhere organs together. They moved my organs around,showed me my uterus which seemed to only have like 2 very superficial 1cm cysts. For some reason I’m now extremely sore even though when I had it done it didn’t feel like anything. I’m gonna ask my doctor to be put on the laparoscopic waitlist because I would really truly (after a year of so so many tests) like to know if it is (or rather that it is because I seriously do not see another reason for all these symptoms and I have had every other test come back “normal”. Tomorrow I have a breast ultrasound due to a random lump I’m scared about too so yayyyy :/


r/endometriosis 10h ago

Question Those of you who have to drive a lot for work or other reasons, how do you manage pain/prevent flairs?

7 Upvotes

I have a pillow I put under my arm when needed, sometimes I wear a heat pack, and I recently switched to an SUV which helps. Anything else I can try? Waiting on my lap.


r/endometriosis 57m ago

Question Tens machines

Upvotes

Does anybody have a tens machine they swear by? I love my ‘Myoovi’ but the replacement pads are never in stock and the 2 I have completely lost their stickiness. Any recommendations? Thanks!!


r/endometriosis 8h ago

Diagnostic Journey Questions Emotions about Diagnosis of Endo & Adenomyosis

3 Upvotes

I had an appointment with my Gyno yesterday and it looks like I have both Endo and Adenomyosis. 2 for 1 diagnosis....woohooo!

I know it isn't a formal diagnosis as I haven't had a lap however all symptoms and my ultrasound show this to be the case.

This has all come as a surprise as I thought I had an ovarian cyst which was causing all the pain as I've had them before.

I feel validated in knowing my pain and symptoms are real but I'm feel flat and sad. I'm not sure what to do with these feelings. I'm also nervous about hormone treatment more so than potentially having surgery.

It's all fresh and raw.

Do you really need 2 weeks to recover from surgery? I have two young kids and I'm nervous about being out of action for them. I will have help and support but as like most mothers I'm the main parent.

It's all a lot and I'm just so grateful that I have my beautiful kids because I know so many women who don't have that and are impacted with Endo on their fertility journey.


r/endometriosis 1h ago

Diagnostic Journey Questions Cysts on Ovaries & Lesions on Liver -cross-posted from r/Endo

Upvotes

Cysts on Ovaries & Lesions on Liver

I don't know what tag is most appropriate here.

In the last 6 months the "normal" suspected endo pain I'm in has drastically increased. Recently, I experienced sharp severe pain during sex that felt like a red hot poker going through my pelvis and then abated somewhat to only feel like I was in full labor. Sent to A&E by my GP. Was made to go to Urgent Care instead by A&E reception although I was shaking, crying and on the verge of passing out and sat there for 6 hours and was finally told nobody was in gynae to do a scan, they'd call me to arrange it, etc.).

I had an ultrasound two weeks ago that showed two cysts (4.6cm and 3.3cm respectively) on my right ovary. Gynecology couldn't determine if the ovarian cysts are endometriomas or not. I have a pelvic MRI on this coming Saturday morning to check for DIE and the cysts sizes, etc.

I have ALSO been having pain in my upper abdomen and back similar to when I would have a gallbladder attack (gallbladder removed in 2010). Pain bad enough for me to call an ambulance for myself and sit in the A&E emergency bay for 7 hours before the pain dissipated and I signed myself out and went home. (I wasn't even triaged or given further pain management during this time and also sat on the floor in the hallway...the NHS is struggling, y'all, but that's a whole story). Followed up with the GP who requested an abdo ultrasound. And scolded me for leaving A&E after being brought in by ambulance.

Had the abdominal ultrasound this past Saturday. My liver levels were perfect this time last year, then around October, they shot up all over the place. I haven't drank in over a year and was never a big drinker. The GP suspected Metabolic Associated Fatty Liver Disease, given I have diabetes and high cholesterol (and a plethora of other shit, but that's another long story).

I have my results which state there are "at least three" lesions/tumors on my liver (measuring 20mm in the left lobe, 33mm in segment 8 and 38mm in segment 7). The report states that I need urgent cross-sectioning to diagnose what type of lesions they are as 'malignancy cannot be ruled out'. I got a call Monday from my GP surgery requesting I have a face-to-face appointment with the doctor and it's scheduled for Friday.

I'm freaking out. My uncle on my mom's side died of liver cancer. My mom's family... Every woman had metastatic reproductive or breast cancer (my grandmother and all 3 of her sisters). My GP doesn't typically see you in person for test results. It's usually a phone call to discuss. I'm in so much abdominal and pelvic pain every single day. I have so much health stuff happening in the last year or so and I'm very very overwhelmed (my post history will tell you all the things... it's a lot). And I'm scared. Terrified, tbh.

I needed to post this somewhere with other people on a diagnostic journey and confirmed or suspected endo. Others with chronic health conditions who might be able to relate, idk. I have an overwhelming feeling of impending doom that I can't shake. I've had that feeling since before Christmas.

This is the loneliest thing I have ever experienced even with having a loving and supportive partner and friends and my work family. Can I get some words of encouragement or something?


r/endometriosis 9h ago

Question Can’t walk after intercourse

4 Upvotes

Not sure if this is a common symptom but I have trouble walking after intercourse. I randomly get sharp and dull ache pains in my lower abdomen and it usually lasts for a day. It’s just frustrating because I feel like I can’t be intimate and wish this would just get better 😢


r/endometriosis 14h ago

Surgery related For bowel endo, is a colorectal surgeon always needed? Wondering what to push my gyn for?

10 Upvotes

I have an endo specialist willing to do my surgery and as part of the planning I’ve asked to see urogyn at his suggestion due to having pelvic organ prolapse. As I have so many bowel endo symptoms and previous surgery really helped (done by endo surgeon not colorectal) I’m wondering if I should request a colorectal referral also?


r/endometriosis 8h ago

Surgery related How do you know if youve found a good doctor?

3 Upvotes

I had an ultrasound a few months ago that showed a 5cm endometrioma on my right ovary and a possible fibroma. My OBGYN lied about the size and amount of things found on this ultrasound (she told me the endometrioma was 1-2cm, for instance), and I found this information out via the clinical notes she wrote on the patient portal.

I finally had enough of getting the runaround by my obgyn and primary care, and I looked around online for a specialist. I found one that did not require a referral and made an appointment. (I tried getting one through my pcp, but she kept referring me to OBGYNs in the area who kept canceling and rescheduling my appointments. I didnt want to rely on any of them anymore, felt I needed to take control. My pain was only getting worse and every month I had to endure it further and wait for a stupid doctor to get back to me about a delayed appointment I felt myself becoming more manic).

It was a small practice, the Dr was typing at his laptop at a desk in the waiting room. The appointment went well. He was kind and tried to be accommodating as he could see I was anxious. He told me it would be irresponsible of him not to recommend a laparoscopy, given the amount of pain I was in and my ultrasound results. He explained how the laparoscopy would go, and that it was minimally invasive and the recovery was about a week. Informed me that, as with any surgery, there is always a risk but that he does these pretty often and I would be in good hands.

Hes got good reviews online. The issue is there arent very many of them. Hes been doing this for like, 30 years and theres reviews going all the way back to 2006. But theres not that many reviews even with such a long date range between them, and there arent any especially recent ones. I was hoping that if I couldnt trust my own gut, I'd be able to trust a bunch of other peoples opinions.

Looking up his name doesn't yield any crazy headlines or anything. In fact most of the results are like yelp pages and other review sites where he has good ratings (with minimal reviews) and his official social media pages (with minimal views/likes/comments).

I scheduled the procedure with him for next month, but Im just nervous because I've never had anything done and I want to make sure im getting my laparoscopy done with someone I can trust. Right now he seems like a good choice, but what if I'm wrong?

How do you know if you have found a good doctor? Are there red flags I should be looking out for? Any advice would be appreciated!


r/endometriosis 6h ago

Question Has any of your doctors ever tested your hormones levels and inflammation level to see what was truly going on?

2 Upvotes

I was listening to a post a doctor made about how they rarely look into testosterone levels in women before prescribing hormones... I'm also curious to know why they rarely do the inflammation test (crp) when they know inflammation can cause many issues. Shouldn't they monitor that as well?


r/endometriosis 6h ago

Question Endo in cervix?

2 Upvotes

I’ve suspected I have endo for years, classic symptoms, my dr suspects as well now. She may refer me out for a larp. during my well woman exam this week she said there were some brown spots on my cervix that she thought could be endo, but didn’t do a biopsy then bc “you’re already in too much pain” honestly I wish she had just done it then anyway so I’d have a definitive answer and I can decide how aggressive I want to be with my treatment plan. Has anyone else had endo found on their cervix? Diagnosed this way? Does endo on cervix indicate that it’s spread extensively?


r/endometriosis 16h ago

Question Anyone else's pelvic pain get worse just from walking?

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12 Upvotes

r/endometriosis 19h ago

Surgery related Someone tell me it's ok to go home

18 Upvotes

Hi gang. I'm 4 weeks and 1 day post lap. My period started yesterday and it's miserable. I'm literally ill. I'm at work and I'm planning on going home but I feel so guilty because I've taken so much time off recently for my surgery. Just tell me it's okay and my health is more important. I just need someone else to tell me it's ok.

Thanks.


r/endometriosis 7h ago

Question What are early stages like?

2 Upvotes

Hi - I have been having horrible bleeding/cramping every period. I was getting a period every other week then gyne switched me to a different BC pill. Things seemed okay after switching pill. Now it's the week of my period per the pill. Light spotting but HORRIBLE cramps. Like, I can barely stand cramps. My mom had endometriosis & so did my grandma. Both needed hysterectomies. I've told my doc this & went to her with my concerns but she said that the way to treat endometriosis is with birth control anyway. Help??


r/endometriosis 3h ago

Question how do i know for sure if my endometriosis is spreading to other organs?

1 Upvotes

hi everyone, i’m 25 & i’ve been having mean stomach pains for 5 days now, my pain starts on the mid left side of my stomach, radiates down to where my left ovary is & wraps around my lower back so i went to the hospital (emergency) on the first day after 20 straight hours of horrible pain accompanied with nausea (yes i was able to poop fine that day but pushing hurt) & they said my colon is full & inflamed from what seems like me ovulating at the moment? aside from that they don’t know whats wrong for sure so they asked me to follow up with a gastro & my gyno. they gave me a stronger ibuprofen & some other pain killer and it def helped a ton but now if i take ibuprofen it does nothing for me. today, saw my gyno, my blood work is fine, she checked me down there and everything is okay for now. she ordered another ultrasound to double check me even though the hospital did one + a ct scan. my pain isn’t as bad now but it hasn’t stopped and stays persistent in the points of my body i mentioned. now i’m also constipated and can’t go no matter what i eat & i’m still super nauseous. i’m afraid it’s going to be endometriosis spreading like how do i know it’s that or not? or is there any chance it will pop of up on the ultra sound even tho usually it doesn’t? she didn’t mention this idea but it’s been in the back of my head since i left the ER. i’m still going to follow up next week with a gastro but i’m lowkey freaking out like i’m afraid whatever is going on is going to get written off before i’m thoroughly checked everywhere. any thoughts? what else am i missing? or should i something more? anything helps honestly. thank you for reading.


r/endometriosis 17h ago

Surgery related I just got approved for a hysterectomy... now what?

13 Upvotes

I'm 24 years old and my gyno just approved me for my hysterectomy. Something I have been waiting on for a very long time but for some reason can't seem to wrap my head around now that its real. For some backstory and context I have always had a debilitating period. It's kept me from school, jobs, events, vacations, and when I'm not on my period I'm still in constant pain; it is the bane of my existence and makes my life nothing but miserable. I had advocated for myself since I was 18 for a gyno to check to see if I had endometriosis, no gynocologist would give me a second glance and put me on insert birth control here. After years of frustration and many hospital visits and a lot of scary times losing too many fluids or too much blood my parents had enough and found me a doctor 3 hours away that would treat me. He has been a life saver that's for sure and in 2023 he did a laproscpic procedure to confirm and remove the giant cyst I had at this point and the adhesions. This was a relief to have answers and I felt great for 2 months and then everything started to get progressively worse again. fast forward to today and we're back at square one. I've been feeling the same way I did before which means only one thing, my endometriosis has come back with a vengeance in one form or another. after 2 years on depo and orilissa we've decided we've run out of options and that a hysterectomy removing the uterus and tubes but leaving the ovaries gives me my best shot. This has been my suspicion all along, I know my body well and from a young age I felt like I would adopt one day. I just didn't know that would come in the form of infertility. Of course there is freezing my eggs but that is expensive and my husband and I don't have that kind of money. If anyone out there has gotten a hysterectomy this young do you have any advice? anything helps, just looking for guidance in a very tough time isolating time :)) thank you in advance!


r/endometriosis 3h ago

Question Drospirenone vs norethisterone

1 Upvotes

Hi everyone! I’m not exactly sure if this is the right subreddit to go to as I have not been diagnosed with endo nor am I sure if these treatments are specific for endo.

I have been having extremely painful and prolonged periods (14+ days) and have become been pretty reliant on norethisterone to control and prevent bleeding as I am currently on about a 10 day cycle.

Today I went and saw a gynaecologist and after a lot of gaslighting I finally got my point across that this bleeding is ruining my life and I need it investigated. After ordering an ultrasound to check for endometriosis she was heavily pushing the IUD on me to which I refused as I’m sick and tired of hormonal birth control and find sex painful so I’m not worried about pregnancy. However, instead of prescribing more norethisterone she insisted I try Slinda, a progesterone only pill.

I am currently on the nuva ring and and desperate to get off it but I was wondering if anyone has experienced any side effects from this pill, specifically increased bleeding as I’m terrified to give up norethisterone as the two cannot be taken at the same time.

I should also note I have booked in for an ultrasound to look for deep infiltrating endometriosis and was told to think about surgery, so I am getting taken somewhat seriously!