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Heavy and painful periods, diagnosed with bulky uterus and endometriosis. Suggested to take pill for 6 months. Right treatment?

Hi, I am 42 and have been told that I have a bulky uterus and adenmyosis ( not sure of spelling ) was told this is the reason for heavy, painful periods with blood clots which gets worse every month and has affected every aspect of my life as a single mom working. I have also been told that I have myofacial pain so a hysterectomy is not an option for me because of the increase of possible pain afterwards. I have been told to go on the pill continuously for six months to stop my periods and if that does not work to fork out over $300 for mirena . Is this correct??
Asked On : Mon, 31 Dec 2012
Answers:  1 Views:  55
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OBGYN 's  Response

Many clinical studies shows- for women with more extensive disease whose quality of life and health are threatened by heavy bleeding and pain, and for whom hormonal interventions fail, the best treatment until now has been hysterectomy.

Now a new study shows that Mirena may be just as effective as hysterectomy in treating adenomyosis.

So in your case, Hormonal treatment with levonorgesterone IUCD (mirena) would be ideal.

Hope this helps.

Dr Nilofer

Answered: Thu, 17 Jan 2013
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