Understanding Endometriosis and Birth Control Pills
Endometriosis is a chronic, progressive condition that is controlled by hormone levels. So, to better understand the cause and relief for the painful symptoms of endometriosis in women, it’s worth taking a look at the relationship between endometriosis and birth control pills.
Endometriosis
Endometriosis is a condition that can effect women once they have reached puberty and started menstruation. Commonly it effects women in the 20’s – 40’s, although there are more incidences of younger women and girls being diagnosed.
Ongoing abdominal pains that can worsen during menstruation as well as pain in other parts of the body characterize endometriosis. This is the main symptom of endometriosis and is generally the most debilitating of all the endometriosis symptoms.
Endometriosis gets its name from endometrial tissue similar to those found in the endometrium (uterus lining) growing in other parts of the body, usually the pelvic cavity.
Each month if pregnancy does not occur, these tissues wherever they are situated in the body, grow, shed and bleed. A process controlled by the female hormone, estrogen. For the misplaced endometrial tissue outside of the uterus this results in inflammation and scarring as there is no place for the unwanted tissue to go.
Over time this causes a build up and adhesions can form. These are ropes of scar tissue that join organs together and can impair the flexibility of the reproductive organs, causing infertility. As endometriosis is linked to hormones, symptoms tend to worsen during the menstruation.
By controlling hormones, the symptoms of endometriosis can be minimized. This is where birth control pills come in.
Birth control pills
Birth control pills are primarily developed to help prevent pregnancy among women. These oral contraceptives work by regulating the female hormones. Birth control pills regulate the levels of estrogen and another hormone, progesterone, in the body.
Thus, when a woman is taking birth control pills, her estrogen level is lowered, and the progesterone is raised which stops the growth of endometrial tissue. By doing that, contraceptives can be easily used as a treatment for endometriosis and its symptoms.
For mild to moderate endometriosis, taking the pill is an option that you should talk over with your doctor as a way to control the symptoms.
When taking the pill for endometriosis rather than solely for contraceptive reasons you will take the active pills continuously. This means that you won’t have a period as your body thinks that it is pregnant. By doing this you may find you have some spotting as your body adjusts to the pill.
There are some side effects to bear in mind though and you will need to decide whether the pain of the endometriosis outweighs the risks of taking the pill. Side effects can include weight gain, acne and hair growth on the face.
With surgical options becoming more available you may want to talk over the pros and cons of using the pill to control your symptoms with your doctor.
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Endometriosis and birth control pills have one thing in common: hormones – endometriosis is directly influenced by hormone levels in a woman’s body and the pill regulates those hormones.
If you’ve not already done so, sign up for the free endometriosis newsletter that shares other proven methods to help women combat endometriosis at Treating Your Endometriosis. You’ll also find more about the different natural treatments that have proved effective for so many women like endometriosis and birth control pills.



This is a comment, not a question. I’ve had endo since puberty at age 11 yo. From 18 yo till 40 yo I was on BCP. While I was on them my endo hardly ever bothered me. When I went off of them due to high blood pressure at 40 yo, endo started to bother me again. When I got Lyme Disease at 45 yo it became so severe that I had a hysterectomy. Lyme Disease can cause hypercoagulation in the body. I already have a genetic predisposition to hypercoagulation. I believe that hypercoagulation plays a role inboth endometriosis and interstitial cystitis. Hypercoagulation is autosomal dominant with children having a 50% chance of inheriting it. This may be why endo and IC seem to run in families.
I’ve had endometriosis symptom since 1 was 16, i’m 25now. It has effected a lot of my life i’m going in next week for my 3rd laproscopy, 2nd for this year. I tried using the pill to help with endometriosis, (as well as contraception) i skipped my periods and only had every 3rd period. after about 9 months my body decided it did not agree at all. I was in so much pain, i had 3 periods in 4 weeks. THey were so heavy and so painful. I didn’t know what was going on. SInce then i have changed my pill 5-6 times in the last 12 months. I hope the pill helps some people but it has not helped me at all with my endometriosis… having said that i am still on it for now because i am scared of how much worse the pain could be if i wasn’t on it.