Dr. Thaïs Aliabadi

These pills are great because they're reversible.

So if you don't like them, you can take them for a couple of days and stop it.

And it's out of your system in a couple of days.

So it's not a big deal.

But it does make a difference.

The problem with these pills are because of the effect on the bone and the bone loss it causes, you can take him up to two years.

So you can't take him beyond two years.

Usually, if I do a progesterone suppression and the patient has pain, I recommend surgery.

Because during surgery, I resect the endometriosis, I cut all the adhesions if they have it, and then I put a progesterone IUD and I send them home.

For patients during surgery who have severe disease, stage three or four, then I also add these GnRH antagonists after surgery, depending on their stage or symptoms, from six months up to two years.

Suppress it and to just kill the endometriosis.

Because when it's advanced stage, even with surgery and IUD, let's say stage four, it can come right back.

So I really want to knock it out.

So that's what I would do for endometriosis patients.

And very important point.

The stage of endometriosis has nothing to do with the degree of pain.

And this is very important for patients to understand.

You can have stage one endometriosis and you end up in the emergency room every month because of pain, or you can have stage four endometriosis and you just have mild pain.

So pain, you can't say, oh, there's not much in your pelvis.

I'm not going to worry about it.