Dr. Thaïs Aliabadi

Because remember, these implants eventually cause scarring, cause nerve pain, and those nerve pains, they start firing all month.

And that's why chronic pelvic pain.

Now, so you want to give it progesterone.

You can give this progesterone in a form of birth control, right?

So if I have a patient who also has PCOS and has acne, hair loss, facial hair, body hair, irregular periods, painful periods...

And their mood disorder is not that bad.

I'm like, maybe I give her a slant because I can kill two birds with one stone.

I can suppress her PCOS symptoms and I can suppress her endometriosis.

But most PCOS patients, which is the crowd I see with endometriosis, have mood disorder.

So one of the methods that I use to suppress endometriosis is actually a progestin IUD.

like Kylena or Mirena IUD.

Mirena IUD is the most common progesterone IUD used in this country.

If you use it for, you know, it's a method of birth control and it can last for eight years.

Sometimes we use it for heavy period and you use it for five years.

But I use it very often in my patients with endometriosis or adenomyosis.

For young girls

who haven't had children, I tend to go with the smaller IUD because Mirena IUD is slightly larger than the Kyleena IUD.

So I love the Kyleena IUD and I'm not advertising for it.

I'm just saying it because it really works.

So for patients who have a lot of mood disorders, then I might go to these IUDs, which are more local in suppressing the endometriosis in the pelvis.