Dr. Thaïs Aliabadi

So I start with either a progesterone birth control or a progesterone IUD.

And by the way, I always check egg count.

Always, always, because I want to make sure we're not low, because if you have low egg count and you're 17, you're going to go freeze eggs.

I'm not going to wait for you to be older to freeze.

Waiting for that patient to be 30 or 35, you're done.

You know, they will have no eggs left.

So suppress with progesterone birth control, progesterone IUD.

Then we have GnRH antagonists.

I don't know if you've heard of these pills, Oralisa or Mifembri.

These are medications, remember I told you, you either give it progesterone or you take the estrogen away to treat endometriosis.

So giving it progesterone, you can do the progesterone IED or the progesterone birth control.

I don't like the implants because of the weight and irregular bleed that comes with it.

But you can also take the estrogen away.

These medications work amazing, especially for women who have painful sex.

And usually by two months, they get a relief from that painful sex and painful period.

The problem is anytime you take estrogen away, what happens?

You can have hot flashes.

You can have all the symptoms.

Take a pseudomenopause.

Correct.