Endometriosis is a common cause of secondary dysmenorrhea.  It consists of endometrial glands and stroma outside the uterus.

CONTRACEPTION: Treatments that eliminate menses often successfully reduce symptoms of dys­menorrhea caused by endometriosis. The LNG IUD [Fidele L. et. al., Fertil Steril 1997], Depo-Provera and Depo sub Q Provera 104 and combined pills taken continuously can all improve a woman’s endometriosis.


Robert A. Hatcher MD, MPH

Emeritus Professor of Gynecology and Obstetrics

Emory University School of Medicine

Atlanta, GA

To learn more about the advantages and disadvantages of birth control pills, Depo-Provera and the Mirena IUD; go to: www.managingcontraception.com and click on Choices 2013 edition.  You can also order these books from our website or by calling 404-875-5001.  


Key Words:  endometriosis, secondary dysmenorrhea, endometrial glands, stroma, uterus, contraception, eliminate, menses, reduce symptoms, LMG IUD, Depo-Provera, combined birth control pills


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