When is hormonal coil recommended for endometriosis?

The device releases a progestogen inside the uterus. This can make the womb lining thinner, often reducing menstrual bleeding and cramping. It may ease symptoms linked to endometriosis in the pelvis, although it does not remove endometriosis tissue outside the uterus or treat every source of pain. Spotting or irregular bleeding can occur after insertion and may settle as the body adjusts.

A hormonal coil is also a contraceptive. It does not protect against sexually transmitted infections, and fertility generally returns after removal. A pelvic examination and, when needed, imaging help assess whether insertion is appropriate.

Discuss the pattern of your pain, bleeding, previous treatments, pelvic procedures and plans for pregnancy. Tell the clinician about unexplained bleeding, an active pelvic infection, liver disease, breast cancer, or a uterine shape that could make placement difficult. They can explain insertion, expected bleeding changes, pain relief options and other treatments for endometriosis.

Seek urgent medical care for severe or worsening pelvic pain, faintness, fever, heavy bleeding, or a positive pregnancy test with pain after insertion. Arrange a prompt review if you cannot feel the threads, feel hard plastic, or develop persistent pain, unusual discharge or bleeding that concerns you.

Ask whether your pain is likely to respond, how the coil fits with your current endometriosis plan, what bleeding changes to expect, and which symptoms should trigger a review.