Is taking the pill continuously until menopause the only solution??

The new, expanded my course on the real effects of the contraceptive pill the EndoBlog inbox almost explodes. The messages started arriving at a brutal pace, almost all quoting the same phrase, with the same desperate undertone.

"But my doctor told me that I had to keep taking the pill until I hit menopause to prevent my endometriosis from recurring, and that was the only solution."

It's very difficult for me to say anything, because it's not my intention to take away your doctor's confidence, but my sense of responsibility doesn't allow me to pass him by without saying something, because in this one sentence there are four professional errors.

Four professional mistakes that unfortunately leave you completely vulnerable if you don't educate yourself properly. And it makes me angry that I don't care so much about medicine today. I have no problem with someone suggesting hormonal treatment, I accept that in some situations it is the lesser of two evils. But I am angry because when a complex, multi-factorial disease that varies from individual to individual is concluded with a single sentence - 'there is no other solution' - that is not science, and not good will, but oversimplification, oversimplification, oversimplification, intellectual laziness and ultimately a narrowing of women's freedom of choice.

Let's look professionally at the four big problems with this claim.

First professional mistake: continuous contraceptive use is not an OTC therapy, so it cannot be invoked as a solution. Combined hormonal contraceptives can reduce menstrual pain and some symptoms by suppressing ovulation and cyclical hormonal fluctuations. This is important and can bring a real improvement in quality of life for many patients, but the available data do not suggest a cure. The pathomechanism of the disease does not disappear by pharmacologically suppressing the cycle. This is a very manipulative statement, as it gives false hope to claim that a treatment that only suppresses the symptoms is a solution, and only temporarily, certainly not for life, not until the 'menopause', but until the individual develops resistance to the mechanism of action of the pill. In the course, I explain exactly how this happens, exactly how it happens, and what you can do if you feel the pill is starting to work less effectively during treatment.

Second professional error: the statement "there is no other solution" is not factually correct. The treatment of endometriosis currently rests on several pillars: there are other hormonal therapies, GnRH analogues, aromatase inhibitors in some cases, targeted surgical excision, as well as pain therapy and lifestyle interventions, various alternative treatments . The therapeutic spectrum does not consist of a single band. Now that you understand why you cannot refer to the contraceptive pill as a "solution", it is even easier to see that there are many more such effective "solutions".

Third professional error: menopause is not a universal solution. Although a decrease in estrogen levels reduces symptoms in many cases, the literature describes residual or newly diagnosed endometriosis in normal menopause. The pathophysiology of the disease is not reducible to estrogen dependence alone; inflammatory, immunological and local hormonal mechanisms are also involved. The "menopause will sort it out" type of communication is therefore professionally simplistic and inappropriate, and again lulls women into a false sense of security, just like contraceptive use. Even if this information is not happy, it is far better to be aware and prepared with a tutu of prevention than to believe that nothing can go wrong and stand helpless and frustrated when endometriosis symptoms appear after menopause.

Fourth professional error: on the question of continuous vs. cyclical picking, the results are not consistent. Some studies, particularly in the post-operative population, show better dysmenorrhoea control with continuous use. However, not all studies find a significant difference in chronic pelvic pain or dyspareunia. The quality of the evidence is heterogeneous, the samples are different, the follow-up times are variable and are generally far from sufficient to draw firm conclusions. So, the advantages of continued use are doubtful, but the disadvantages are proven: side effects are more pronounced, risks are greater, especially in terms of obesity and thrombosis. Without an honest discussion of all this and often without even a simple blood test, to sell this risky stuff as the ONLY SOLUTION is more than questionable.

And that is exactly why this course was born.

Not to talk anyone into or off the hormone.
It's to understand, to know what it means for your body and soul to be taking or continuing to take.
What we know and don't know about relapses, what side effects to consider, what alternatives exist, how to take or not take the pill well, how to prepare to stop taking it, and how to make a truly informed decision.

In this four-week, live, small group programme, we put the picture together in a systematic way. It will be exciting and interesting, because you will understand how the pill changes your brain, why it matters for your relationship whether you met before or after the pill, when and why you find your partner attractive, when you lose interest in him or in things you were interested in before, and... I can't stop, I want to tell you so much about all the things that will be discussed. The point is to make it exciting and understandable and there will be no judgement and no scaremongering, you will finish the course confident and happy whether you take the pill or not.

We will look at the neurological, mood and pain effects of hormonal contraceptives.
A separate chapter discusses the relationship between endometriosis and hormonal suppression.
We will discuss the science behind continuous vs. cyclical picking.
You will learn how to take it consciously and as safely as possible, if that is your choice.
And how to prepare to stop if you fear your symptoms will return.

New curriculum every week.
Saturday live check-ins.
A closed, safe space to ask questions.
Two guided meditations: one to start, one to stop.
Plus an ebook summarising the questions from the previous year.

It's not a fight against hormones, it's a fight against the lack of information.

If you're tired of making decisions based on ultimatums and want to see things clearly - professionally, yet in human terms - then this is the place for you.

Departure: 21 February.
How to apply: contact@endoblog.hu

The number is limited because I want to give real attention.

If you're tired of making decisions based on ultimatums and want to see things clearly - professionally, yet in human terms - then this is the place for you.

Departure: 21 February.
How to apply: contact@endoblog.hu

The number is limited because I want to give real attention.

Every course and live can be viewed for weeks after the course is over, so you won't miss a thing.

The price of the 4-week course with 3 one-hour courses, plus 3 live registrations, ebook, closed Facebook group and Q&A is 28987 HUF basic package.

The pro includes all this, plus a book package and a one-hour online consultation with me, which you can get with a discount of more than 50% 59387 HUF.