Endometriosis

Endometriosis occurs when internal tissue lining from the womb develops on the outside of the womb. This might be in the ovaries or the fallopian tubes.

  1. Causes pain in the abdomen, nausea and heavy periods
  2. Long term condition
  3. Treatable with hormonal medicine

If you are already taking treatment for endometriosis and want to reorder your medication online, our secure consultation service can help. All orders are screened by a practising doctor before being dispensed at our UK pharmacy.

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1 treatment(s) for Endometriosis

Visanne

Visanne

  1. Single-hormone pill
  2. Helps to relieve endometriosis
  3. Not currently available
Discontinued
Medroxyprogesterone

Medroxyprogesterone

  1. Can be taken in combination with an oestrogen as HRT
  2. Relieves symptoms of the menopause
  3. Branded pill from Pfizer
Out of stock
Norethisterone

Norethisterone

  1. Period delay pill
  2. Alleviates heavy menstrual pain
  3. Simple-to-take 10 day course
Discontinued
Description

Endometriosis is a condition characterised by pain and discomfort in the abdomen, heavy or painful periods, nausea, constipation, diarrhoea, blood in the urine, and difficulty conceiving.  It can sometimes also lead to emotional and psychological distress. In endometriosis, physical symptoms are caused by the development of womb lining tissue outside the womb, most typically in the ovaries and fallopian tubes.

It can occur at any time during a woman’s reproductive life, and less commonly in women who have been through the menopause. According to Endometriosis UK, one in 10 women in the UK is affected by endometriosis. It’s not entirely clear what causes it, but people who have a family member with endometriosis are thought to have an increased risk.

In addition to genetics, some experts think that:

  • retrograde menstruation (where womb lining travels the wrong way along the fallopian tubes and installs itself outside the womb, instead of being expelled through menstrual bleeding)
  • an autoimmune problem (where the immune system mistakenly attacks healthy tissue)
  • or the travelling of endometrial cells through the blood and lymphatic pathways

could also be contributing factors.

If you develop symptoms associated with endometriosis, it’s important to see a doctor, so that they can help you get the treatment you need. They may be able to diagnose the problem through an examination, but because the symptoms can also occur in so many other conditions, it’s likely you’ll need to be referred to a specialist (gynaecologist) for tests. This might involve an ultrasound scan or a procedure called a laparoscopy (where a small incision is made in the skin and a tube containing a camera is inserted into it, to see if endometrial tissue is present).

There are several treatments available for endometriosis, although some people may find that symptoms are not serious enough to warrant it. Over-the-counter painkillers can help to relieve feelings of discomfort. The contraceptive pill can also help to reduce the severity of the condition, as it prevents a thick lining from developing on endometrial tissue.

Qlaira is a combined contraceptive pill that can help to alleviate symptoms of endometriosis. The pill utilises synthetic forms of progesterone and oestrogen, causing the endometrium to become thicker and  stopping an egg from being released. The endometrium’s ability to receive an egg is also prevented in the process.  

Norethisterone is an effective tablet for alleviating heavy bleeding, as well as relieving symptoms of premenstrual syndrome, such as abdominal pain. It interrupts the menstrual cycle and prevents the uterine wall lining from breaking down, signalling to the body that a period doesn’t need to occur. 

Another effective form of treatment for Endometriosis is Medroxyprogesterone. It helps to ease heavy periods, and also serves as HRT, when used alongside an oestrogen-only form of treatment. There is a reduction in oestrogen and progesterone as a consequence of the menopause. This event can give rise to the development of various symptoms, such as sweating, mood changes and difficulties concentrating. 

You can order Medroxyprogesterone and Norethisterone online for endometriosis through our secure pharmacy platform. Select your treatment and take our medical questionnaire to begin your consultation, and your answers will be screened by a registered doctor. Once approved, your medicine will be dispensed by one of our partner pharmacies and shipped to you by next-day delivery.

Page last reviewed:  07/10/2019
Types of Treatment

In some cases endometriosis symptoms can improve without treatment. But if they don’t, there are a range of options available.

Painkillers, such as ibuprofen and paracetamol can help to alleviate discomfort.

Hormonal treatments can work to reduce symptoms too. Examples of these include the contraceptive pill, the patch, and intrauterine devices (IUDs) such as the Mirena coil and NuvaRing.

Qlaira is a combined contraceptive pill that we offer off-label for endometriosis. It provides birth control by mimicking progesterone and oestrogen. In doing so, it indicates to the body that ovulation has already occurred, and the production and release of eggs stops. It also reduces the speed of sperm through making the vaginal mucus thicker.

Another form of treatment that’s available from us off-label is Norethisterone. It’s a tablet which has hormonal properties which reduce heavy bleeding effectively. It also helps to ease premenstrual syndrome symptoms like abdominal pain. It alters the course of the menstrual cycle and stops the uterine wall lining from shedding, subsequently indicating to the body that a period doesn’t need to take place. 

Medroxyprogesterone can also be purchased from our online pharmacy for the treatment of endometriosis. It is often used to alleviate painful and dense periods, and when taken in combination with an oestrogen-only treatment, it functions as hormone replacement therapy (HRT). The menopause can lead to progesterone and oestrogen volumes falling, which can result in a number of symptoms developing, such as hot flushes, difficulty sleeping and a reduced sex drive.  Medroxyprogesterone allows the body to maintain more stability in terms of its hormone levels. 

How do they work?

Each month, the female reproductive system readies itself for pregnancy, by releasing an egg to be fertilised by male sperm. This process (menstruation) is regulated in the body by the rising and falling levels of a hormone called progesterone. When levels of progesterone in the body fall, the lining of the uterine wall builds up, so that an egg can more easily implant on it when fertilised. If a woman doesn’t become pregnant, the egg, along with the uterine wall lining, sheds and exits the body through menstrual bleeding.

In endometriosis, this tissue is found on the outside of the womb, where layers of blood can also build up, causing pain and discomfort.

The hormones in Medroxyprogesterone and Norethisterone help to limit the development of blood layers on this womb-like tissue. In doing so, these medicines help to relieve associated pain and discomfort.

What are the side effects?

Some side effects associated with hormonal treatments include weight gain, headache, nausea, acne or back pain. Consult the leaflet provided with your medicine for further information.

Can I take them with other medications?

Usually it depends what other medicines you’re using. Some treatments for epilepsy, tuberculosis, HIV, hepatitis C and fungal infections can interact with hormonal treatments, so it is important to tell your prescriber about any other medications you are using during consultation.

Page last reviewed:  07/10/2019
Questions and Answers

Should I take Qlaira, Norethisterone or Medroxyprogestrone?

It depends which medicine your doctor has recommended for your symptoms, and whether you have used it before. If you haven’t seen a doctor about your symptoms and have not had treatment initiated by them, you should make an appointment to do so before ordering this medicine online.

For some people, Qlaira and Norethisterone might not be as suitable as other treatments. In such cases, talking to a doctor in person can help you to find a medication that is right for you.

Are there side effects?

Like most medicines, Qlaira, and Norethisterone and Medroxyprogesterone may cause side effects in some users. The more common among these are headaches, abdominal pain, uncomfortable breasts, and blood clots.

More information on side effects can be found in the leaflet that comes with the medicine.

Can I buy endometriosis treatment online?

If you are already taking it, or have done so before, yes. You can order treatment for endometriosis by taking our health questionnaire. Our doctor will review your answers and issue a prescription if the treatment is suitable for you. This will then be prepared by one of our partner pharmacies, and your order shipped to you by next-day parcel.

Women experiencing endometriosis symptoms for the first time, or who have taken treatment before, should see their doctor in the first instance.

Page last reviewed:  07/10/2019

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