Progestin for Chronic Pelvic Pain
The dose of oral progestin is progressively increased until symptoms are relieved or you cannot tolerate the side effects.
Intramuscular (IM, into the muscle)
Intrauterine device (IUD) with progestin
How It Works
Progestin, a synthetic version of the hormone progesterone, can relieve chronic pelvic pain by suppressing the menstrual cycle.
Why It Is Used
Progestin is used to treat chronic pelvic pain when:
Injections of medroxyprogesterone acetate (Depo-Provera) can relieve chronic female pelvic pain and are also an effective form of birth control.
The levonorgestrel (LNg) intrauterine device (IUD) releases levonorgestrel, a form of progesterone, into the uterus. In addition to reducing cramping and heavy menstrual bleeding (dysfunctional uterine bleeding), this type of IUD is a highly effective method of birth control.
How Well It Works
Effect on chronic pelvic pain symptoms
Progestin is only a temporary solution. When treatment stops, the symptoms of chronic pelvic pain gradually return. Women with more severe pain are more likely to have symptoms return. This may happen earlier than in women who have minimal symptoms.
All medicines have side effects. But many people don't feel the side effects, or they are able to deal with them. Ask your pharmacist about the side effects of each medicine you take. Side effects are also listed in the information that comes with your medicine.
Here are some important things to think about:
Call your doctor if you have:
Common side effects of this medicine include:
See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)
What To Think About
Medicine is one of the many tools your doctor has to treat a health problem. Taking medicine as your doctor suggests will improve your health and may prevent future problems. If you don't take your medicines properly, you may be putting your health (and perhaps your life) at risk.
There are many reasons why people have trouble taking their medicine. But in most cases, there is something you can do. For suggestions on how to work around common problems, see the topic Taking Medicines as Prescribed.
Advice for women
If you are pregnant, breast-feeding, or planning to get pregnant, do not use any medicines unless your doctor tells you to. Some medicines can harm your baby. This includes prescription and over-the-counter medicines, vitamins, herbs, and supplements. And make sure that all your doctors know that you are pregnant, breast-feeding, or planning to get pregnant.
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.
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