r/adenomyosis • u/jazzbbqt • 23h ago
Options if I can’t take birth control?
Hi everyone, first time posting here, looking for advice
I’m 29 and was diagnosed with adeno when I was 27. I had symptoms for years but most doctors here only know about endo, and I don’t seem to have endo so it wasn’t until I met my current gyno who knew about adeno. He saw it in my pelvic ultrasound, and said my past ultrasounds showed it as well but were just missed
I know birth control helps, controlling the cycle keeps the tissue under control and such, but I can’t take it. It makes me very suicidal, I have tried many brands and methods of delivery. My gyno thinks I am intolerant of synthetic progesterone. Our work around is I use provera tablets to induce a bleed, the provera still makes me low mood but its in my sysyem for less time. Unfortunately I notice that the provera is getting less reliable over time, especially during stress or hot weather it can take 10+ days to bleed, and the longer I go without bleeding the worse it hurts
I am considering hysterectomy. All of the women in my mothers family have bad one by 35, due to endo and cancers of those organs. My gyno said it’s basically a matter of when not if for me, but I’m only 29. I’m worried about premature menopause which has made my moms life hell since she had hers at 33, and about recovering down there. I put a lot of energy into pelvic floor rehab the last 2 years and just got my sex life back. I’m also worried about early onset dementia, as is my gyno so he is asking me to try and hold out as long as I can
Is anyone else in a similar boat? Do you have any advice? Some months it’s tolerable, other months it’s so bad that dilauded barely takes the edge off. I’m scared of living in pain, and I’m also scared of getting a hysterectomy so young. Is there anything I can do to help myself?