“…Six to 12 months of treatment with a low-dose OC significantly reduced deep dyspareunia and dysmenorrhea in women with endometriosis (10,11). Women with endometriosis who had dysmenorrhea, dyspareunia, and noncyclic pelvic pain had their pain significantly relieved by norethindrone acetate (12), and treatment with dydrogesterone for 6 months also reduced pelvic pain in women with endometriosis (13). However, the mechanisms by which these therapies reduce pain symptoms are unknown.…”