Thank you for your question. There is a lot of new information coming out about what causes the development of endometriosis and the use of chronic synthetic contraceptives is no longer my first choice of therapy, especially because of the side effects associated with synthetic hormones. I appreciate though how effective something like Mirena can be in controlling the symptoms of endometriosis and allowing you to get on with life. But contraceptives work by putting a band-aid on the symptoms of the disease and affect no change on the underlying cuases that gives rise to the imbalance in the first place. This is when we find life-long use of contraceptions being prescribed because if you stop the contraceptive the problem simply reappears from uder the band-aid.
By going into the different pathways oestrogen follows through your body we are able to ellicit where the imbalance is that causes the inflammation that gives rise to endometriosis. This requires a careful history and a couple of special investigations. This allows us an opportunity to heal or reduce the severity of the cause of the endometriosis.
So to answer your question if you would like to continue with the contraceptive route then repeat the Mirena contraceptive because of all those available on the market it is the easiet to use and has a lower side effect profile. If you would like to try something alternate contact us through www.healthnation.co.za for more information. My approach uses a combination of nutritional, supplement, activity and stress modification tools to effect physiological change and because it is tailored to the individuals metabolism it is difficult to answer with the little information available in a forum like this.
Many thanks and warm regards