The missionary position is not the best for control. The female on top is better. The best thing to do is experiment to find the most comfortable position. Exercise if at all possible. A program of regular exercise, three times a week for at least 30 minutes, can help relieve pain and menstrual cramps, says Sue Ellen Carpenter, M.D., an obstetrician and gynecologist with the Emory Clinic in Atlanta.
Exercise reduces menstrual flow and, therefore, the endometrial irritation and inflammation.
It also increases your body's production of endorphins, natural pain-blocking substances released by the brain, says Dr. Metzger. Walking is a good basic exercise, says Dr. Metzger, though some women with endometriosis may find it too jarring. In that case, swimming or doing a routine of stretches are good ways to keep the juices flowing. Take a painkiller. The pain of endometriosis can be severe, especially during menstruation, says Dr. Carpenter.