Some women experience several days of pain which may require the use of narcotic pain relievers such as codeine. Emotional support, psychological counseling, or antidepressants may be helpful for those women who have inadequate relief of chronic pain. If pain continues, consult your health care provider. The physical examination will probably include a pelvic examination. If not needed for contraception, they may be discontinued after 6 to 12 months.
Many women note continued freedom from symptoms despite stopping the medication.
Surgery may be indicated for those women unable to obtain adequate pain relief or control. Procedures may range from removal of cysts , polyps, adhesions , or fibroids to complete hysterectomy in cases of extreme endometriosis . Prescription medications may be used for endometriosis. For pain caused by IUD, removal of the IUD and alternative birth control methods may be needed. Antibiotics may be indicated for pelvic inflammatory disease .