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A contraception-focused endometriosis review describes several options commonly used for both goals: Levonorgestrel intrauterine system (LNG-IUS) like Mirena : described as highly effective and associated with reductions in dysmenorrhea and pelvic pain, with irregular bleeding common early on

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Consider smaller, more frequent meals instead of three large ones

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Dose Escalation : After the 4 weeks, the dose is increased incrementally, reaching doses of 5 mg, 10 mg, and potentially up to 15 mg weekly, depending on how the patient responds to the treatment (efficacy and tolerance)