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First-line pharmacological management typically involves: Analgesia : Paracetamol and non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or mefenamic acid for pain relief Hormonal therapies : Combined oral contraceptive pill (COCP), progestogen-only pill, or the levonorgestrel intrauterine system (LNG-IUS/Mirena coil) to suppress endometrial tissue growth and reduce menstrual flow GnRH analogues : Gonadotrophin-releasing hormone agonists (e.g., goserelin) may be used for more severe symptoms, often with add-back hormone replacement therapy (HRT) to mitigate menopausal side effects

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Its approved for use among certain adults and adolescents aged 12 and older

Individual variation is considerable some patients report complete resolution of symptoms within weeks, whilst others may experience intermittent digestive disturbances throughout treatment