A lot of women are on birth control due to endometriosis. My little niece just had to go on them. Poor little thing.
I stopped prescribing the pill to women who have not yet carried a pregnancy to term when the Mayo Clinic report came out. I can’t see the justification in prescribing a known class 1 carcinogen to prevent a physiologic event (pregnancy). Are there women for whom the pill is an appropriate medical treatment like any other serious drug? Yes. After weighing the risks and benefits and informing the patient that we are recommending (or they are requesting) a course of treatment that may result in breast cancer.
For those struggling with spasmodic dysmennorhea ( a catch-all term for the most common types of extremely painful periods) daily thiamine supplementation has been shown in a double blind trial (the best type of study) to be very effective.