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Laparoscopic coagulation of endometrial spots itself is one of the clinically approved treatment for endometriosis. Though by evidence-based medicine the evidence for laparoscopic treatment can vary from low to moderate (depending what symptoms patient has).
Mirena is a hormone releasing intrauterine device for which evidence is moderate by evidence based ...
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When someone is considering to take 2 drugs both of which can have severe side effects, he/she should discuss this with a doctor, so this part of the question CANNOT be properly answered here.
Mirena can actually cause acne:
1. Mirena side effects (Drugs.com)
The most commonly reported adverse effects are alterations of
menstrual bleeding patterns, nausea, ...
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Making an assumption of a diagnosis of a such serious condition as endometriosis and starting with treatment that can have potential severe side effects without making the actual diagnosis is not serious for a doctor.
Abdominal adhesions from other causes, like PCOS or pelvic inflammatory disease, can cause similar symptoms. And there are other much more ...
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