I am so sorry to hear you’re going through this. I’ve had recurrent cysts and endometriomas throughout my 30 years with endo. They can cause pain and other problems (for me that was nausea and vomiting) no matter their size, but I often hear they aren’t “worrisome” unless they get to a certain size. I would suggest you talk to your doctor about a pain management plan along with possible surgery to diagnose endometriosis, if you haven’t already. My doctor told me endometriomas (cysts that are filled with blood and other tissue, not just clear fluid) are often a sign of endo elsewhere. And that certainly was the case for me. I also had a ton of scar tissue that caused pain, and none of that was visible on scans like ultrasounds.
With that said, none of my surgeries were helpful for cramping or period/bleeding pain. And neither were any of the hormonal options I tried. For my period pain, I take a prescription anti-inflammatory called a COX2 inhibitor. I really helps and is worth mentioning to your doctor if they’ve never brought it up before.
Also, while some people have shorter periods or no bleeding at all on an IUD, some people experience more cramping while on it. That typically resolves in 3 to 6 months, but sometimes it can last up to a year or longer. I’d definitely tell your doctor if you are having more pain on your IUD.
But for my go-to period pain medication, here’s an article that might be helpful: https://endometriosis.net/living/period-pain-treatment. - Keri (team member)