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For most patients with significant midlife hair changes, I still address the underlying hormonal picture, iron and ferritin status, thyroid function, and consider standard therapies like minoxidil and the appropriate use of hormone therapy first

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

Pregnancy planning : Wegovy is contraindicated in pregnancy and should be stopped at least two months before a planned pregnancy

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Researchers are developing metabolic therapies that act on several hormone receptors, such as GLP-1, GIP and glucagon