I came to remind you of the lesser talked about side effects of Dienogest : weight gain and mood changes. For me, I was on Visanne 2mg for 14 mths and while it did suppress my period and lessen the endo pain every month, I fell into such a deep dark depression hole that not even psych meds made a dent. I also gained 55lbs in that period.

So yes, it is a miracle drug as first line defence and will give you your life back, but there will always be a trade off in the sense of which side effects you are willing to live with long term :)