A four-week supply of the drug is expected to cost $845 without insurance.

Endometriosis sufferers will soon have another treatment option: Orilissa, the first new treatment for the condition in a decade, will be hitting store shelves next month.

As Time reports, Orilissa (which is also known by its generic name elagolix), showed promise in clinical trials. Women suffering from the painful condition were given the new medicine, while a control group was given a placebo. Women taking the new drug reported less pain than the placebo group did, according to the drug’s manufacturer, AbbVie. Specifically, 45 percent of women taking a lower dose of the drug reported less pain, while 75 percent taking a higher dose reported less pain. That’s compared to 20 percent from the placebo group.

Unfortunately, there are side effects. As The Chicago Tribune reports, the drug lowers estrogen levels in the body. That can lead to bone loss, hot flashes, and headaches.

Besides the side effects, there’s another major hurdle preventing many women from accessing the drug: the cost. Without insurance, a four-week supply of the drug is expected to cost $845.

News of the new treatment will be welcome for the hundreds of millions of women worldwide who suffer from the painful and debilitating condition. Endometriosis is believed to affect one in 10 women of reproductive age.

The condition, according to The Mayo Clinic, occurs when the lining of the uterus – the endometrium – grows outside of the uterus, affecting the ovaries, the fallopian tubes, and the tissues lining the pelvis. This causes pain, especially during periods and sex.

One woman who famously suffered from endometriosis is Girls star Lena Dunham. In a blog post entitled “The Sickest Girl,” Dunham wrote candidly about how the disease affects her.

“From the first time I got my period, it didn’t feel right. The stomachaches began quickly and were more severe than the mild-irritant cramps seemed to be for the blonde women in pink-hued Midol commercials. Those might as well have been ads for yogurt or the ocean, that’s how little they conveyed my experience of menstruating. During the worst of it, my father brought me to the ER, where they prodded my appendix and suggested it might be food poisoning and that we should go home and wait it out. My mother placed a pillow under my lower back, and I moaned in the guest room, where no one could hear me, my legs spread like a woman in labor.”

Unfortunately, many women can suffer from the condition for years before they finally find a treatment that works for them – if they find one at all. Doctors generally recommend over-the-counter painkillers, and in severe cases, opioid narcotic painkillers. Other options include hormone-suppression therapy and even a hysterectomy.

Orilissa is expected to be available in pharmacies by next month.

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