Ms Ilanna Darcy:

It also leads back to an earlier point in that it generally triggers in teenage years, which can coincide with people taking birth control anyway. Because birth control suppresses the disease, people live with the other issues that present from it and find a way to manage them. It rears its ugly head again when people are thinking about fertility. For some, birth control does not even suppress it but for those for whom it does, it can be forgotten until it becomes a problem again, if that makes sense.