For years I have noticed my Pilonidal Flare up every month along with ovulation. Can any of you ladies relate? I spoke to the surgeon about this and he said to talk to my regular doctor. The problem is I have never had a regular Doctor work with me on this. Just ER and Surgeons. Any time I try to talk to my regular Doctor he tells me to talk to the Surgeon. Uggg I have had 5 Drainages and 1 removal. It came back 3 years after my removal....Like clock work with my ovulation. I do have essure which is a means of blocking the fallopian tubes. Yes it is permanent. I had this done 2 months after my first drainage. I would love to hear your thoughts.