Counterpart to Registration Rights Agreement March 20, 2015

Exhibit 10.243

Counterpart to Registration Rights Agreement

March 20, 2015

Each of the undersigned hereby absolutely, unconditionally and irrevocably agrees as a Guarantor, as defined in the Registration Rights Agreement, dated May 6, 2014 by and among Endo Finance LLC, a Delaware limited liability company and Endo Xxxxx Inc., a Delaware corporation, the Guarantors party thereto, RBC Capital Markets, LLC and Deutsche Bank Securities Inc., relating to the 7.00% Senior Notes due 2020, to be bound by the terms and provisions of such Registration Rights Agreement.

Exhibit 10.243

IN WITNESS WHEREOF, each of the undersigned has executed this counterpart as of the date first written above.

APHRODITE WOMEN’S HEALTH, LLC
as a Guaranteeing Subsidiary
By:	AMERICAN MEDICAL SYSTEMS
	HOLDINGS, INC., its manager

By:	/s/ Xxxxxx Xxxx
Name:	Xxxxxx Xxxx
Title:	Assistant Secretary

ENDO VENTURES CYPRUS LIMITED

as a Guaranteeing Subsidiary

By:	/s/ Xxxx Xxxxxx
Name:	Xxxx Xxxxxx
Title:	Director

[Signature to Registration Rights Agreement Counterpart - 7.00% Senior Notes due 2020]