Health

Does Mirena treat endometriosis?

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Depending on what stage of the disease is found in the fair sex, the doctor selects the appropriate treatment. Endometriosis can be corrected in several ways:

  • surgery and removal of lesions
  • introduction to artificial menopause by taking hormonal agents,
  • use of oral contraceptives and various active supplements,
  • treatment of endometriosis with Mirena spiral.

Whatever method is chosen, it is necessary to closely monitor the body's response to medication, as well as monitor the improvement of the condition.

Spiral "Mirena" with endometriosis: reviews

The mechanism of action of the drug is based on the release of levonorostrepla. The spiral looks like the letter "T". Based on this, it has a small container that contains hormones. Also in the lower part of the system has a so-called loop. She dangles from the cervix after installing the helix in the female body. This is necessary for the convenience of subsequent removal of the device.

Isolation of the necessary hormone

Spiral "Mirena" with endometriosis has only positive feedback. It is used to treat the disease in its early stages. Due to the fact that the system "Mirena" with endometriosis secretes the hormone progesterone, the development of foci of the disease stops. In some cases, there is even a reverse transformation of endometriosis.

It is worth recalling that the foci of illness develop under the influence of estrogen. Unlike other spirals, this system does not release this hormone. That is why the spiral "Mirena" in endometriosis is shown to many patients. The exception may be only women who are planning a pregnancy in the near future.

Duration of action

The Mirena system for endometriosis has positive feedback also due to long-term treatment. Many women can not use hormones for several years in a row. Some women begin to recover from such drugs and are afraid to spoil the figure. Other representatives of the fair sex begin to have problems with the vessels and veins. Due to the fact that the system "Mirena" with endometriosis provides only local treatment and does not give a high concentration of progesterone in the body, these phenomena are not observed.

The system is installed in the female uterus for five years. All this time, a woman can not be afraid of unwanted pregnancy. At the same time, the helix exerts its healing effect.

Ease of use

The Mirena system for endometriosis is still good because once it is installed, you do not have to worry about buying drugs all the time, spending money on medical procedures and changing the helix.

You only need to come to the doctor and install this device. Removing it is also quite simple. However, remember that only a specialist should do this. The patient only needs to sit on the gynecological chair and relax. The doctor will pull a special loop and pull out the coil.

The change in the intensity of bleeding

During treatment, a woman may find that her periods have become more scarce or have stopped altogether. Sometimes it is perceived as a side effect. It should be said that such an outcome is positive rather than negative. Due to the active substance, ovulation is suppressed in a woman and the endometrium growth practically does not occur. Every month a woman can observe a decrease in discharge and a decrease in pain.

In that case, if the monthly stopped at all, you must notify the doctor. This usually means that the maximum effect of the correction used is achieved. As is known, endometriosis lives due to cyclical changes in a woman’s body. When these changes are absent, the death of this disease is observed.

Mirena system for endometriosis: side effects

Like every medicine, this helix has its own possible side effects, for example:

  • severe headaches
  • changes in the skin, up to the formation of acne,
  • nausea,
  • frequent vomiting without any relief
  • sensitivity of the mammary glands and in some cases their pain,
  • frequent dizziness and weakness
  • change in body weight
  • functioning neoplasms on the ovaries.

If you have any reactions of all listed, it is necessary as soon as possible to see a doctor. Depending on the severity of the side effect, the doctor decides whether to continue or stop treatment.

Opinions of experts

The Mirena system for endometriosis has positive feedback from doctors. In the course of the study, the majority of women lost their pain in the lower abdomen, decreased discharge during menstruation, and spotting in the middle of the cycle ceased to appear.

Side effects in the fair sex are extremely rare. However, if you have thrombosis of the lower extremities or breast cancer has been detected, you should stop using this remedy for the treatment of endometriosis.

In addition to all the positive properties, we can note one more that the Mirena system has. Spiral reduces the risk of inflammatory diseases in the pelvis. However, it must be remembered that the device does not protect a woman from sexually transmitted diseases.

Conclusion

If you have endometriosis, you should start treatment as soon as possible. If at the very early stages a spiral or hormone therapy helps, then in the future it will be very difficult to avoid surgery.

Monitor your precious health and consult a doctor in time!

Natalia Andrushko

Psychologist, Ecophacilitator, Supervisor Mediator. Specialist from the website b17.ru

Endometriosis returns always - after hormone therapy, after lapar, and after childbirth. So the spirals are not a panacea. rather, it doesn’t allow the disease to progress for a while. Pregnancy is always like a lottery - someone from one sneeze with serious sores flies. and someone has everything OK, and the stork does not fly.
Wait for menopause. Should help from endometriosis.

No, it does not treat! But better to get pregnant after hormonal therapy (artificial menopause)

Oh I do not know! I almost died from the staging of this Mirena! For 3 months she was bleeding and suffering from pain, hoping that she would take root.

I also have a negative experience! Grown up big kitty ovary. I removed - I was treating endometriosis with the drug Jess (before that, Janine had been drinking for 3 years, canceled due to the beginning problems with the veins).

For 2.5 years, Mirena stood. Months stopped and all the pains. At first 2 months the chest was not very well. Then I forgot about all the problems. I took off the Miren. For half a year, everything was wonderful. 5 years. The pains have returned and endometriosis too. I think to put the miren again.

For 2.5 years, Mirena stood. Months stopped and all the pains. At first 2 months the chest was not very well. Then I forgot about all the problems. I took off the Miren. For half a year, everything was wonderful. 5 years. The pains have returned and endometriosis too. I think to put the miren again.

Related topics

Oh I do not know! I almost died from the staging of this Mirena! For 3 months she was bleeding and suffering from pain, hoping that she would take root.

No, it does not treat! But better to get pregnant after hormonal therapy (artificial menopause)

In fact, just the word is such a terrible “artificial menopause”, but in reality it is a kind of “rest” for the ovaries. Of course, there can be side effects, but the main thing is a positive attitude!

In fact, just the word is such a terrible “artificial menopause”, but in reality it is a kind of “rest” for the ovaries. Of course, there can be side effects, but the main thing is a positive attitude!

In fact, just the word is such a terrible “artificial menopause”, but in reality it is a kind of “rest” for the ovaries. Of course, there can be side effects, but the main thing is a positive attitude!

Wow rest, who experienced it for himself, knows that no one wants to become an old woman in 35-40 years old, from an artificial menopause, no mood will help, it is better to put on a miren and not to suffer.

I have a year worth of peace, according to the ultrasound, the readings are good, that's just what will happen when I clean it, I don’t know yet, and I have a question to get pregnant too, but I'm already 39, probably

My Mirena is 4 years old, there were painful periods and abundant problems. Now everything is fine

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Operating principle

Inside the t-shaped helix are synthetic hormones. In endometriosis, Mirena continuously in equal doses releases biologically active substances into the uterus that prevent pathology from spreading.

Contraceptive and medicinal effect of Mirena helix is ​​designed for a five-year period. During all this time, the hormonal coil has a beneficial effect on women's cycles, reducing menstrual blood loss, eliminating the painful manifestations and making monthly bleeding regular.

The use of the drug at the initial stage of the endometrial disease gives good results. At the same time, producing a local effect, the spiral has a much smaller number of side effects than hormonal agents of general action.

Indications for use

Mirena is recommended for endometriosis and other serious illnesses of the female reproductive system, such as:

  • uterine fibroids,
  • prolonged periods with significant blood loss that lead to anemia,
  • hyperplasia
  • bleeding during menopause.

It is also used in the period after the removal of the polyp in the uterus or cervical canal.

The IUD is appointed solely by the gynecologist after a thorough examination and assessment of the woman’s health.

Side effects and contraindications

Contraindications to the use and installation of the spiral:

  • pregnancy,
  • cancers found in any part of the body that are not necessarily related to the reproductive sphere,
  • inflammation and infection of the reproductive system,
  • any infectious diseases of the body in acute form
  • intrauterine bleeding of unknown nature,
  • various uterine changes.

Before installing the Mirena helix for endometriosis, the following studies are required:

  • swabs for infections,
  • Ultrasound of the uterus,
  • backwater from the uterine canal,
  • tests for hidden infections.

Diagnostic procedures are necessary to eliminate the presence of contraindications to the installation of Mirena with adenomyosis.

Doctors say that in the first months after the appearance of the Navy, women are often concerned about:

  • scant bleeding after setting the helix not during menstruation,
  • lack of regularity of menstruation,
  • migraine,
  • nausea,
  • leg swelling,
  • weight gain
  • appearance of excess vegetation on the face,
  • increased hair loss on the head,
  • skin defects: the appearance of acne, oily sheen.

Sometimes women experience depressed psychological state, laziness, apathy. And during the period of menopause, the drug removes its unpleasant manifestations, such as sweating, frequent flushes.

Gynecologists say that the side effects of the IUD disappear by themselves within a few months after its installation. If the above symptoms are too aggressive, you should consult a doctor and check the level of hormones in the blood. You may have to remove this contraceptive and find another way to combat endometriosis.

We also recommend that you familiarize yourself with the material about the features of the monthly after the spiral.

Mirena Spiral Efficiency

Spiral for the treatment of endometriosis Mirena is a highly effective means to combat uterine myoma and foci of endometriosis at an early stage of development, and also has a contraceptive effect.

You can use the spiral after the gynecologist assesses the condition of the body and takes into account possible contraindications and indications for use. Only a qualified specialist can install an IUD.

The main advantage of a hormonal agent is that six months to a year after its extraction, conception is possible. After this time, the pregnancy will come, and the woman will be able to endure the long-awaited baby.

Is it possible to get pregnant

After Mirena helix with endometriosis has served its time, it must be removed.

If a woman plans to conceive, then the reproductive system after the removal of contraceptives need to recover. Each organism needs its own term for this. But on average it takes from 6 months to a year.

According to clinical studies, 80% of women successfully become pregnant in the first year after the removal of the IUD. Therefore, it is important during this period to think about the means of contraception, if the plans do not have the desire to have children. After removing Mirena, you can install a new spiral and use it for another 5 years.

Why use?

Mirena spiral with endometriosis is used quite widely. It is necessary for two main reasons:

  • The disease has a hormonal nature, and hormonal drugs are prescribed to improve its condition. Mirena is a hormonal drug for local use, which allows you to normalize the hormonal balance, but has much less side effects than hormonal drugs of systemic effects, such as pills,
  • Pregnancy with endometriosis is highly undesirable, since it almost always ends with miscarriage and harm to the health of the woman. This spiral is able to reliably protect against unwanted pregnancy during this period.

Can I use this method of contraception with this diagnosis? It follows from the above that it is not only possible to do this, but also recommended. However, before installing such an intrauterine system, it is necessary to consult a doctor.

Impact

The use of the system has a complex effect on the entire body of a woman. As a result, the following positive effects are observed:

  1. Progesterone rises, which suppresses the activity of estrogen, as a result of which the hormonal balance is normalized and the active growth of foci stops,
  2. Ovulation inhibition occurs, which also reduces the activity of hormones,
  3. Reducing the function of the corpus luteum has a major contraceptive effect.
  4. The impact of the spiral leads to a thinning of the uterine lining, resulting in abundant and acyclic bleeding disappearing, sometimes a pain symptom is significantly reduced,
  5. The spiral in endometriosis worsens the blood flow in the endometrium, as a result of which there is also a significant decrease in the severity of symptoms,
  6. Changes in the composition of cervical mucus leads to the fact that it inhibits the activity of sperm, which also has a pronounced contraceptive effect.

It is worth noting that this system is very convenient to use. It is installed for a long time - the minimum time of its service is five years. Moreover, if it becomes necessary to become pregnant, it can be removed.

Due to its convenient and optimal form, it extremely rarely falls out spontaneously (less often than other models). It is also low probability to damage the endometrium.

Contraception is not the only reason for recommending a spiral. Due to its effect on the hormonal balance, it is recommended for use and for a number of diseases. Among them:

  1. Endometriosis, hyperplasia, adenomyosis and other diseases associated with the growth of endometrial tissue,
  2. Polyps, fibroids, leiomyomas, cysts and other neoplasms in the female reproductive system,
  3. Acyclic uterine bleeding, especially in menopause,
  4. Excessively active menstruation with large blood loss, which leads to the development of sustained anemia.

Assign such a tool yourself can not. It should be prescribed strictly by the doctor, based on the state of health, progression of the disease, severity of symptoms and hormonal balance of the patient.

Contraindications

Like any other remedy, it has a number of contraindications. Therefore, its use and must be coordinated with the doctor. It is impossible to use the tool, in general, in such conditions:

  1. The presence of pregnancy or suspicion of her,
  2. Malignant tumors, oncological processes in the body, regardless of where they are located,
  3. When gynecological processes of infectious and inflammatory nature,
  4. In the presence of an infectious-inflammatory acute disease in the body, regardless of what organ or system it struck,
  5. Uterine bleeding of unknown origin,
  6. With deformities in the uterus, regardless of whether they are acquired or congenital.

There may be other contraindications, which will help to establish a doctor. To do this, before installing the system is recommended to undergo a series of surveys.

Installation features

Installation is carried out strictly in a medical institution The doctor performs the procedure. Before it is carried out, it is recommended to undergo a series of examinations: smear for infections, baccosis, examination for latent infections of a chronic course, transvaginal ultrasound.

Virtues

High efficiency. Scientific studies show that after three months of using the intrauterine system, menstrual blood loss is reduced from 62 to 95%! Efficiency reliably persists for five years, then gradually decreasing. The contraceptive effect persists throughout the time the IUD is located in the uterine cavity.

Prevention of endometrial cancers, menstrual pain, blood loss and anemia.

Convenience. Many drugs require constant use, special schemes, counting cycles, constant purchase of pills. "Mirena" is set once for five years and does not require special control - it is very convenient.

Security. As we have already mentioned, injectable forms or tablets are absorbed into the systemic circulation in large quantities, in order to eventually get into the uterus. With the therapeutic spiral, the situation is the opposite - the system releases a large amount of the hormone directly into the nidus - the cavity of the uterus, and only small amounts are absorbed into the bloodstream.

Studies show that the concentration of levonorgestrel in the blood is 1000 times less than in the uterus. Thus, the drug works directly in the focus of the problem, absorbed into the blood in minimal quantities.

Economic effect. The cost of the Navy "Mirena" is about 200 dollars. Of course, this seems like a large amount for an average patient, however, simple calculations can be made for regular monthly intake of other dosage forms.

So, the cost of the hormonal coil is about $ 200 for five years, despite the fact that the cost of the most popular medicines will be from $ 350 (“Norkolut” in cyclic mode) to $ 1000 (“Klayra” in continuous mode or periodic courses “Vizanna ") For the same five years!

The combination of contraceptive and therapeutic effect. Not all progesterone tablets have a contraceptive effect. On the other hand, many patients are no longer interested in pregnancy. The hormonal coil combines the therapeutic effect and protection from pregnancy, and the manufacturer claims a 100% contraceptive effect due to the effect of a foreign body in the uterus and the action of levonorgestrel in the IUD.

It is interesting that after extracting the helix, the ability to conceive from a woman is restored within 12 months, and the potential conception may occur already in the first cycle after extracting the helix.

disadvantages

Like any intrauterine system, Mirena can fall out of the uterus. Such a spontaneous loss of the system is called expulsion. The risk of expulsion increases with abnormal development of the uterus, the presence of pathological inclusions in its cavity, inflammatory processes of the uterus, operated and deformed cervix, improper introduction of the IUD, the patient's use of hygienic tampons.

For the introduction of the intrauterine device, it is necessary to prepare the uterine cavity - polyps, synechiae, submucous fibroids, foreign bodies must be removed. In the presence of such formations of the uterus, the risk of IUD expulsion and septic complications increases significantly.

Before the introduction, it is required to exclude the inflammatory processes of the female genital sphere - donate smears and study the results of the endometrial biopsy. It is also absolutely necessary to exclude cancer and precancerous diseases of the endometrium, breast and other female genital organs.

Since the hormones are still released, albeit in small quantities, into the systemic circulation, therefore, the side effects we have indicated earlier may also occur. The most frequent of them are: headaches, changes in mood and sexual desire, excessive greasiness of the skin. Also an unusual side effect is the formation of functional ovarian cysts.

Rarely, but unpleasant technical complications associated with the procedure of introducing the system into the uterine cavity are possible - painful sensations, bleeding from the chaff, infectious complications, and perforation of the uterine wall.

Application

Many patients had the experience of introducing and wearing intrauterine systems with contraceptive purposes. Basically, the technique and the essence of introducing and wearing the hormonal coil in endometriosis is no different. Briefly describe the procedure.

The least traumatic to enter the intrauterine system during menstruation. During this period, the cervical canal is ajar and the conductor passes easily and painlessly.

Introduction Mirena is a quick and simple procedure that can be carried out in the antenatal clinic. The procedure does not require special preparation and pain relief. Sometimes doctors use lidocaine spray on the cervix. The patient should bring a towel, napkins and a pad.

The woman is placed on the gynecological chair, the doctor takes her in the mirrors and fixes the cervix, she passes her canal with a uterine probe. Next, the system is withdrawn from the sterile package in a conductor, the conductor is inserted into the uterus and the system is released.

In the cervical canal there remain threads or whiskers of a helix, which the doctor cuts to the optimum length. These mustaches can be monitored by the woman herself or the doctor during the examinations, and the Navy will be removed for them later. The instruments are removed, the woman can leave the hospital under conditions of her well-being.

In conclusion of this article, I would like to say that the medical coil is a really effective and reliable remedy for the treatment of gynecological diseases, leading to uterine bleeding. But like any remedy, Mirena should be recommended by a doctor after a thorough examination of a particular patient.

Advantages and disadvantages of the method

The use of the German spiral Mirena in the complex therapy of endometriosis has supporters and opponents. Opinions are ambiguous, because the technique has its pros and cons.

The advantages of the Navy include:

  • contraceptive efficacy
  • high-quality therapeutic effects
  • reduction of blood loss during menstruation.

These facts are fundamental in the appointment of Mirena to women with endometriosis. The disadvantages of the technique are the high cost of the device, the presence of side effects, possible changes in the menstrual cycle.

It should be noted that the disadvantages are indirect, because the purchase of hormone pills each month in total will be more expensive than Mirena alone for five years. Side effects after 1-2 months pass without outside intervention. Changes in the menstrual cycle are reduced to reduce bleeding, which will have a positive effect on patients with anemia and low hemoglobin.

To prevent the development of complications after the IUD installation, it is necessary to carry out preventive measures. They consist in systematic visits and consultations with a doctor. Contact for a routine inspection should be a week after the manipulation, then a month later, then six months later.

Mirena is prescribed to women of reproductive age, as well as during the period of premenopause and menopause. In such cases, the device helps to cope with the unpleasant symptoms of aging and depression of sexual function. For women over the age of 50, the helix is ​​not used if their pathologies of the cardiovascular system, severe diabetes mellitus and cancerous tumors are noted.

In order to better understand how the Mirena Navy works during the premenopausal period, it is necessary to carefully study the feedback from those who have coped with the pathology, eliminating dangerous health consequences.

Zhanna, 39 years old

“Endometriosis was discovered after I went to the clinic with heavy bleeding for three weeks. Mirena has been with me for 9 months now. Adaptation lasted no more than three months, during this period I felt nauseous and depressed. Today I feel great and do not observe any side effects. I was very afraid that due to hormones I would lose my figure. Everything turned out to be exactly the opposite: in the first half of the year, she lost about 5 kg, now the weight is kept at a new mark. ”

Julia, 42 years old

“I suffered from a violation of the menstrual cycle. Delays of 2-3 months were followed by profuse bleeding with acute pains in the lower abdomen and back. A friend said: "Put Miren, she helped me with myoma." I had not heard of her before, so the first thing I decided to consult with my doctor. Gynecologist discovered endometriosis. I had a thorough examination, because it was necessary to exclude contraindications. Everything turned out normal, set the spiral. I got used to her for about two months, now I go with her for six months. The result is happy, the pains have passed, the cycle has returned to normal. I go to the doctor twice a year for prevention. ”

Natasha, 28 years old

“A few months ago I went to the gynecologist for an examination, and then I was diagnosed with mild endometriosis. The doctor recommended the spiral to Miren, since it is not only a treatment, but also a great way to prevent unwanted pregnancy. After installation for three months, everything was more or less good, except that sometimes a headache, mood swings appeared. In addition, the duration of menstruation has also decreased significantly, and the pain has practically disappeared. But in the fourth month, I began to suffer from severe cramping pain. They were so strong that I could not get out of bed. Appealed to the gynecologist, I was told that the spiral partially fell out. Now I do not know whether to carry out the procedure again or refuse. ”

What is endometriosis?

This term refers to the proliferation of endometrial tissue outside the uterus. Normally, the inner surface of the genital organ is covered with a special epithelium, which is rejected monthly. The main task of the endometrium is to ensure gestation in the event of a possible pregnancy. With the development of endometriosis, areas of the uterine mucosa are found outside of it, where they should not be. These foci are subject to all cyclic changes occurring with the endometrium, which explains the clinical picture of the disease.

Endometriosis is divided into two types:

  • Genital - foci are detected exclusively in the pelvic organs: uterus, appendages, on the peritoneum, in the vagina.
  • Extragenital - heterotopies are found outside the reproductive organs. Rare form, occurs in 5% of cases.

Genital endometriosis is classified as follows:

  • Internal - endometriosis of the uterus, or adenomyosis.
  • External - endometriosis of other pelvic organs.

The exact cause of endometriosis has not been established. A certain role in the development of the disease is given to hyperestrogenia, a condition in which the level of the female hormone estrogen is elevated. Attention is paid to the theory of throwing menstrual blood into the fallopian tubes and pelvic cavity, as well as heredity.

The symptoms of endometriosis depend on its location:

  • With adenomyosis, there are abundant and painful menstruation, bloody discharge appears before and after menstruation.
  • With the location of lesions in the ovaries, infertility becomes the main symptom.
  • Endometriosis of the fallopian tubes, vagina, peritoneum leads to the appearance of constant pain in the lower abdomen and lower back. The pain increases during menstruation.

In the treatment of endometriosis at the initial stages, hormonal preparations are used, and the intrauterine system Mirena deserves special attention. In the absence of the effect of therapy, surgery is indicated.

How does Mirena work in endometriosis?

Mirena is a T-shaped spiral capsule, inside which is the hormone levonorgestrel. This hormone belongs to the gestagens and when ingested does not allow the endometrium to grow. The drug is released gradually in a strictly defined dosage over 5 years. After the specified period, the intrauterine system is terminated, and its replacement is necessary.

The peculiarity of the Mirena Navy is its exclusively local impact. Levonorgestrel does not penetrate the systemic circulation and does not cause those side effects that are characteristic of gestagens. In addition to the main effect on the foci of endometriosis, Mirena has other positive effects:

  • Normalization of the menstrual cycle.
  • Reducing the amount of discharge during menstruation.
  • Elimination of pain (including during menstruation).

The intrauterine device Mirena is also used in the treatment of uterine fibroids.

Observation after installing Mirena

The intrauterine system Mirena is placed on the 3-5th day of the menstrual cycle directly during bleeding. During this period, the cervix is ​​slightly open, and the helix easily enters the cavity of the genital organ. The installation scheme of Mirena does not differ from that for other intrauterine devices:

  1. The woman is located on the gynecological chair. The doctor treats the external genitals with an antiseptic.
  2. Mirrors are inserted into the vagina. The cervix is ​​treated with antiseptic solutions and captured by bullet forceps.
  3. The doctor probes the uterus and evaluates its length.
  4. A spiral placed in a conductor is inserted into the cervical canal without its extension. The movement of the IUD piston is gradually shifted into the uterine cavity. The conductor is removed.
  5. In the vagina are the threads of the spiral, which allow to control its location. For these threads the IUD is removed from the uterus.

After the introduction of the helix, sex life and intense physical exertion are prohibited for 7 days. A week later, a woman should appear at the doctor's office. The doctor will check the presence of the spiral threads and make sure that Mirena is installed correctly. After inspection, sex is permitted without the use of additional contraceptives.

The next control examination is carried out in 1 month (after the next menstruation). It is important to remember that on the background of Mirena menstruation may not be at all, and this is quite normal. The absence of menstruation is associated with the suppression of the endometrium by the hormone levonorgestrel. Proliferation is reduced so much that there is simply nothing to reject. Menstruation becomes scarce or disappears altogether. The inhibition of proliferation of the mucous layer of the uterus explains the therapeutic effect of Mirena in endometriosis.

Check-ups with an established intrauterine device are carried out every 6 months regardless of the presence of complaints.

Removing the helix is ​​carried out after 5 years or earlier as needed. The reason for the removal of the IUD may be the desire of a woman to conceive a child. Pregnancy occurs within 3-12 months after removal of Mirena. It has been observed that prolonged use of a hormone-containing helix does not adversely affect the fertility of a woman and does not interfere with the successful bearing and birth of a child.

It is important to remember: Mirena spiral is not used in advanced cases of endometriosis. Where the hormones are not effective, the IUD will not cope, and one cannot do without an operation. For this reason, do not delay with the treatment of endometriosis. If any irregularities in the menstrual cycle occur, you should consult a doctor as soon as possible. This is the only way to avoid complications and cope with the negative manifestations of the disease in the early stages.

Author: obstetrician-gynecologist Ekaterina Autumn

Spiral features

The intrauterine hormone-containing contraceptive is a T-shaped device made of white plastic, 3-5 mm in size. In the middle of the drug is a recess filled with the hormone levonorgestrel.

With the gradual release (11-15 mg / day), the active substance relaxes the uterus, prevents the compression of the reproductive organ, inhibits the increase in endometriotic tissue, increases the density of the vaginal secretion, preventing the sperm from moving through the fallopian tubes.

Оплодотворённая яйцеклетка не может прикрепиться в маточной полости и выходить наружу во время менструального кровотечения.

Особенности гормональной ВМС:

  • наличие левоноргестрела, нормализующего гормональный фон,
  • contraceptive effect for 5 years from the time of establishment,
  • ability to stabilize the menstrual cycle
  • an obstacle to the development of pathological conditions of the female genital region, caused by the predominance of estrogen in the blood fluid,
  • elimination of heavy monthly female bleeding, dysmenorrhea,
  • restoration of fertile function within 2 months from the moment of device removal.

Components:

  • T-shaped polyethylene trunk,
  • barium sulfate, constituting 20-29% by weight of the product,

  • plastic thread coated with 1% amphoteric iron oxide,
  • membrane with a central part, made of polymethylsiloxane rubber,
  • levonorgestrel (progesterone) - 52-53 mg,
  • Polysorb - 35-45% by weight of the product.

Release form

The intrauterine hormonal contraceptive includes a white elastomeric core enclosed in an opaque membrane located on a T-shaped device. Inside the capsule is placed levonorgestrel.

At the top of the Navy there are hangers, at the bottom there is a thread to extract the medication. The spiral is packed in a conductor tube, protected from foreign impurities. Sold in disposable containers.

Spiral Mirena - indications for use

The spiral is recommended to be installed when:

  • the need to prevent conception,
  • severe pain syndrome that occurs during critical days,

Mirena's spiral is shown in uterine myoma

  • treatment aimed at slowing the growth of myoma nodes,
  • prevention and treatment of endometrial hyperplasia,
  • conservative treatment of uterine fibroids, accompanied by vaginal bleeding and pain,
  • regulation of hormonal background, prevention of possible dysfunctions of the female genital area, arising in the pre-climax period,
  • elimination of enhanced growth of endometriotic tissue, the risk of atypical cells in the resulting tumor.

Complications with improper installation Mirena

Only a gynecologist after a visual examination, clinical diagnostic examinations, ultrasound diagnosis of genitals should install the coil.

Hormonal IUD is introduced in the doctor's office for 2-3 days from the start of the menstrual cycle to achieve a full contraceptive effect. After the introduction of a re-inspection is needed after 7 days to control the location of the spiral.

In case of improper installation the appearance is possible:

  • Severe vaginal bleeding, accompanied by fever, spasmodic pains in the lower abdomen.
  • Breaking the uterine wall.
  • Uterine cervix rupture. This pathological dysfunction is diagnosed in women who have not previously had children.
  • Vasogal reaction. Psychological pathology, manifested in the form of fainting, nausea, occurring with the introduction of contraceptive.
  • Dysuria - the process of urination, accompanied by severe pain, cutting, burning.
  • Purulent discharge from the vagina.
  • Spiral fallouts.
  • Pathogenic bacteria on the internal genitals.

Abundant discharge after the installation of the spiral

From the moment of its establishment, a change in the menstrual cycle begins. The first 3-4 months of menstrual bleeding can last more than 8 days, accompanied by the release of blood liquids 2 times higher than normal.

A similar phenomenon is the body's reaction to a foreign body, the process of habituation to the action of levonorgestrel. Dysfunction does not require medical adjustment. After the end of the 4th month of using an IUD, the body adapts, the duration, the abundance of menstruation begins to gradually decrease.

7 days after the contraceptive is necessary to consult a doctor and undergo a visual-palpation gynecological examination for exclusion:

  • perforation of the uterine wall,
  • pregnancy developing in the fallopian tubes,
  • spontaneous miscarriage caused by setting the Navy,
  • rupture of the cervix.

These pathological conditions are accompanied by fever, severe pain in the lower abdomen, and large blood loss. A second visit to the doctor is required after a month since the introduction of the contraceptive.

While maintaining abundant blood discharge after 4-7 months, the gynecologist diagnoses individual intolerance, removes the helix, offers other options for protection from unwanted conception.

During pregnancy and lactation

The use of Mirena spiral is strictly contraindicated for women who are expecting a child.

An intrauterine contraceptive can provoke:

  • spontaneous abortion,
  • septic shock,
  • preterm labor,
  • infectious complications in the postpartum period.

The hormone contained in the spiral acts on the fetus, which can lead to pathological defects of the embryo.

When using a spiral, the possibility of attaching the ovum to the uterus is very small. If the contraceptive is displaced incorrectly, the probability of conception increases. Termination of menstrual bleeding, accompanied by the attendant signs of pregnancy, requires immediate medical examination.

The statement of conception is accompanied by the immediate careful removal of the spiral. The process of removing the device is associated with the risk of abortion. If it is impossible to eliminate the spiral, the desire of the woman to save the child, the 9-month period passes under strict medical supervision due to fear of septic abortion, premature birth, infection of the mother and child.

Mirena Spiral is recommended as a contraceptive for HS

The spiral is allowed for use in 7-9 weeks from the moment of birth of the baby. Mirena is suitable for protection from conception during breastfeeding. According to the study, no more than 0.1% of the hormone enters the mother's milk. This dosage does not harm the newborn.

Hormonal coil against menopause diseases

Mirena (reviews of women over 40 years old characterize the drug as an innovative medical method to combat genital pathologies caused by hormonal disturbances in the pre-climax period) recommended during menopause, since there is a large release of estrogen, a decrease in progesterone production.

From 45-50 years the gynecologist advises to use a spiral for:

  • Protection from unwanted pregnancy. At the beginning of menopause, the female fertility function is high. The risk of conception is large enough regardless of the presence of monthly bleeding.

Independently determine pregnancy after 45 years is almost impossible. The test will not give an accurate result due to changes in the level of hCG concentration in the urine. The introduction of the spiral will allow you to enjoy sex life without worrying about the consequences.

Mirena (feedback from women after 40 years of confirmation) normalizes the level of progesterone in the body, thereby preventing sexual pathology

  • Normalization of progesterone levels, eliminating the pathological conditions of the female internal genital organs, caused by increased production of estrogen. Under the influence of levonorgetrel, the growth of endometrioid tissue is slowed down. The risk of developing malignant neoplasms is reduced.

Mirena is used during menopause for the treatment of:

  • endometriosis,
  • myomatous nodes
  • vaginal bleeding caused by the appearance of benign tumors,
  • endometrial hyperplasia of the tissue.

Mirena and uterine myoma

Mirena (reviews of women over 40 years old who use IUDs for treating uterine fibroids, describe the positive effect of contraceptive therapy) causes a benign neoplasm that grows as the progesterone level in the blood decreases, dissolves.

With a slight compaction, the absence of direct indications for surgical removal of the uterus, the gynecologist recommends the establishment of the Mirena helix.

Levonorgestrel, which is contained in the container of the T-shaped device, gradually stands out, normalizes hormonal levels, eliminates disorders caused by an excess of estrogen. Due to its location, the drug affects only the uterine cavity, eliminating the causes of the appearance of pathology.

Therapeutic effect:

  • inhibits the development of nodules, stops the enhanced division of tumor cells,
  • reduces profuse vaginal bleeding, removes encircling pain in the right lower abdomen,
  • prevents the transition of a tumor to a malignant one.

The spiral is introduced for up to 5 years. After removing the device, the disease may relapse. To avoid it, it is recommended to re-establish the contraceptive.

Mirena and endometriosis

Endometriosis is a pathological condition of the internal female genital organs, caused by hormonal disorders, provoking a strong growth of endometrial tissue. The main complication of the disease is infertility. In the early stages of the disease, patients are assigned the Mirena IUD installation.

Due to the content of levonorgestrel, gradually released into the body, with the introduction of contraceptive:

  • the menstrual cycle is being established,
  • endometrial cell growth stops,
  • blood loss is reduced,
  • pain during monthly bleeding disappears.

When a disease is detected in a timely manner, the installation of the spiral contributes to the complete cure of the patient.

Endometrial hyperplasia

Mirena (reviews of women after 40 years of age give a positive characteristic of the drug for the conservative treatment of endometrial hyperplasia) is used in the treatment of pathology, which is accompanied by a strong proliferation of tissue located in the genital organ.

The main cause of the disease is hormonal failure of the body.triggered by a decrease in progesterone levels in the blood.

In 40% of all established cases of the disease, atypical cells are found in the tumor. The helix is ​​recommended for conservative therapy in women in pre-climax syndrome.

Unlike hormonal contraceptive tablets, Mirena allocates levonorgestrel dosed (11-15 mg / day), which makes it possible to control the flow of the drug, to monitor the state of the tumor.

Therapeutic effect of the IUD:

  • relieves pain,
  • normalizes the menstrual cycle
  • stops bleeding between critical days,
  • regulates hormones,
  • interferes with the active growth of endometrial tissues,
  • prevents the appearance of atypical cells, stops the development of a precancerous condition.

In the initial stages of detection of the disease, the delivery of the helix enables the woman to avoid amputation of the uterine cavity.

Benign tumor

After 40 years of age, a benign neoplasm is found in 30% of women.

Mirena Spiral Installation helps:

  • reduce pain that occurs in the lower abdomen during tumor growth,
  • eliminate bleeding that appears after 4-5 days from the end of the menstrual period,
  • prevent large blood loss during long and heavy critical days,
  • normalize hormones, stabilize progesterone levels in the female body,
  • stop the growth of tumors, reduce its size,
  • Prevent the transformation of tissue cells into atypical ones.

Installing the hormonal coil at stages 1 and 2 of the disease ensures complete elimination of the tumor. When removing the contraceptive possible relapse pathology. To eliminate it will help the timely replacement of the device after the end of life.

Ovarian cyst formation

The ovarian cyst is one of the dysfunctional states of the female genital area, which is possible when using the Mirena helix. This side effect is found in 12% of women using a hormonal IUD.

With the appearance of the disease, an urgent need to extract the drug. A cyst formed under the action of a contraceptive resolves within 3-4 months from the moment of withdrawal of the drug.

At this time it is required to visit the gynecologist on a monthly basis.a, undergo ultrasound, clinical and diagnostic examination of blood, urine. If the disease persists, laparoscopic surgery is prescribed after 4 months.

Uterine bleeding with menopause

The hormonal coil has a beneficial effect on uterine bleeding during menopause. One of the symptoms of the restructuring of the body is metrorrhagia, which appears in 25% of women.

The installation of the Navy helps:

  • regulation of hormonal levels, stabilization of estrogen and progesterone levels in the blood liquid;
  • elimination of bleeding,

  • prevents the growth of pathological processes in the female genitalia that occur after 40-45 years.

The use of Mirena for the treatment of adenomyosis

Adenomyosis is characterized by the proliferation of endometriotic tissue deep into the layers of the uterine cavity. Pathology is hormone-dependent. In the treatment of used drugs containing progesterone. The most effective means of eliminating the disease is the Mirena helix.

Due to the daily release of levonorgestrel in small doses, this therapy is most effective, as it acts directly on the site of pathology, eliminates treatment failure caused by the omission of the pill, the possibility of an overdose of active substances.

The establishment of the ISC helps:

  • stop the growth of endometrial tissue,
  • prevent tumor cells from degenerating into malignant,
  • reduce blood loss and iron deficiency anemia resulting from heavy menstrual bleeding,

  • reduce pain,
  • normalize the body's hormonal balance.

How often to visit the doctor after installing the spiral

The spiral is established by the gynecologist after passing:

  • visual palpation examination on the chair,
  • clinical and diagnostic studies including OAK, OAM, hormone analysis, cytology smear, genital infections,
  • Ultrasound examination of organs located in the pelvic area.

The drug is administered by a specialist. With the appearance of pain may require the use of local anesthetic. The IUD is introduced into the uterine cavity for 3-4 days after the start of the menstrual cycle when used for contraceptive purposes, for the treatment of pathologies of the female field area, the helix can be installed at any time.

After 7-8 days, you need to visit a doctor to control the location of the device in the uterus. The next visit is required in a month. After 30 days it is recommended to make a control ultrasound.

During the conservative therapy, the woman must visit the gynecologist on a monthly basis.if the specialist does not set other deadlines. When using the IUD for contraceptive purposes, the location of the helix should be monitored at least once every 5-7 months.

Is it possible to lose weight from the spiral Mirena

After 45 years, metabolism in the body slows down, resulting in an involuntary increase in body weight. Women using Miren's IUD, noted a tendency to gain weight after the establishment of a spiral. About 10% of patients recovered by more than 5 kg.

According to laboratory tests hormonal drug has a side effect that promotes weight gain.

In order to avoid weight gain after installing the Navy, experts advise to play sports in moderation.

This pathology can be avoided by observing certain rules:

  • maintaining a healthy lifestyle,
  • restriction of sweet, flour dishes, confectionery,
  • sports loads, in moderation.

Hormonal IUD Mirena - a unique drug that has contraceptive and therapeutic effects. According to reviews of women older than 40 years of age, the use of a spiral protects from unplanned pregnancy, helps to cure dangerous pathological processes developing in the female genital area, caused by the hormonal imbalance of the body.

Article design: Natalie Podolskaya

Instructions for use of the Mirena intrauterine device

Mirena is an intrauterine therapy system, the main active ingredient of which is the levonorgestrel. The intrauterine system is a conductor tube into which hormonal elastome placedR. Due to the permeable membrane, levonorgestrel is released gradually, reaching a therapeutic concentration in the woman’s body.

Levonorgestrel, in the amount of 52 mgIt has a directed progestogenic effect. In this dose, the drug directly enters the uterine cavity, which allows to achieve maximum concentrations at extremely low daily doses.

When applied Mirena celebrated slight morphological change in the structure of the uterus, due to its anti-profilerative action. Levonorgestrol, being a hormonal contraceptive, contributes to the thickening of the mucous membrane of the cervical canal, thereby preventing fertilization.

In 50% of cases, there is a decrease in ovulation.

The initial concentration of the active substance makes only 20 mkg a day. Due to this amount, the systemic effect of the drug is expressed slightly.

The main contraindications to receive Mirena

Contraindications to the use of intrauterine therapeutic system Quite a lot, so before setting the helix, it is necessary to consult a gynecologist. The main ones include:

  • Diseases of the genitourinary system, mainly the lower divisions.
  • Malignant tumors, including breast cancer.
  • Индивидуальная непереносимость компонентов терапевтической системы.
  • Chronic liver diseases, including a history of hepatitis A and B.
  • Cervical dysplasia.
  • Progressive diseases of the genital organs.
  • Pregnancy and lactation. It has been proven that levonorgestrol passes into breast milk, but no teratogenic effect on the baby has been found.

Doctors reviews about the drug Mirena

From a medical point of view, Mirena’s intrauterine treatment system is one of the most modern and effective means, both as a contraceptive and in the treatment of endometriosis. Most experts have noted regressive changes in ectopic endometrial tissue during the first two years after the helix has been set.

The mechanism of action of the spiral

Mirena is a hormonal contraceptive that acts locally. The helix contains small doses of levonorgestrel. This substance belongs to the group of gestagens.

Levonorgestrel enters the body of a woman dosed and has the following types of therapeutic and contraceptive effects on him:

Suppression of estrogenic activity on the background of endometriosis, due to which it achieves a pronounced antiproliferative effect.

Suspending the ovulation process while maintaining ovarian function and normal estradiol levels in the blood.

Inhibition of the function of the corpus luteum.

Deterioration of blood flow in the endometrium.

Thickening of mucus in the cervical canal.

Changes in the structure of the internal uterine wall, which leads to the appearance of scanty menses or their absolute absence.

Mirena not only treats endometriosis, but does not allow a woman to become pregnant. Therefore, the helix is ​​an excellent solution for those patients with endometriosis who wish to protect themselves from conception.

The spiral is set for 5 years, which allows for a rather long period of time to get rid of the need to take oral contraceptives and use barrier methods of protection. This is very convenient for women who do not plan pregnancy. However, it should be understood that Mirena is not just a spiral, but also a drug, and a hormonal group. Therefore, you should not make a decision on its installation. You need to consult with your doctor and find out whether there is a need for the introduction of such a drug into the body. It is important to evaluate all possible risks and complications from using Mirena.

What is the Mirena spiral?

The appearance of the spiral resembles the letter "T". It is placed in the conduit tube. The core containing the hormone has a white color. An opaque membrane controls the flow of levonorgestrel. On one side of the helix there is a loop, which is necessary for its extraction. On the other hand, the structure is provided with hangers, with the help of which the helix is ​​fixed in the uterus.

Who shows the installation of Mirena helix?

Spiral Mirena is well suited for women diagnosed with endometriosis at an early stage. Pathological foci of inflammation under the action of a hormonal drug will gradually fade away and will regress.

It is not recommended to put Mirena spiral to those women who plan to conceive a child in the near future.

The helix can be set both for patients of reproductive age and postmenopausal women suffering from endometriosis. Wearing Mirena is possible against the background of the woman undergoing hormonal treatment, but on condition that the scheme does not contain gestagens. The spiral is set for up to five years.

Experts recommend this spiral to women after undergoing surgery to remove foci of endometriosis (provided that there is no contraindication to its introduction).

Studies and analyzes before installing the spiral:

General examination by a therapist.

Examination on the gynecological chair.

Ultrasound of the pelvic organs.

Ultrasound of the mammary glands.

Cervical smear test.

The exclusion of the presence of genital infections in women.

Installation spiral. The doctor should have a Miren who has experience installing intrauterine devices. The doctor is obliged to open the packaging only before the device is introduced directly into the woman’s body. The entire procedure must be carried out under sterile conditions. A spiral is inserted into the uterine cavity. The whole procedure takes place almost at lightning speed and does not take more than 30 seconds.

It is allowed to install the helix immediately after the transferred abortion, or 6 weeks after the birth of the child.

Removing helix. Mirena should be removed from the body by a doctor. To do this, the doctor gently pulls it out of the thread, using special forceps for this purpose. When the filaments are not visible due to their location in the uterus, a special traction hook is used to remove the helix. If necessary, the cervical canal is dilated.

Pros from the use of Mirena

    Elimination of painful and heavy bleeding during menstruation. During the period of use of the spiral, women note that menstruation becomes scarce or stops altogether. This happens under the influence of a medicinal substance that Mirena secretes. This effect should be considered as positive, because due to the suppression of ovulation, it will be possible to get rid of the proliferation of new foci of endometriosis and to provoke atrophy of existing proliferations. By the end of the third month of use of the helix, the amount of menstrual bleeding is reduced by 88%.

    Due to a pronounced decrease in blood loss, women manage to get rid of iron deficiency anemia.

    The severity of dysmenorrhea while wearing Mirena is reduced.

    While using the helix, a woman will be able to forget what menstrual pains are. They will be less and less intense with each month. After some time, the pain does not stop bothering at all. In parallel, the pains provoked by overgrown foci of endometriosis will go away.

    The benefits of using Mirena helix to treat endometriosis are obvious. After all, a woman does not have to drink pills every day, trying not to miss the next dose of the drug.

    The spiral has only a local effect on the body. The drug gets "right on target", so it requires a very small amount. In this regard, you can not fear the high risk of side effects such as weight gain or problems with veins. Achieving high concentrations of levonorgestrel in the uterus allows the endometrium to be immune to estradiol.

    A woman does not have to spend money on the purchase of expensive contraceptive drugs.

    The installation of the spiral is very simple and takes several minutes.

    Overdose of the drug is excluded, since the levonorgestrel is released from the capsule continuously in small portions.

    Side Effects of Using Mirena

    The most frequent side effect from the use of the intrauterine device of a woman is the appearance of spotting in the middle of the cycle. They are observed in 10% of all patients, but after 3 months after installation, the device disappears. It is also possible the formation of benign ovarian cysts, which over time tend to self-resorption.

    Some women report decreased libido, worsening of mood, increased nervousness, headaches, nausea, back pain. You may experience acne, breast tenderness and weight gain. However, after stabilization of the hormonal background, these side effects disappear.

    Important recommendations

    Although the use of the spiral is quite well tolerated by women, however, do not forget about its presence in the body.

    If the following conditions occur, consult a doctor:

    Migraine-type headaches that were not previously disturbed by a woman.

    Yellowing of the skin.

    Disorders of blood formation. The use of the spiral must be abandoned in the event of a stroke or heart attack.

    If a woman becomes pregnant while using the helix, the device should be removed as soon as possible. Otherwise, it can lead to miscarriage. If it is impossible to carefully extract the helix, there is reason to consider the question of induced abortion.

    1-3 months after the introduction of the helix, the woman must visit the doctor and be examined. In the future, shown annual observation by a gynecologist.

    If, after removing the helix, the woman wants to continue using it, then the introduction of a new device is possible immediately.

    It should be remembered that the use of Mirena helix does not reduce the risk of infection with genital infections.

    The helix is ​​not suitable for the treatment of endometriosis in an advanced stage, since its use will not bring the desired effect.

    Article author: Lapikova Valentina Vladimirovna | Gynecologist, fertility specialist

    Education: The diploma “Obstetrics and Gynecology” was obtained at the Russian State Medical University of the Federal Agency for Healthcare and Social Development (2010). In 2013, graduate school in NIMU named after. N.I. Pirogov.

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