Hormonal IUD is peaceful. Wife's health

The intrauterine device Mirena is a highly effective contraceptive, which can, in addition, be a joyful injection. The manufacturer of this drug is the Finnish company Bayer, which has a representative office in Germany. For anatomical and therapeutic classification, please refer to plastic intrauterine devices with progestogens. The only substance that emerges from the spiral is levonorgestrel. 20 mcg of this hormone is seen daily.

What is the drug

The Mirena hormonal spiral consists of a core covered with a hormonal-elastomer resin, molded onto a T-shaped body. The contraceptive is covered with a membrane on top, which gradually releases hormonal hormones at a rate of 20 mcg over 24 years. The rate of vision gradually changes and after 5 years it reaches 10 mcg in 24 years.

There is a loop at the free end of the body; threads are attached to it to help draw the spiral. The entire structure is placed near the conductor tube.

Mirena spiral storage: one contraceptive contains 52 mg of levonorgestrel. In addition, the stock includes 52 mg of polydimethioloxane elastomer - a neutral resin, which is also a reservoir for varnishes.

One contraceptive is included in the package. The inner packaging is sterile, so it is not possible to install a spiral, as the outer coating is damaged.

Effect on the body

Intrauterine hormonal secretion Mirena sees levonorgestrel in an empty uterus. In this case, the presence of gestagen is very low, but not in the middle of the uterine mucosa instead of the hormone. Likas are consumed very little at home, practically without causing systemic effects. Vine does not affect lipid metabolism, does not cause a significant shift in blood sugar and arterial pressure, and does not cause the throat to burn. Therefore, in healthy wives, Miren’s stagnation is practically safer.

Levonorgestrel reduces the sensitivity of state receptors to both gestagens and estrogens. In this case, the endometrium becomes insensitive to estradiol, ceases to proliferate (grow) and excrete. The result is a swelling of the endometrial ball. This is the main mechanism of contraceptive and medicinal infusion of the drug.

The mother has an insignificant local connection to an external body. The cervical mucus thickens, making it harder for sperm to enter the empty organ. Mirena also reduces the looseness of the mother and tubes. In some women, this will probably suppress ovulation. In this way, a full-fledged contraceptive effect occurs.

The drug influences hormonal regulation: under its influence, the pituitary gland experiences a decrease in the production of luteinizing hormone.

Vaginism after hair removal in 80-90% of women becomes fatal.

In the first few months of pregnancy, the endometrium undergoes proliferation (cyclical growth), as a result of which there is a risk of increased blood flow due to state problems. Frequently, discomfort and the obligation of menstruation shorten, as a result, menstruation with the Mirena spiral is either scanty or daily. During this process, the ovaries function normally, and a sufficient concentration of state hormones is maintained in the blood, first before estradiol. Within a few days, ovulation and body regression begin.

Analogs of the intrauterine therapeutic system Mirena daily. As an alternative to using combined drugs levonorgestrel and estrogens for internal use. This hormone is, in fact, only used for postcoital contraception.

Showing before stagnation

The Mirena intrauterine device becomes stuck in the following situations:

• fear of vagusness;
• Idiopathic menorrhagia;
• acceleration of hyperplastic processes in the endometrium (its supernatural growth) during treatment with estrogens.

One of the main indications before constipation is idiopathic menorrhagia. This is where clear bleeding occurs due to endometrial hyperplasia. It is associated with cancer of the uterus, cervical cancer, as well as diseases with disorders of the throat (vollebrand's disease, thrombocytopenia). After a period of stagnation, blood loss is reduced by half, and after two days the effect can be equalized from the visible parts of the uterus.

With (submucosal) uterine fibroids, the effect is less pronounced. However, stagnation of Mirena can reduce the severity of pain during menstruation, as well as change the manifestations of mucus-deficiency anemia. The Mirena spiral for endometriosis has a pronounced effect, resulting in atrophy of the endometriotic fossa.

The T-like spiral base contains barium sulfate. It is visible during X-ray examination, for example, computer tomography. Is it possible to have an MRI? Thus, there are no contraindications for any other diagnostic procedures when installing the Mirena system.

How can a Mirena spiral be placed for mastopathy? This illness is not contraindicated, except breast cancer.

Method of curing

If it is administered intrauterinely, its term is no less than five years. Levonorgestrel is administered at a dose of 20 mcg per dose, gradually changing to 10 mcg per dose. The average dose of levonorgestrel, which a woman takes per day, is 14 mg of the hormone.

Mirena can be combined with any drugs for mixed hormonal therapy (tablets, plasters) to remove the deprivation of estrogen.

What can be done with the Mirena spiral?

Vagism can occur in one in 500 women, who will suffer from this fate. Over five years of stagnation, vaginity occurs in 7 women out of 1000 who use contraceptives.

What day should the spiral be inserted into the cycle?

This method of contraception should be administered on one of the first 7 days after the onset of menstrual bleeding. You can get it immediately after the abortion. Replacing the spiral with a new one is carried out every day of the cycle.

During the postnatal period, the involution of the uterus should be completed, so that it will shorten to normal size. Please note that it will be announced one month after the end of the period. If the reversal development of the increase, the doctor includes post-pologous endometritis. Mirena is inserted when the uterus is completely rejuvenated.

If you want to protect the endometrium during estrogen treatment, you can introduce it during menstruation. If the patient is saved from menstrual bleeding, the IUD should be inserted on the first day.

If there is pain or bleeding before the injection or after the injection, it is necessary to immediately cover the patient to stop uterine perforation.

Introduction of spirals

The introduction of the spiral may result in good preparation of the fahivet.

Necessary investigations before installing the system:

• external blood tests, cuts;
• a significant level of human chorionic gonadotropin to turn off vagusity;
• gynecological examination; court investigation;
• look at the lining of the chest creases;
• smear analysis from the surface of the neck;
• tests for infections that are transmitted through human contact;
• uterus and appendages;
• expanded.

The contraceptive should be administered during the ignition process of the sechostatic organs, satisfactory sexual activity, and normal body temperature.

Technique for introducing the Mirena spiral

Insert a vaginal speculum and apply an antiseptic solution behind the tampon. In an empty uterus, a guide is placed through the cervical canal - a thin plastic tube, and the spiral itself is passed through it. Be careful to ensure that the “shoulders” are properly aligned in the mat, so as not to allow a fleeting appearance - an expulsion of the spiral.

Why is it more painful to install the Mirena system?

The introduction of the spiral may be sensitive, but may cause severe pain during the day. When pain sensitivity increases, local anesthesia of the cervix is ​​not switched off. If the cervical canal is sounded or there are other problems, it is better not to insert the contraceptive “forcibly”. In which case, under local anesthesia, it is better to widen the cervical canal. Spiral Mirena is a friend for the first time, so you can remove the reservoir with hormonal secretions.

After getting rid of the cat, the woman spends the rest of her day stretching out. At this time, she may experience confusion, weakness, sweating, and decreased arterial pressure. If after 30 minutes these signs are preserved, carry out ultrasonic testing to ensure that the spirals have been correctly adjusted. It appears that it is not reworked as required.

During the first few days after the introduction of the treatment, itching of the skin, irritation and other allergic manifestations may appear. In this situation, the woman may rush to the doctor. Sometimes allergies can be treated with help. In severe cases, it is necessary to remove the spiral.

The woman may come back for a check-up in a month, then overnight, and then shortly.

As long as the instructions are strictly followed before drying, decomposition after the introduction of the Mirena system is not avoided.

After skin menstruation, the patient must begin to check the presence of the coil threads in the skin, so as not to miss the impulse of the contraceptive. If such a condition is suspected, it is necessary to conduct ultrasound examination.

Visible Mirena spirals

Tighten the spiral by the threads, like snagging with tongs. It is not possible to stop the dilation of the cervical canal and use a contraceptive for additional help. This type of treatment is normally carried out 5 days after administration. For any patient, the spiral will be inserted into the hole.

Remove the contraceptive as soon as possible during menstruation. If you pull out the spiral in the middle of the cycle without installing a new one, the woman can get sick if you pull the tension until the article contact is removed. During these days, there could be congestion, migration of the egg through the tube and exit from the empty uterus, where it could attach. There is little delay in ovulation when the hormonal IUD is tightened.

After discontinuation of the contraceptive, bleeding, discomfort and epileptic attacks may occur in frail patients. Therefore, the procedure can be completed by preparing the medicine with a specialized doctor.

Unbelievable effects

Over the course of the first months, irregular bleeding persists in 2/3 of women, in a fifth the stench becomes intense, and in every tenth patient it becomes rare. Almost every day, patients do not get their periods. Until the end of the first life, most women continue to have rare and irregular bleeding, which occurs in only 16% of patients. All these manifestations are respected as a norm. Reduced blood loss without influx to the hypothalamus and pituitary gland leads to Mireny's benefits and has a beneficial effect.

Side effects from Mirena spirals most often (more than 1% of cases) include the following:

• decreased emotional well-being, even to the point of depression;
• headache and migraine;
• pain in the stomach, lower abdomen, boredom;
• cervical visip, show hirsutism (for example, elements of hair growth of the human type - vusa);
• back pain;
• vulvovaginitis, other infections of the state, severity of mammary tracts;
• guilt, which in most cases will be resolved within an hour without celebration.

Many of these unpleasant symptoms do not require treatment and will go away on their own within an hour.

More rare side effects:

• intolerance, allergic reactions;
• hair loss, eczema;
• arterial hypertension

If you can’t get the drug from Vikorist

Contraindications for Mirena spiral:

• vaginess or insufficiency in this regard;
• infections of the genital and ovarian organs;
• advanced cancer (cervical intraneoplasia stage 2-3) and cervical cancer;
• malignant swelling of the uterus and mammary ovary;
• uterine bleeding of unknown nature;
• deformation of the empty uterus, myoma; The Mirena spiral for uterine fibroids can be installed if the size of the nodes is small, they are expanded into the total myometrium or;
• swelling and other serious liver diseases (hepatitis, cirrhosis);
• century onwards 65 years;
• individual intolerance;
• thrombophlebitis (inflamed veins), thromboembolism of other organs, suspicion of systemic bloodworm.

With great caution, you can use the Mirena system in the following situations:

• transient ischemic attacks, migraine, intense headache attacks;
• high numbers of arterial pressure;
• myocardial infarction;
• severe lack of blood circulation;
• your heart and other valve disorders through the risk of infectious endocarditis;
• Type 1 and type 2 diabetes, especially with a high level of glucose in the blood and complications.

As soon as the IUD becomes pregnant, contraceptives are carefully removed. Because it is impossible, women try to stop vaginal pregnancy. The development of the fetus in the mother, which is the third body, can lead to septic abortion in the 2nd trimester, purulent postoperative endometritis and other important complications. If the vitality is to be preserved, then the child will become increasingly popular without any pain in development. Although there is a high concentration of levonorgestrel in the empty uterus, it rarely flows into the fetus, causing its virilization (increased human signs), because the baby, while developing, is protected by the placenta and fetal membranes.

Women will immediately contact the doctor if they have the following symptoms:

• the daily occurrence of menstruation for every second month to turn off vaguness;
• trival pain in the lower abdomen;
• chills with fever, heavy sweating at night;
• bіl at the state act;
• unpretentious in the style, color and smell of the sights and paths of state;
• increased blood flow, which is seen during the hour of menstruation (sign of spiral expulsion).

However, using current methods of contraception, a woman can not only be protected from the onset of unnecessary vomiting, but also avoid some illnesses. One of the popular treatment options that can give such results is a hormonal IUD. This method of contraception has many positive aspects. The internal uterine device “Mirena” is a new development in this field of gynecology. Let's take a look at the report of this device, and also pay respect to its advantages, shortcomings and strengths of patients.

What is it

One of the most effective ways to control breast cancer - the internal uterine device - is a device that is inserted into the empty uterus and facilitates the passage of human gametes to the egg, preventing their release and cover. Captivity of a fruit egg (embryo).

Installation of the internal uterine system reduces the possibility of infection to a tenth of a hundred. This is especially true for women, since women often give birth to children. Suspension most often takes a T-like shape and is installed on the 3-5th day of the new menstrual cycle. About those who choose this method of healing, only a gynecologist can tell you how happy it is after a woman’s medical treatment.

What is a spiral like?

The main purpose of the internal uterine device lies in the prevented fertilization of the egg and the subsequent attachment of the fertilized egg to the walls of the uterus. As soon as two of the state’s clients have become angry, the system begins to perform an abortifacient. In this case, the hormonal spiral increases the shortening of the uterine tubes, which leads to the rapid entry of the fertilized egg into the empty uterus and further death. After this, the uterus recognizes the “object” as foreign and starts the process of expulsion - the walls of the uterus begin to shrink.

Types of intrauterine devices

In gynecological practice, there are various spirals that are cut in front of the form. The internal uterine system can be loop- and ring-like, in the shape of a spiral or parasol, in the form of letter F. However, devices in the form of letter T are still more popular.

The materials used for production are also varied: copper, silver, gold, plastic. The size of the contraceptive is selected individually for the woman’s skin and depends on the anatomical features of the patient.

The intrauterine device can be hormonal or non-hormonal. In the first stage, the antiplastic effect is ensured by a hormone that is located in the lower limbs, which appears in an insignificant amount. However, a low dose of the hormone increases the thickness of the mucus ball of the empty uterus and interferes with the penetration of human tissues. Spirals prepared from honey and wood are converted to a different, non-hormonal type and impart a galmic effect on sperm. To find out about those with a hormonal device (or a different model), a gynecologist can help.

"Mirena" - a daily method of healing

The intrauterine system "Mirena" is the last achievement of science in gynecology. It has a T-like shape and can be inserted into the empty uterus for a period of time (up to 5 days). The hormonal device "Mirena" (the price of the contraceptive is approximately 12 thousand rubles) contains the hormone levonorgestrel, which produces a gestagenic effect on the local level during post-violation.

Potency of active speech – 52 mg. The hormone begins to be visible immediately after the IUD is placed in an empty uterus. Initially, levonorgestrel is administered at a dose of 20 mcg per dose. This indicator decreases by half until the end of the fifth year after the installation of the internal uterine system. The hormone is practically not absorbed from the bloodstream, so using this method of protection is safe for health.

Features of the Mirena spiral

The hormonal intrauterine device "Mirena" even in the first month of installation further changes the nature of menstruation. In the first month the bleeding may become more severe, but over time (until the end of the first fate) the sights become scanty. These patients indicate the onset of amenorrhea – continuous absence of menstruation.

Due to this therapeutic effect, the spiral is often prescribed to women using medicine. The gynecologist is responsible for checking the contraceptive system for 6 months.

What is the installation process like?

The hormonal device can only be inserted by a doctor. First, patients must undergo tests (cytology, smear for flora and infections that are transmitted by disease, external blood test and cross-section). You will also need an ultrasound scan.

The hormonal IUD is installed over the course of 7 days of the new menstrual cycle (calculate 3-5 days). In some cases, it is possible to administer it later. It is allowed to install as little as 4-5 years, as long as the uterus remains regenerated. If you experience discomfort, bleeding or other pathological symptoms after insertion of the spiral, please immediately contact the doctor.

Showing before stagnation

It is clear that the installation of a hormonal device is indicated for blemishes and especially for the skin of the woman. Recommending this method of contraception to patients may also lead to illness. The main indications before drying are:

• endometriosis - pathological growth of the mucous membrane of the empty uterus - endometrium;
• Idiopathic menorrhagia - clear menstrual vision;
• Uterine fibroids are a kind of swelling that arises from the ulcerous tissue of this organ (the spiral can be sealed as a preventive measure).

Who is not suitable for the hormonal intrauterine system?

Having decided to install intrauterine contraception, the woman must undergo medical treatment to help turn off the conditions for which the procedure is unacceptable. It is contraindicated to insert a spiral in the following conditions:

• vagusness;
• dysplasia;
• cervical erosion;
• cervicitis;
• anomalies (additions and births);
• Infectious and inflammatory processes of the sechostatic system;
• postnatal endometritis;
• full-blown immunodeficiency syndrome;
• post-mortem period (first 4 years);
• liver pathologies;
• thrombosis of deep veins;
• Intolerance to the components of the spiral.

Hormonal device "Mirena": drugs

Women who have chosen protection from the Finnish reproductive spiral are deprived of important positive influences. The main advantage is a high level of contraception. The hormone that is detected during the operation of the device, precedes the onset of pregnancy, however, over time. By the way, this speech has a licentious effect. Therefore, in such cases, doctors recommend that the Mirena hormonal device be installed.

The price of such a device is really high, compared with most analogues. If side effects occur, the spiral will fail. The pennies will be wasted for nothing. However, judging by the results, side effects occur very rarely, and the intelligence of the internal uterine system pays off during the entire recovery process. It’s better to even out the money after spending 5 rubles on hormonal pills and other health benefits.

Women cannot get over it if menstrual bleeding stops within an hour after the IUD is inserted. This is a completely normal reaction to the body. The monthly cycle resumes in the first month after the removal of the empty uterus.

Popular intrauterine systems

It is important to consider the woman herself and the doctor’s recommendations to determine the most suitable hormonal IUD. The price of food also plays one of the most important roles. Several types of IUDs have earned popularity, which are widely available in the price policy for the Mirena device.

The Juno stamps are presented in the shape of a letter T and a ring of different diameters. The range of systems ranges from 300 to 1000 rubles. T-like spirals can be made from plastic, silver, copper. Before installing the track, turn off allergies to the selected material. “Junona Bio-T Super” is made of plastic and has a copper winding. Moreover, the surface of the structure is coated with a special antiseptic coating, and the warehouse has propolis.

Spiral "Nova-T" is another popular analogue of "Mireni". You can install the system for a period of up to 5 years. The material from which the spiral is made is absolutely safe for health. The base is made of plastic, the winding is made of copper. The price of the spiral is 2300-2600 rubles.

"Levonova" is a popular hormonal IUD. The voices of the fakhivts can tell that this is a new analogue of “Miren”. The main active substance is the hormone levonorgestrel.

Before taking an intrauterine hormonal device, you should consult a doctor who will help you choose the optimal treatment for your treatment.

Due to skin cancer, intrauterine contraception is gaining more and more popularity among women around the world. And the Mirena spiral, the cords, which will be discussed below, deservedly take first place in the middle of the IUD.

Why is this so good? To begin with, let me explain that there are two types of spirals: primary, with instead of cutting or honey, and hormonal. Copper spirals are even popular in rich countries due to their low pressure, and their only purpose is to protect the woman from unnecessary moisture. Their method is based on the spermicidal activity of honey and the reaction of the internal mucous membrane of the uterine body to the appearance of a foreign body. Hormonal IUDs, which include the Mirena spiral, have not only anti-plastic action, but also a therapeutic effect. This intrauterine levonorgestrel releasing system has a T-like frame with a plastic container that contains the hormone levonorgestrel.

Immediately after being placed in place of the container, it gradually begins to penetrate into the woman’s body. The hormone is awakened with minimal fluidity - the dose of the hormone should be 20 mg/day, until the end of the 5th day - no more than 10 mg/day. The microdose “works” only in the area of ​​the uterus, and its absorption in the blood is practically turned off. As an alternative to surgery for uterine fibroids, doctors often recommend installing the Mirena spiral. The results of this test in women vary from strongly positive to strongly negative.

All of this is individual, the body of each person is unique and can accept a foreign body and react inappropriately to it. For any problems that arise after the installation of the IUD, you should contact the doctor and tell them about the problems. However, in case of myoma, the Mirena spiral acts as a sedative. It is especially effective for the detection of small works. Of course, the stench won’t go away at all, but under the influx of hormones, their growth will increase significantly or completely stop. In great plumps, its presence prevents relapses of growth.

In addition, it will ensure standard care and observance of menstrual vision after medicinal or organ-preserving surgical treatment of uterine fibroids has been carried out. In addition, indications for the Mirena spiral include prevention of endometriosis and idiopathic menorrhagia. Spirals have the special features of a vicor. Most doctors agree on the idea of ​​installing IUDs only for women who have been chewed. Few of the doctors would dare to allow patients who are under 25 years of age to be treated quickly using this method as an anti-seizure drug.

Before installing the coil, it is necessary to perform the following tests:

• A smear on flora and cytology will show whether there are inflammations or precancerous changes in the mother. If pathology is evident, the kidney will have to be treated and then, after completion, the installation procedure will be carried out.
• Ultrasound of the ovaries and uterus to examine the presence of abnormalities. The operation will be safe if the uterus is in a normal shape. If the uterus, septum or other organ pathologies are identified, the procedure will not be performed.
• The test for vagusity should be carried out by the doctor to ensure that the woman is not in a “squeezing position” - it is clear that when the child is guilty, the placement of the spiral is not only careless, but also unsafe.
• Blood test for RW and VIL.

In addition, carry out quilting of the mammary tract and pelvic organs. After insertion of the Mirena spiral, the heirs are often diametrically positioned. In almost all women who undergo treatment using similar alternative methods, their periods become less clear and painful. For those who have smells, they reappear only after removing the spiral.

The hormonal IUD may have the following side effects:

• allergic hissing and itching;
• hair loss and alopecia;
• migraine, headache;
• fatigue, fatigue;
• irregularity of menstruation;
• the appearance of a vaga;
• pain in the abdomen and back;
• changing the current appearance of the skin (it becomes oily).

In 0.1% of women with ovarian spirals, there was swelling, bloating, sagging skin, hirsutism (excessive hair growth of the human type - dark and coarse). Unfavorable consequences of IUD use include ectopic vaginosis, ovarian cysts, amenorrhea (occurrence of several monthly cycles), implantation of the uterus or distortion of the walls, for infection and development of inflammation of the pelvic organs.

Mirena: video of wives after 40 years

There is a painless advantage due to the stagnation of the Mirena spiral. Vіdguki wives after 40 years to testify about this.

1. The hormone-monetary device is installed within a period of 5-6 days. During this period, there is no need to buy or use other anti-inflammatory products - condoms and expensive oral contraceptives.
2. In addition, if you do not take the pill immediately, it will increase the risk of unwanted vomiting. With the installed spiral, it is possible not to turbocharge a number of rocks.
3. The presence of the IUD is not felt by every partner, which ensures full satisfaction during the hour of intimate intimacy. It's a pity that nothing can be said about the condom.
4. The Mirena spiral for women over 40 years of age is characterized as a pain relief for uterine fibroids and endometriosis.

Of course, such devices have some disadvantages. For example, the stench cannot be saved from illness, which is transmitted by the state way. Therefore, this method of escape will not be convenient for wives who often change partners for love affairs.

A gynecologist installs an IUD in his office. It is important that the operation be carried out on the first days of the menstrual cycle. If the cob is visible on days 1-7, then in that month you can no longer be careful. If the installation was carried out on the 8th day of the cycle or later, then for 30 days follow up on additional contraceptive methods. Installation of an internal uterine device is a minor procedure, but it is generally a painless procedure. Women with a low threshold for sensitivity may ask a specialist to institute local anesthesia.

After the IUD is in place, a follow-up visit to the gynecologist may occur after 30 days, then another one after 2 months. Then it is enough to contact a specialist once per river. The spiral is not installed immediately after the canopies. The reason for this is simple - during this period it is not possible to properly consolidate in the mother, there is a high level of confidence and an unexpected fall.

This can lead to unplanned pregnancy. The procedure can be carried out more quickly after the uterus has returned to its original dimensions. Mostly this process takes about 2 months, but sometimes it can take up to 3-4 months.

After an abortion, the IUD can be inserted the same day. The procedure for placing an IUD is as follows: the doctor sprays the kidney and cervix with an antiseptic rub, after which he closes the front lip with forceps. Using a special instrument, the cervical canal is straightened and an anti-plastic injection is introduced into the empty uterus.

According to the instructions, contraindications for inserting a spiral are:

• cervicitis;
• vagrancy or suspicion of it;
• cervical dysplasia;
• malignant conditions of the uterus and cervix;
• postnatal endometritis;
• uterine anomalies, both at birth and at birth;
• hot illness and swelling of the liver;
• infections and inflammation of the lower organs of the sechos and pelvic organs;
• intolerance to the components of the drug;
• bleeding of an unknown adventure;
• septic abortion lasting the remaining 3 months;
• Ages over 65 years of age - this category of patients was not followed up; therefore, the infusion of spirals into the body was not performed.

The intrauterine therapeutic system (IUD) with a high density of active substance 20 mcg/24 year consists of a white or slightly white hormonal-elastomer core, placed on a T-like body and covered with an opaque membrane y, which is regulated by levonorgestrel. The T-like body is secured with a loop on one end and two arms on the other; a thread is attached to the loop to remove the system. The IUD is placed near the guide tube. The system and conductor are free from visible houses.

1 IUD contains levonorgestrel 52 mg. additional words: polydimethylsiloxane elastomer.

Pharmacological action

The intrauterine therapeutic system (IUD), which releases levonorgestrel, is the main driver of the local progestational action. Progestin (levonorgestrel) is released immediately into the empty uterus, which allows it to stagnate at the edge of a low additional dose. High concentrations of levonorgestrel in the endometrium indicate a decrease in the sensitivity of estrogen and progesterone receptors, making the endometrium resistant to estradiol and having a strong antiproliferative effect. When breastfeeding, one is careful about morphological changes in the endometrium and a weak local reaction to the presence of a foreign body in the mother. The thickening of the mucous membrane of the cervical canal prevents sperm from penetrating into the uterus. Mirena® prevents congestion due to the suppression of friability and sperm function in the mother and fallopian tubes. In some women, ovulation is suppressed.

The anterior stagnation of Mirena does not affect reproductive function. Approximately 80% of wives with mothers become pregnant within 12 months after receiving the IUD.

In the first month of stagnation, due to the process of suppression of endometrial proliferation, you may be wary of an increase in bloody spots that need to be smeared. Following this, there is a suppression of the endometrium leading to a change in vomiting and the occurrence of menstrual bleeding in women who use Mirena. Poor bleeding often transforms into oligo-or amenorrhea. In this case, the function of the ovaries and the concentration of estradiol in the blood are no longer normal.

Mirena can be successfully used for the treatment of idiopathic menorrhagia, then. menorrhagia in the presence of genital diseases (for example, such as endometrial cancer, metastatic lesions of the uterus, submucosal or great interstitial fibroids of the uterus, which lead to deformation of the empty uterus, adenomyosis, g Hyperplastic processes of the endometrium, endometritis), extragenital illnesses, von Willebrand's disease, severe thrombocytopenia), symptoms including menorrhagia

Until the end of the third month after the installation of Mirena, the rate of menstrual bleeding in women with menorrhagia changed by 88%. Reducing menstrual blood loss reduces the risk of mucus deficiency anemia. Mirena® also reduces the severity of dysmenorrhea.

The effectiveness of Mirena in chronic endometrial hyperplasia under continuous estrogen therapy was, however, high with both oral and intradermal estrogen.

Showing before stagnation

• contraception;
• Idiopathic menorrhagia;
• prevention of endometrial hyperplasia during estrogen replacement therapy.

Method of curing

Mirena is injected into the empty uterus and retains its effectiveness for 5 days. The liquidity of levonorgestrel in vivo per dose is approximately 20 mcg/dose and decreases after 5 days to approximately 10 mcg/dose. The average dose of levonorgestrel is approximately 14 mcg/day for 5 days. Mirena can be taken in women who are taking the place of hormonal therapy in combination with oral or transdermal estrogen preparations, in order not to replace gestagens.

With correct installation of Mirena, carried out in accordance with the instructions from medical stagnation, the Pearl index (an indicator that reflects the number of vaginities in 100 women, which stagnates the contraceptive over time) becomes approximately 0.2% over 1 roku. The cumulative indicator, which shows the amount of vaginity in 100 women, when using a contraceptive for 5 years, is 0.7%.

• Using contraception For women of childbearing age, Miren should be inserted into the empty uterus for 7 days after the beginning of menstruation. Mirena can be replaced with a new IUD every day of your menstrual cycle. An IUD can also be inserted directly after an abortion in the first trimester of gestation.
• After the canopies The installation of the IUD should be carried out once the involution of the uterus occurs, and not earlier than 6 days after the birth. In case of severe subinvolution, it is necessary to turn off the post-natal endometritis and consider the decision about the introduction of Mirena until the completion of the involution. If there is difficulty with the insertion of an IUD and/or severe pain or bleeding from the cord, or after the procedure, it is important to carry out physical examination and ultrasound to turn off the perforation.
• For protection of the endometrium under the hour of replacement estrogen therapy in women with amenorrhea, Mirena can be inserted at any time; In women with reduced menstruation, the installation is altered by menstrual bleeding or urinary bleeding.

Do not take Mirena for postcoital contraception.

Wikoristan Navy Rules

Mirena is supplied in a sterile package that is opened immediately before insertion of the IUD. It is necessary to adhere to the rules of asepsis when working with an open system. If the sterility of the packaging appears to be damaged, the IUD must be protected as a medical device. The same thing happens with an IUD removed from the uterus, as the fragments will remove excess hormone.

Installation, completion and replacement of the IUD

Vidalennya Mireni

Mirena is seen being carefully pulled by the threads, buried with tongs.

Special inserts

When there is a need for further contraception, in women of the childbearing age, the system should be cleared during menstruation, due to the presence of a monthly menstrual cycle. Otherwise, you should use other methods of contraception (for example, a condom) for 7 days before the traces are removed. If a woman has amenorrhea, she may begin using barrier contraception 7 days before the system is removed and continue until menstruation does not recur.

The new Mirena can also be administered safely after the old one has been removed, in which case there is no need for additional methods of contraception.

After deleting Mirena, check the system for integrity. When it was difficult to see the IUD, there were single episodes of binding of the hormonal-elastomer core on the horizontal arms of the T-like body, as a result of which there was a smell in the middle of the core. As long as the integrity of the IUD has been confirmed, additional provision is not required in this situation. The boundaries on the horizontal shoulders are designed to advance outside the strengthening of the core of the T-like body.

Side activities

Side effects usually do not require additional therapy and resolve over a period of several months.

Possible development of expulsion of the internal uterine system, uterine perforation, post-uterine vaginess, described with stagnation of other intrauterine contraceptives.

Side effects most often develop in the first month after Mirena is introduced into the uterus; for the trivial vikoristannya the Navy stinks step by step.

Very common (more than 10%): uterine/vaginal bleeding, bloody vision, oligo- and amenorrhea, good ovarian cysts. The average number of days, when significant symptoms are observed, in women of the childbearing age gradually changes from 9 to 4 days per month during the first 6 months after insertion of the IUD. The proportion of women with prolonged (over 8 days) bleeding changes from 20% to 3% in the first 3 months of stagnation. Clinical studies revealed that in the first period of Mirenya's treatment, 17% of women had amenorrhea for at least 3 months. When Mirena is used in combination with estrogen replacement therapy, during the first months of treatment in most postmenopausal women, they are careful about seeing minor and irregular symptoms. bleeding. Further, their frequency changes, and approximately 40% of women who discontinue this therapy experience bleeding in the remaining 3 months of the first treatment. Changes in the nature of bleeding often become more intense in the perimenopausal period and in the postmenopausal period. The frequency of detection of benign ovarian cysts depends on the diagnostic method, which will stagnate. According to clinical trials, increased follicles were diagnosed in 12% of women who took Mirena. Most often, the increase in follicles was asymptomatic and persisted for 3 months.

The table shows side effects, the frequency of which is consistent with clinical data.

As soon as a woman with installed Mirena becomes vomited, the aqueous duct of ectopic vaginess moves forward.

Cases of breast cancer are reported (frequency unknown).

Contraindications before stastosuvannya Mireni

• vehemence and suspicion on her;
• inflammation of the pelvic organs (including relapse);
• infections of the lower branches of the sechostatic pathways;
• malignant new uterus and cervix;
• postnatal endometritis;
• septic abortion for the remaining three months;
• cervicitis;
• cervical dysplasia;
• pathological uterine bleeding of unknown etiology;
• progestogen-delayed swelling, incl. breast cancer;
• illness, which is accompanied by advanced susceptibility to infection;
• congenital and inflated uterine anomalies, incl. fibromyomas, which lead to deformation of the empty uterus;
• sick liver, swollen liver;
• Increased sensitivity to the components of the drug.

Zastosuvaniya Mirenya with vaginess and breastfeeding

Mirena cannot be used if you are pregnant or suspected of it. If vomiting occurs during the period of insulation of Mirenya, it is recommended to remove the IUD, because Any intrauterine contraceptive, if removed in situ, predisposes to the risk of immediate abortion and immediate pregnancy. Visibility or probing of the uterus can lead to immediate abortion. Since it is impossible to carefully remove the intrauterine contraceptive, it is necessary to discuss the importance of individual vaginosis interruption. If a woman wants to preserve her vaginal capacity and it is impossible to remove the IUD, then inform the patient about the risks and possible consequences of the birth canal. In such episodes, it is important to carefully guard against vaginosis. It is necessary to turn off the post-motor pressure.

Women should explain that they must report all the symptoms that may include vomiting, cramping, and colicious pain in the abdomen that is accompanied by fever.

Through the intrauterine stasis and masculine hormone, it is necessary to take into account the possibility of virilizing action in the gestation period. In connection with the high anti-inflammatory effectiveness of Mirena, there is clinical evidence that there are results of vaginess when it is stagnant, boundaries. However, women should note that on today's evidence about birth defects caused by stagnation Mirenya in periods of prolonged vaginity up to the canopy without the removal of an IUD, every day.

Approximately 0.1% of the dose of levonorgestrel can reach the newborn's body during breastfeeding. Tim is not less, it is unlikely that it would represent a risk for a child at doses that are modified by Mirena, which are in an empty uterus.

It is important that the stagnation of Mirenya after 6 days after the canopy does not put an undue influx on the growth and development of the child. Monotherapy with gestagens does not add to the consistency of breast milk. Occasional episodes of uterine bleeding have been reported in women taking Mirena during lactation.

Stagnation with impaired liver function

Contraindications for acute illnesses of the liver, swollen liver.

special inserts

The results of these studies now show that in women who take contraceptives that eliminate progestogen, there may be a slight increase in venous thrombosis; These results are statistically significant. It is important to note that if symptoms of venous thrombosis appear, it is important to carry out appropriate diagnostic and treatment procedures.

Until now, it has not been established what the connection between varicose veins or superficial thrombophlebitis is with the manifestation of venous thromboembolism. Mirena should be used with caution in women with congenital or swollen heart valves, due to the risk of septic endocarditis. When an IUD is inserted or removed, if you become ill, antibiotics should be prescribed as a preventive measure.

Levonorgestrel in low doses can affect glucose tolerance, so regularly monitor blood glucose levels in women with diabetes, such as taking Mirena. However, as a rule, there is no need to change therapeutic regimens in women with diabetes to stop taking Mirena.

Actions that manifest polyposis and endometrial cancer can be masked by irregular bleeding. In such cases, additional testing is required to clarify the diagnosis.

Mirena should not be used as a first choice, neither for young women who have never become pregnant, nor for postmenopausal women with severe uterine atrophy.

With estrogen monotherapy, the incidence of endometrial hyperplasia can reach 20%. In a clinically observed study of Mirenya (201 women in perimenopause and 259 women in postmenopause) under the 5-hour period of observation in a group of women who were postmenopausal, and in periods of development There was no evidence of endometrial hyperplasia.

Oligo- amenorrhea

Oligota amenorrhea in women of the childbearing age develops gradually, in approximately 20% of cases of stagnation. Since menstruation lasts 6 days each day, the remainder of menstruation should be turned off. Repeated vaginal tests for amenorrhea not obligatory, as there are other signs of vaginal pregnancy.

When Mirena is used in combination with continuous estrogen replacement therapy, most women gradually develop amenorrhea over the course of the first period.

Infections of the pelvic organs

The guide tube helps to protect Mirena from contamination by microorganisms during insertion, and the device for administering Mirena is specially designed to minimize the risk of infection. It has been established that the absence of sexual partners is a risk factor for pelvic organ infections. Infections of the pelvic organs can have serious consequences: they can impair reproductive function and increase the risk of ectopic vaginosis.

In case of recurrent endometritis or infection of the pelvic organs, as well as in case of severe or acute infections that are resistant to treatment for several days, remove Mirena.

In cases where symptoms and symptoms indicate the possibility of infection, bacteriological investigation and monitoring are indicated.

Expulsion

Possible signs of partial or repeated expulsion of any IUD - bleeding or more. However, the system can be removed from the empty uterus, which is of no consequence to the woman, before starting contraception. Partial impulse may change the effectiveness of Mirena. Mirena fragments change menstrual blood loss, and an increase may indicate expulsion of the IUD.

If Mirena is placed incorrectly, delete the trace. A new system may have been installed at this time.

It is necessary to explain to the women how to check Miren's threads.

Perforation and penetration

Perforation or penetration of the body or cervix with an intrauterine contraceptive rarely occurs, mainly during the hour of insertion, and may reduce the effectiveness of Mirena. In such cases, the track system will be deleted. The risk of perforation may be increased when an IUD is inserted after pregnancy, during lactation, and in women with fixed uterine obstruction.

Ectopic vaginosis

Women with a history of ectopic vaginity who have undergone surgery on the fallopian tubes or infection of the pelvic organs are more likely to have a higher risk of ectopic vaginity. The possibility of ectopic vaginity can be associated with pain in the lower abdomen, especially if it occurs due to heavy menstruation, or if a woman with amenorrhea begins to bleed. The frequency of ectopic vaginosis during stagnation of Mirena becomes approximately 0.1% per river. The absolute risk of ectopic vaginosis in women who use Mirena is low. However, if a woman with installed Mirena has vomiting, there is a significant increase in ectopic vomiting of the body.

Thread waste

If, during gynecological examination, the threads for removing the IUD cannot be detected in the cervix, it is necessary to turn off vagusity. The threads may be retracted into the empty uterus or cervical canal and become visible again after the next menstruation. If the pressure is turned off, you can remove the threads using gentle probing with a suitable tool. If the threads cannot be seen, it is possible that the IUD has been expelled from the empty uterus. To ensure the correct alignment of the system, ultrasound can be used. In cases where it is unavailable or unsuccessful, radiographic follow-up should be used to determine the localization of the tumor.

Follicular atresia is repaired

Oskolki contraceptive effect Mireny of education due to the cerebral function, in women of childbearing age, watch out for ovulatory cycles with the rupture of follicles. Sometimes, atresia of the follicles becomes impaired and their development may be affected. Such enlarged follicles are clinically impossible to dissect from ovarian cysts. More follicles were detected in 12% of women who took Mirena. In most cases, these follicles do not produce the usual symptoms, although they are sometimes accompanied by pain in the lower abdomen or pain with 100-pounds.

Most often, the largest follicles develop on their own after two to three months of care. If this does not happen, it is recommended to continue to monitor additional ultrasound, as well as carry out clinical and diagnostic visits. In isolated cases, it may be necessary to undergo surgical intervention.

Ferrying to the building to the center by vehicles and controlling the mechanisms

Chi was not careful.

Medical mutualism

It is possible to enhance the metabolism of gestagens with one-hour stagnation of substances that are inducers of enzymes, especially isoenzymes of the cytochrome P450 system, which take part in the metabolism of drugs, such as anti-inflammatory drugs (for example treasure, phenobarbital, phenytoin, carbamazepine) and agents for the treatment of infections (for example, nevirapine , efavirenz). The influence of these drugs on the effectiveness of Mirena is unknown, but it is transferred that is not present in the network, leaving Mirena at the forefront of the local action.

For women who do not expect to be pregnant for a long time, and who are also at risk of getting sick due to hormonal imbalances, the gynecologist can treat the intrauterine system “Mirena” (abbreviated as IUD).

This is a spiral containing a container containing the hormone levonorgestrel. Vіn is seen today in a small dosage, sufficient for contraception and therapeutic effect.

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1. What is the Mirena IUD?

The prototype was developed by the German company Bayer Schering Pharma. The average price in pharmacies is from 13 to 14 thousand. This price is true to the mechanism of action and the high efficiency of the process.

There is a need for oral contraceptives, and this treatment helps women improve their vitality.



The main component of the internal uterine device Mirena is levonorgestrel, a hormone that belongs to the group of gestagens. They are installed in a special tank with a size of only 2.8 mm, fastened to a spiral spiral.

The top of the container is covered with a membrane. It allows the hormone to leave the reservoir at a steady rate - 20 mcg per dose. At the same time, they took less pills or Norplant, which is installed quickly.

2. Action mechanism

The action begins immediately after the insertion of the internal uterine device. The hormone can be measured in the blood in as little as 15 minutes.

The triviality of the IUD is 5 years long, but the successors confirm that it can be removed for 7 years without any health risks.

The efficiency of the spiral is even higher. According to clinical studies, unscheduled vomiting occurs in less than 0.1% of seizures during the course of the “Mirena” treatment. This indicator is short, subject to female sterilization.

The daily importance of importance can be reached in a number of ways:

• cervical mucus thickens;
• the endometrium changes;
• The secretion of luteinizing hormone (LH) is suppressed in the middle of the cycle.

Spermatozoa cannot penetrate into the empty uterus, the endometrium is no longer sufficient for implantation, and the suppressed secretion of LH leads to the destruction of the mature egg.

Research has shown that after the installation of "Mireni" 85% of monthly cycles proceed without ovulation.

However, this does not affect the function of the ovaries, as it is necessary to form a spiral with a length of 5 lines. Changes in the ovaries, which are accompanied by disruption of the maturation of follicles, appear after 7 years of continuous vikoristan "Mireni".

3. Indications for drying

"Mirena" combines contraceptive and therapeutic effects. This is recommended for women of reproductive age, especially in the following situations:

1. 1 Hyperplasia of the endometrium.
2. 2 and irregular menstruation.
3. 3 To prevent endometrial hyperplasia in women by discontinuing estrogen therapy.

Myoma, endometriosis should not be indicated until the indication is changed, but in case of concomitant vicarious hyperplasia, Mirena coils should be used instead, in order to reduce the severity of bleeding.

4. Who is the installation contraindicated for?

According to the instructions, the installation of the Mirena spiral is contraindicated in the following situations:

1. 1 that of the cervix.
2. 3 Septic abortion for the remaining 3 months.
3. 4 Cervical dysplasia, malignant processes.
4. 5 Cancer of the mammary gland and other swellings that grow due to progestogens.
5. 6 The cause of uterine bleeding has not been determined.
6. 7 caused by fibroma or congenital anomalies.
7. 8 Swollen liver or acute hepatitis.
8. 9 Vaginism.
9. 10 Century over 65 years.

Use caution in women with diabetes, heart and vascular diseases, migraines and occasional headaches, and arterial hypertension.

Breastfeeding is not a contraindication for Mirena.

5. Advantages of this method of contraception

Regardless of the high variability of the hormonal system, this method of contraception has gained its own advantages:

1. 1 High efficiency, low risk of vacancy.
2. 2 Only small doses of the hormone are needed to reach the bloodstream, so the number of side effects is minimal.
3. 3 Presence of the first-pass effect through the liver.
4. 4 Change in the volume of blood that is lost during menstruation.
5. 5 Knowledge of intermenstrual bleeding.
6. 6 Treatment for small myomas, endometriosis, endometrial hyperplasia.
7. 7 The ability to vikorist at the warehouse.
8. 8 The level of pressure is very low.

After the introduction of the spiral, there is a need to carefully control the intake of the drug, and not to predict contraception during the statutory period.

6. Minor and adverse reactions

In some episodes, the hypothalamus is suppressed, resulting in increased menstrual bleeding.

This can be considered a credit, since before the IUD was installed, the woman suffered from uterine bleeding, which led to severe anemia.

There is rarely a change in the frequency of the menstrual cycle: menstruation ends later, and there are intermenstrual periods that need to be lubricated.

Acyclic blood tests are normal for the first 3 months after insertion of the IUD.

Expect that the symptoms are short-lived, pass on their own and do not require special treatment.

If the stench is not known for a long time, but the vision becomes clearer, you should consult a gynecologist.

Women may also experience headaches (including migraines in older people), mood changes, boredom, engorged breasts, acne, eczema and the appearance of pigmented spots, cyst formation. students, hypertension.

Hyperplasia of the endometrium under the age of 10-19 years is becoming thinner. In times of need, replacement therapy helps reduce the negative effects of estrogens on the uterus.

Women who use Mirena have unpleasant symptoms:

• tactfulness;
• swelling;
• weakness;
• Stomach bloat.

The hormonal IUD in premenopausal women can be used as a good way to reduce the risk of progression of endometrial hyperplasia and endometriosis.

8. Installation rules

"Mirena" has a larger diameter, lower middle spirals, through the presence of a reservoir with levonorgesterl. Therefore, the process of insertion of the baby is complicated.

The procedure is carried out under local anesthesia in order to reduce the pain during the cervical canal dilatation.

Before installing the Mirena coil, minimal precautions are required: initial blood and cross-sectional analysis, smear, control of arterial pressure, ultrasound of the pelvic organs.

With a regular cycle, contraception should be placed on the first day of the day (presumably, menstruation). This minimizes the risk of cervical deterioration.

However, the procedure is permissible any day, as it is 100% clear that the day is pregnant. This is relevant, for example, for women with irregular cycles.

In this case, the doctor may prescribe medications to prepare the cervix and relieve pain and discomfort.

After an abortion in the 1st trimester, due to the presence of infection, an IUD can be inserted. Tim, who dares to put it after the curtains, needs to check 6 times.

9. Be careful with the doctor

To prevent the spiral from falling out and the development of infectious complications, you need to follow the recommendations and consult your doctor:

1. 1 After 1 month, oblique examination to check the presence of threads and the correctness of the contraceptive.
2. 2 Repeat – after 3 and 6 months.
3. 3 Further inspections are carried out at least once per river.

If the doctor does not remove threads that may hang from the cervical canal, he recommends using ultrasound.

It is necessary to see a doctor urgently if there is a severe increase in temperature, pain in the lower abdomen, the appearance of pathological (mucous-purulent) vision, or delayed menstruation.

Complicated procedures:

1. 1 Acute infectious-inflammatory process ().
2. 2 Vipadanna Navy.
3. 3 Damage to the uterus during the hour of insertion.

10. Fertility renewal

After removing the spiral, it takes 1-3 months to restore the function of the endometrium.

The menstrual cycle becomes normal after 30 days. It may take up to 12 months to fully restore your fertility.

According to data from Prilepska St. N., vaginity is avoided throughout the first years in 79-96% of women.