Spiral Mirena: instruction, price, reviews, and women doctors

Pharmaceutical companies offer a lot of ways to protect against unwanted pregnancy. For each of them is characterized by certain features. One of the most common contraceptive methods considered intrauterine device Mirena. Among its advantages include a long lasting effect and protection.

Manufacturer Mirena

Mirena IUD was invented in the 80s in Finland. To date, it is the producer of the German mark «Bayer». The package contains an intrauterine therapeutic system with the required concentration of active ingredient.

Composition spiral Mirena and function

Mirena formed as a T-shaped structure, located in tube conductor. The core of white color includes hormones necessary to prevent unwanted pregnancy. At both ends of the T-shaped body is arranged for locking the loops and the spirals to eliminate from the uterus. The housing is coated with a membrane which dispenses the active substance release.

The active substance is levonorgestrel contraceptive system. It is presented in the screen 52 mg. Auxiliary function performs a polydimethylsiloxane elastomer. Contraceptive action is achieved by reducing the susceptibility of the receptors that respond to estrogen and progesterone rise. Due to this the endometrium ceases to be influenced by estradiol. Levonorgestrel thicken the consistency of the cervical mucus, preventing sperm advancing toward the uterus. In some cases the temporary disappearance of ovulation. All this together makes the process of conception and embryo attachment impossible.

What Mirena contains hormone

Action Mirena intrauterine system due to the content of the synthetic progestogen - levonorgestrel. Every day in the uterus spiral releases 20 micrograms of substance. After 5 years, this number drops to 10 mg, so the contraceptive effect is reduced. Hormone allocation process begins within 40-60 minutes after the introduction of the contraceptive in the uterus.

Indications spiral Mirena

Indications and contraindications to the spiral Mirena is recommended to study in advance. One woman's desire to install a spiral is not enough. You must first visit a gynecologist and undergo enhanced screening. Indications for use of the spiral following:

• endometriosis;
• lack of desire to have a child;
• myoma;
• prevention of endometrial hyperplasia;
• idiopathic menorrhagia.

Can I put a spiral Mirena uterine myoma

Myoma - a benign tumor, which arose in the muscle layer of the uterus. It is considered a common disease of women of reproductive age. The fact of the presence of an intrauterine device no effect on the fibroid does not have. But the hormone that it emits, is able to suppress the growth of tumors. Therefore, protection using Mirena often practiced for medical purposes.

Spiral Mirena in menopause

Menopause is a process of slowing down the production of sex hormones. He develops in older women. Ovarian function is accompanied by the tides, nervous disorder and exacerbation of chronic diseases. These symptoms arise from the planned reduction of sex hormones. To arrest the symptoms of menopause, your doctor may prescribe hormonal coil Mirena. It stabilizes the hormones helping women without complications to transfer the crisis.

Contraindications to Miren

Gynecological Mirena coil is placed on the long term. Therefore, before installing it, make sure there are no contraindications. This will avoid the side effects and health complications. Contraindications include:

• infectious diseases;
• cervicitis;
• uterine bleeding of unknown origin;
• endometritis;
• septic abortion, which occurred in the last 3 months;
• inflammatory process in the pelvis;
• atypical regeneration of cells from the cervix;
• hormone-dependent tumors;
• age over 70 years.

Comment! Nulliparous women are advised not to resort to using an intrauterine device.

Instructions for use Mirena

Mirena IUD is set in the uterus for a period of 5 years. Installation is done in a medical facility. An hour after the implementation of the hormone into the blood. After 2 weeks, there is a maximum concentration of a substance in the body. He was eliminated from the body through the intestines. The half-life of 1 day.

Before installing a contraceptive woman must pass a comprehensive examination. It includes the following manipulations:

• gynecological examination and a visit to mammologist;
• taking vaginal smear;
• colposcopy;
• ultrasound examination of small pelvis;
• giving blood for infections.

Diagnostic measures are necessary in order to avoid pregnancy, infectious diseases and inflammation. Also revealed uterine volume. This is required for the most accurate spiral installation.

On what day of the cycle put the Mirena coil

Doctors recommend to put reconciliation in the first half of the cycle. It is desirable to wait for the monthly. To carry out the installation after ovulation is strictly prohibited. In this case the spiral is reduced contraceptive effect. Following an abortion spiral are allowed to bet, regardless of the day of the menstrual cycle.

Installing Mirena

Mirena contraceptive established specialist with experience in the intrauterine system. The installation process is carried out at the gynecological chair. To put a woman in a hospital is not necessary. Introduced into the vagina extensible tool and mirror. The mucous membrane surface of the cervix is ​​disinfected using an antiseptic.

Spiral is introduced into the uterine cavity using a special plastic tube. A woman at this moment may feel discomfort. But severe pain should not be. If necessary, apply a local anesthetic. 1-2 hours after installation should lie on the couch. After half an hour to go through any discomfort. If this does not happen, an intrauterine system is removed.

Hurt I put a spiral Mirena

The reaction of women on the contraceptive installation depends on the size of its pain threshold. If the discomfort and there, they do not last long. A day after the installation of the contraceptive system of discomfort should subside. The pain, which arose when worn spiral, demonstrates the need for its removal.

What not to do after installing Mirena spiral

IUD with hormones does not prevent a full life. She had not felt during the operation. contraceptive body is located in the uterus. The vagina out thin mustache, which do not cause any inconvenience. In they are not felt during sexual intercourse. After installing the spiral woman can be engaged in the usual chores as usual. Prohibition of physical activity is not imposed.

In the first 10 days after a visit to the gynecologist is recommended to limit the motor activity. It is also desirable to give up intimate relationships. During this period, the uterus is in a vulnerable position. Any interference can provoke an inflammatory process. It is especially important to listen to your body during this period.

It is recommended to pay special attention to the health of reproductive organs after installing the system Mirena. Gormonovydelyayuschaya intrauterine system is considered to be a factor that increases the likelihood of inflammation. To avoid unwanted complications, you must:

• abandon frequent partner change;
• improve the quality of personal hygiene;
• regular visits to the gynecologist.

How many years is put spiral Mirena

The main advantage of the intrauterine system is considered to be long-term use. Levonorgestrel dosage lasts for 5 years. After expiration of this period contraceptive effect starts to decrease. After 30 days of installation spiral woman should visit a gynecologist. Further preventive examinations are carried out every six months.

removal of Mirena

Instruction involves removing Mirena IUD during menstruation. The procedure is performed on the gynecological chair. With the help of medical forceps pull contraceptive for antennae. If difficulties arise, expanding the cervical canal, after which the unit is recovered using a special hook. At the request of the woman setting next spiral is performed immediately after the removal of the previous one.

Warning! MIRENA can be removed from the uterine cavity early.

Is it possible to become pregnant with MIRENA

On the effectiveness of Mirena is on a par with the mini-pill. The probability of a successful attachment of the embryo is only 1%. Mirena having abortive effects. Even if the egg can be fertilized, she will not attach to the uterus. This is due to insufficient endometrial thickness. The contraceptive effect may be reduced due to the following factors:

• improper installation of a spiral;
• untimely removal of the CPA;
• installation of a spiral in the second half of the cycle;
• loss of contraceptive.

Side Effects Mirena spiral

Side effects after installing Mirena often develop. In most cases, the changes affect the nature of the menstrual flow. During the first 90 days the body adapts to the established conditions. Therefore, menstruation may become irregular. Gradually, the menstrual cycle returns to normal. Subsequently discharge becomes less abundant due to insufficient endometrial growth.

Side effects often arise from the genital organs or the nervous system. But there are other options. The most common adverse symptoms include:

• an increase in blood pressure;
• pain in the pelvic area;
• increased sensitivity of the breast;
• acne;
• alopecia;
• nausea;
• vulvovaginitis.

Since the installation of contraceptive hormones interferes with a woman can vary the degree of sexual attraction and emotional state. In some cases, depression develops, changing attitudes to familiar things. There may be a decreased libido.

Mirena is not enough professional installation leads to serious complications such as cervical rupture. This happens very rarely. The situation was corrected surgically and with the help of conservative therapy. The characteristic signs of cervical rupture include:

• blanching of the skin;
• abdominal pain acute nature;
• low pressure;
• increased heart rate.

Allocation after installing Mirena spiral

On the first day after the installation of the helix may be present spotting. In the following days there will be Mazanov brown. They are indicative of cervical wound. Allocation should not be accompanied by the following symptoms:

• unpleasant odor;
• fever;
• throbbing pain in the abdomen;
• bleeding;
• general malaise;
• presence of purulent inclusions.

Spotting, which appeared in the first days after the installation of the spiral should have a uniform structure. The presence of clots indicates the inflammatory process development. Amenorrhea in the background wearing a contraceptive pathology is not considered.

Comment! If spotting continues to harass a woman more than a week, you need to see a doctor.

Bleeding in Miren

Due to the hormonal composition, Mirena affects the nature of bleeding. Most often, the amount allocated to the blood decreases. This is caused by inhibition of uterine growth layers of active substance Mirena. Intensive blood loss indicates the development of the pathological process in the body. In this case as quickly as possible to remove the contraceptive from the uterus.

Intermenstrual discharge of bloody nature of the rules are not. Especially if they occur six months after installation. To determine the cause of bleeding, enough to pass ultrasound. To take measures on their own is strictly prohibited.

Attention! If your period on the background of the use of Mirena does not come on time, you should do a pregnancy test or take a study.

How much does the Mirena coil

Price Mirena IUD depends on the place of purchase. It ranges from 9,000 to 14,000 rubles. Taking into account the duration of use, it is much more favorable to birth control pills and condoms. Doctors recommend buying contraceptive only at official points of sales.

Analogue Mirena spiral

If Mirena for some reason does not fit the woman, the doctor offers a choice of several alternatives. These include oral contraceptives, and latex products intended for barrier contraception. The most common drug with contraceptive action include:

• "Yarina";
• "Jess";
• "Novinet";
• "Regulon";
• "Janine."

In other IUDs act like replacement as Mirena. They differ in shape, material and price. The biggest demand is spiral:

• Nova T;
• Juno;
• Multiload.

conclusion

Mirena spiral - a reliable means of contraception that requires a responsible approach. The main advantages of contraceptives are as monetary benefits and ease of use. To prevent possible complications, you should perform regular preventive visits to the doctor.

Reviews women after 40 years of Miren

Reviews and advice on doctors Mirena spiral