Gynecological diseases, including myoma, do not abolish normal intimate life. Hence, there is also the need to protect against unwanted pregnancy. The Navy is one of the most convenient ways to do this. But is it possible to put a spiral in uterine myoma?
What is myoma
Myoma isformed under the influence of hormonal imbalance nodules from the muscle tissue, which is a benign tumor. Neoplasms come in different sizes, develop in the singular or plural. And their localization is not the same, the tumors are detected by the formed:
- towards the endometrium( submucous);
- outside the organ( subserous);
- in the thickness of the myometrium( intramural).
The question usually is whether it is possible to put a spiral in myoma after determining its appearance, magnitude, growth rate and symptoms that are inherent in the neoplasm.
Does the helix
require a myomome? From the appearance of myomatous nodes, they suffer mainly in reproductive age, when a woman leads an active personal life. This dictates the need to protect themselves.
It is possible to get rid of her symptoms with the help of the IUD.The use of a spiral is not accompanied by the regular intake of sex hormones in the blood that support the growth of the tumor. And among similar adaptations of the new generation there are those that can reduce its size.
What are the
Navy Depending on the material of the material, there are 2 types of IUDs:
- containing noble metals( copper, silver, gold);
- hormonal.
All of them can have various forms: t-shaped, loop, spiral, umbrella. The contraceptive effect of metal( "Juno", "Nova", "Multiload", "Cooper") is caused mainly by the creation of a mechanical obstacle to fixing on the mucosa of a fertilized egg. But the compounds formed as a result of the presence of the metal suppress the development of the endometrium, that is, they can help stop the growth of the tumor. Although it is not worthwhile to count on a strong therapeutic effect with them. And in some women uterine bleeding after the installation of such an IUD can increase.
If you use a spiral with uterine myoma, containing hormones, its effect on the nodes is inevitable. It secretes gestagens, directly affecting positively the endometrium. Mucous is made thinner, there are less blood vessels in it, the concentration in the blood of estrogens decreases. Due to this, tumor is suppressed, it not only stops growing, but it can decrease. With medical purpose the doctor can choose for the patient of the Navy:
- "Mirena",
- "Levonova",
- "Progestassert".
How the Mirena spiral works with the
myriad The Mirena spiral for uterine myomas is prescribed for contraceptive and therapeutic purposes often, as it is the representative of the latest generation of hormonal IUDs. It has a T-shape, contains a capsule with levonorgestrel. This is one of the derivatives of progesterone, the deficiency of which in the body provokes the development of myomatous nodes.
After the spiral in the uterus, 20 mg of levonorgestrel is released daily. The concentration of the substance in the blood is minimal, but the local effect of the hormone is such that the endometrium is thinned, although the functions of the ovaries remain the same.
Reduced blood supply to the tumor and the effect of estrogen on it lead to the disappearance of many of the symptoms associated with the disease:
- ceases intermenstrual bleeding;
- monthly become less abundant, and in 20% of cases disappear for the duration of the use of the spiral;
- leave characteristic for myoma pain in the abdomen;
- reduces the pressure on adjacent organs with a subserosic location;
- improves overall health, since the body does not lose a lot of blood.
But the main thing that Mirena does with uterine myoma is that the neoplasm itself must decrease. Normalization of the balance of hormones leads to the fact that it loses the stimulus to development. For the same reason, the spiral with levonorgestrel serves as a prophylaxis for endometriosis and hyperplastic development of the mucosa, which are frequent companions of myoma.
How to use Mirena spiral with
myoma The use of a spiral is prescribed by a gynecologist after a comprehensive examination. Its introduction also occurs with the direct participation of a specialist. Usually this is done on the 5th-7th day of the cycle so that you can not doubt the absence of pregnancy. It is a contraindication to the use of a spiral and for medicinal purposes too.
Unlike other contraceptives and birth control pills, the Mirena spiral is approved for use in diabetes mellitus and hypertension. Since it is possible to protect and treat it for 5 years continuously, the effect on the myomatous nodes will be long and persistent throughout the period. This does not mean that with the introduction of a spiral you can not worry about anything.
The condition of the reproductive organs and the body as a whole should continue to be carefully monitored, being regularly to the gynecologist in this mode:
- for the first time 2 months after installation, and it is necessary to examine the mammary glands;
- the next visit in the absence of visible problems should be six months after the introduction of the spiral;
- further inspection takes place in standard terms.
For the first 2-3 months, the body adapts to the presence of a foreign object and local administration of hormones. Therefore, in this period there is nothing supernatural when comes from the genital tract. The rest of the spiral should not cause any inconvenience.
We recommend reading the article about using the Mirena spiral in menopause. From it you will learn about the effect of the contraceptive, the features of its use in the climacteric period.
When the spiral is contraindicated in
In most cases, the fibroid is detected against a background of hyperestrogenia. But the exact causes of development of the nodes are unknown. In some women, neoplasm is stimulated by an increased number of progestins. It is noticed when it grows during pregnancy.
The same factor works if after a 2-3-month period of getting used to the device the "bloody discharge - myoma of the uterus" - is disturbed by the combination "bloody discharge - the spiral" Mirena ".The growth of the tumor will certainly be accompanied by such signs that it will deprive the woman of the opportunity to use the hormonal IUD.
There are also reasons associated with the tumor and detected at the preliminary examination stage, which will not allow to be protected and treated using a spiral:
- A large submucous tumor. It is able to become a mechanical obstacle to guide the device. Spiral with this localization can also injure myoma, provoking increased bleeding and pain.
- Inflammatory process in the uterine cavity, in the neck region. First you have to get rid of it.
- Infections of the reproductive organs or urinary tract.
- Uterine deformation caused by a large tumor, submucous or intramural.
Mirena with uterine myoma has one more important advantage - absence of influence on the ovaries. Therefore, treatment with it not only eliminates the symptoms of the disease, but reproductive opportunities are restored more effectively than the use of contraceptive pills.