Application

One convenient and affordable contraceptive methods is an intrauterine device. Such intrauterine devices can be used for a long time (three to five years), they do not create problems, and you can forget about contraception for a certain period of time. But the IUD Mirena besides all the above, has additional unique features. If the other spiral is not recommended for women older than 40 years, the Mirena coil - this is not the case. This age is ovarian failure, gets off the menstrual cycle, but the ability to conceive, and there remains the question of contraception is still on the agenda. In order to prevent unwanted pregnancies and the normalization of the menstrual cycle is not replaceable intrauterine system Mirena.

Advantages of an intrauterine device Mirena

Besides the usual actions that have other IUDs, Mirena has a number of advantages:

• high effect with reversible contraceptive effect;
• Mirena is convenient to use;
• Provides local contraceptive effect;
• It reduces menstrual blood loss;
• reduces the percentage of inflammatory diseases of the internal organs of the reproductive system;
• Minimum system hormonal influence, which makes it possible to use MIRENA in women with diabetes, epilepsy, multiple sclerosis and other diseases;
• reduces the risk of ectopic pregnancy;
• It has a positive effect on premenstrual syndrome.

Structure and Composition

Mirena a polymer carrier, which includes 52 mg of levonorgestrel, its release to 20 micrograms per day. The sterile package contains one IUD.

Properties spiral Mirena

Spiral Mirena is introduced for a period of five years. This is a very effective protection against pregnancy. Spiral form T-shaped, were located on the bottom of the loop, to which are attached two strands to remove. Such a spiral shape corresponding to the shape of the uterine cavity. The vertical portion covered with a special membrane, contains levonorgestrel (its action is similar to progesterone) that is released daily in equal quantities and with equal speed. Preventing pregnancy is carried out by controlling the endometrium and prevents the penetration of sperm into the uterus. Levonorgestrel prevents proliferative changes in the endometrium and reduces its ability to implantation.

Furthermore, levonorgestrel increases the viscosity of the cervical mucus, resulting in sperm can not penetrate into the uterus. Also, LNG has negligible systemic action, which manifests itself in oppression and suppression of ovarian function ovulation Ovulation - How to determine as accurately as possible? . Therefore, spiral Mirena is as effective as sterilization of women. Mirena reduces the bleeding after three months the amount of bleeding Spotting - it is important to rule out pathology   reduced by 80% or even completely menstrual bleeding stops. Due to the reduction of blood loss during menstruation is reduced risk of developing iron deficiency anemia. Among other things, Mirena neutralize pain during and before menstruation in women with menorrhagia.

Indications Mirena coil

• prevention of unintended pregnancies;
• heavy bleeding during menstruation;
• the prevention of endometrial hyperplasia Hyperplasia endometrial cancer - requires timely detection and treatment   during the period of hormone replacement therapy.

Dosing spiral Mirena

Before the introduction of the spiral on the vaginal swabs needed microflora, as necessary - for latent infection. Before installing Mirena performed a vaginal examination, during which determines the size and position of the uterus.

After aseptic processing of the external genitalia and cervix probed the uterus, and then entered a spiral (not later than the seventh day of the menstrual cycle). In the postpartum period Mirena introduced no earlier than six weeks. After abortion - a month (during the first menstrual period). Patients with amenorrhea The absence of menstruation (amenorrhea) - ambiguous symptom   You can enter any day of the spiral.

Drug interaction Diana 35

Hepatic enzyme inducers. Drugs that induce hepatic enzymes and stimulate the metabolism of components Diana 35, and therefore may reduce its effectiveness. Here are some of the drugs in this category, which is not recommended to be taken with Diana 35.

Antiretroviral drugs:

• Ritonavir;
• Nelfinavir;
• Nevirapine.

Antiepileptic drugs:

• Barbiturates (including phenobarbital);
• Primidone;
• Phenytoin;
• Carbamazepine;
• oxcarbazepine;
• Topiramate.

Antibiotics and antifungals:

• Griseofulvin;
• Rifampicin.

Medicinal herbs:

• St. John's wort.

If the patient requires a short-term course of taking one of these drugs, it should be throughout the course of treatment along with Diana 35 to use any other means of contraception. If the patient is taking rifampicin or griseofulvin, additional means of contraception must be used, and for 28 days after treatment.

Women who need to take any of these drugs for a long time, you need to constantly use other means of contraception.

Antibiotics have not enzyme-inducing effect. Drugs in this category (eg, penicillins and tetracyclines) may also reduce the effectiveness of Diane 35. For this reason, at the time of their admission women are advised to use barrier contraception.

Results of laboratory analyzes

Diana 35 can not affect the results of some laboratory tests, among them - analyzes carried out to assess the function of the liver, kidney, adrenal and thyroid glands The thyroid gland - is responsible for your hormones . The doctor, appointing certain tests must be aware of the fact that the patient receives the Diana 35.

Pregnancy and breastfeeding

During pregnancy intake Diana 35 contraindicated. If the pregnancy during treatment, you should immediately stop taking the drug. Animal studies showed that cyproterone acetate is the feminization of the male fetus at the stage of embryogenesis, in which the differentiation of the external genitalia. Although not proven, that the same thing can occur during fetal development of man is considered likely that the reception Diana 35 after 45 days of pregnancy can lead to feminization of male fetus. For this reason, pregnancy is an absolute contraindication to the use of Diane 35, and before the start of treatment is required to make sure that the patient is not pregnant.

Reception Diana 35 during lactation can cause a decrease in milk production, and changes in its composition. Relatively small amounts of the active ingredients of the drug appear along with breast milk. This amount of these compounds may affect the child, especially during the first six weeks of life. Women should not take Diana 35 before the end of the breastfeeding period.

Side effects

Common side effects (found, on average, 1 patient out of 100):

• The pain and breast tenderness;
• Depression (when the signs of depression Depression - a little more than a bad mood   should seek medical advice immediately);
• Headaches (consult your doctor if you have unusually severe headaches);
• Sudden mood changes for no apparent reason;
• Nausea;
• Stomach ache;
• The increase in weight.

Rare side effects (occurs, on average, 1 patient out of 1,000)

• Swelling;
• Migraine;
• Decreased libido;
• Breast augmentation;
• Skin rash;
• Signs of stomach disorders such as diarrhea and vomiting.

Most side effects are rare (occur in less than 1 in 10,000 patients):

• Discharge from the nipple;
• Erythema;
• Skin problems;
• Hypersensitivity reactions;
• Increased libido
• Decreased libido;
• Intolerance to contact lenses Contact lenses - whether they can completely replace the glasses? ;
• Unusual discharge from the vagina Vaginal discharge .

Overdose

Diana 35 Overdose can cause nausea, vomiting, and vaginal bleeding. If you suspect an overdose as soon as possible to consult with your doctor.