Utrozhestan only available in capsules, but these capsules can be used, both internally and topically as vaginal suppositories Vaginal suppositories - for contraception and treatment of inflammation . It is very convenient compared to progesterone, which is produced only in the form of an oily solution for injection, and the injection is very painful.

Action utrogestan the intravaginal administration

Utrozhestan available in capsules 100 and 200 mg. Entered into the vagina utrogestan capsules dissolve slowly enough, and the maximum concentration of progesterone in the blood when it is achieved only after two or six hours. When administered twice a day the drug acts during the day. But progesterone Progesterone - norm and pathology   rapidly (within an hour after injection) it collects in the uterus which causes rapid restoration of the correct functioning of the endometrium (the inner shell of the uterus) and its transition from the phase-expanded (proliferation) in a phase separation secretion.

Vaginal capsules utrogestan during pregnancy (I and II trimesters) promotes greater suppression of uterine contractility and prevent miscarriage.

Indications for intravaginal capsules utrogestan

Utrogestan Capsules can be taken orally and simultaneously administered vaginally - the dose prescribed for this doctor. Sometimes the capsule only apply vaginally, for example, if a woman has a contraindication to their ingestion (liver trouble) or the development of significant side effects as drowsiness.

Introduction capsules utrogestan vagina is indicated for replacement therapy (for example, if women are not functioning ovaries), preparation for in vitro fertilization, violations of the second phase of the menstrual cycle, premature cessation of menstruation, infertility, caused deficient in progesterone, the threat of termination of pregnancy in the I and II trimesters and for prevention of hormone disorders caused by an excess of estrogen (mastopathy, hysteromyoma, endometriosis).

How to apply

Utrozhestan in any dosage form, appoint a doctor, it also determines the dose and duration of administration, and the route of administration in the woman's body. Capsules utrogestan injected deep into the vagina, if the need arises, it is used to introduce the applicator. Utrogestan standard dose - 200 mg per day (100 mg twice daily). After the start of treatment the doctor watches the woman and, if necessary, adjust the dose.

During the menstrual cycle associated with a deficiency in the body progesterone utrozhestan inserted into the vagina by capsule twice a day for ten days, the second half of the menstrual cycle (16-17 till 25-26 day cycle).

If the ovaries of a woman is not functioning, then utrozhestan administered inserted into the vagina of 100 mg per day on the 13th and 14th days of the cycle, then increase the dose to 100 mg twice daily and is administered from the 15th to 25th day cycle. On the 26th day of the menstrual cycle The days of the menstrual cycle: Four phases   and after the beginning of pregnancy utrogestan dosage is increased by 100 mg per day, every week, gradually reaching the maximum (600-800 mg per day, divided into three portions). Such a dosage may be used within two months.

In threatened miscarriage and for preventing habitual miscarriage amid lack of progesterone administered utrozhestan I and II trimester of pregnancy (prior to 20 weeks) 200-400 mg per day - the capsule 100 or 200 mg twice a day.

Contraindications for introducing capsules into the vagina

Introduction utrogestan vagina is contraindicated in hypersensitive to the components of the drug, bleeding and spotting (if the reason they are not installed), incomplete abortion (where to save the child is no longer possible), porphyria (severe congenital metabolic disorders), hormone-dependent tumors of the breast and genital organs of a woman.

The caution administered utrozhestan Utrozhestan - corrects the deficiency of progesterone   in chronic hepatic and renal failure, thrombosis, varicose veins, diseases of the heart and blood vessels, diabetes, asthma, epilepsy, migraine, depression, disorders of lipid metabolism, in the III trimester of pregnancy (threat of increased load on the liver).

Side effects

However, there may be side effects such as a reduction in the length of the menstrual cycle, intermenstrual bleeding and spotting. Most often, these side effects occur with an overdose of the drug and are in dose reduction. Allergic reactions are also possible.

Utrozhestan - a hormonal drug, and it can only appoint a doctor.

Galina Romanenko

Indications and contraindications for colposcopy

Colposcopy - a study of the state of the mucous membrane of the vagina and vaginal portion of the cervix, which is carried out using a colposcope (special apparatus with optical and lighting systems).

Colposcopy is carried out to assess the overall condition of the mucosa of the cervix and vagina, diagnosis of disease, confirmation of diagnosis, to distinguish malignant tumors Malignant tumor: cells are mad   by sound and to monitor the effectiveness of treatment.

Contraindications for colposcopy not.

Vaginoscope

Colposcope is a microscope adapted for investigating a non-contact method of the vagina and cervix. It consists of an optical binocular head, base and tripod. Colposcope head physician sets in any convenient position. The optical system is a prism binoculars with interchangeable eyepieces. Free distance from the lens to the object plane (working distance) is 195 mm. Illuminator built into the optical head, creates an intense uniform illumination investigated surface.

Colposcope is stored indoors at ambient temperature 5 - 35˚ and relative humidity of 80%.

Methods colposcopy

Simple colposcopy - inspection of the mucous membrane of the cervix after the removal of secretions from the surface.

Extended colposcopy - examination of the vaginal portion of the cervix after treatment with 3% - M solution of acetic acid, thereby more clearly revealed pathological changes on the surface due to the short-term edema Prevention and treatment of edema - it is important to understand the root cause   surface layers of the mucous membrane, located in the reduction zone of blood vessels and reduction of blood supply to tissues. To identify the glycogen in the cells of the surface layers of cervical tissue was pretreated with an aqueous solution of Lugol (Schiller): the pre-cancerous diseases of the epithelial cells glycogen poor and Lugol staining solution, the fabric looks whitish spots on a dark brown fabric. Sometimes during colposcopy takes a piece of tissue for laboratory testing.

Preparations for colposcopy is that the woman should refrain for two days of sexual intercourse and administered into the vagina of any drugs. Colposcopy is usually performed in the first three days after menstruation.