What hormonal drugs are taken for uterine fibromyoma. Who is prescribed birth control pills to treat fibroids? Separation of COCs by dosages

Many women among existing species contraceptives prefer hormonal drugs. In addition, these funds can be prescribed to patients for therapeutic purposes. Some gynecologists prescribe hormonal pills for fibroids. However, they do not have a pronounced effect on myomatous nodes in the uterus.

Please note that this text was prepared without the support of our.

In the treatment of tumors in medical institutions, methods are used, the effectiveness of which has been proven throughout the world. Modern patients are offered to take advantage of the help of experienced specialists in the field of gynecology.

Uterine artery embolization (UAE) is widely used in gynecology. It is a unique procedure after which the tumor is irreversibly reduced. Embolization is a safe procedure with virtually no contraindications.

Reasons for the development of myomatous nodes

There is an erroneous opinion that the main reason for the development of fibroids is hormonal imbalance. Myoma is a chronic disease in which nodes form from the smooth muscle cells of the uterus, so birth control pills for fibroids are ineffective.

There are two approaches to identifying the causes of this pathology. According to the first theory, the beginnings of fibroids are formed during fetal development. Myometrial defects that appeared at this time can degenerate into uterine myoma during the reproductive period.

Gynecologists, who adhere to a different theory, believe that fibroids are formed due to the fact that uterine tissues are damaged during menstruation. The high prevalence of pathology among modern women due to the fact that pregnancy and childbirth in their lives occur on average 1-2 times. If conception does not occur, then menstruation occurs, after which the body re-prepares for conception.

Gynecologists identify a number of factors, the presence of which can contribute to the transformation of myomatous rudiments and the growth of tumors:

abortions;
scraping;
frequent inflammatory processes;
operations on the uterus;
complications after childbirth.

The obstetrician-gynecologist Dmitry Mikhailovich Lubnin tells his patients in most detail about the causes of the development of fibroids. He long time is engaged in the study of this problem and the search for effective therapeutic methods.

A woman's reproductive health largely depends on how regularly she visits a gynecologist. Pathologies at the initial stage of their development are often detected during a routine examination. In order to get answers to your questions about contraceptive methods, effective contraceptive methods, methods of treating fibroids, you should visit a gynecologist.

The main methods of treatment of fibroids

For many women who have fibroids, gynecologists recommend a hysterectomy, an operation in which the uterus is removed. At the same time, many doctors are silent about the consequences of surgery and possible complications. This approach to the treatment of myomatosis is incorrect, in developed countries in the treatment of pathology, a safe technique is used that preserves the reproductive function and excludes the re-development of formations.

Several factors should be considered when choosing a treatment for fibroids:

the presence and intensity of symptoms;
whether the woman is planning a pregnancy;
location of myomas.

Drug treatment of fibroids is prescribed when small nodes are detected, they do not deform the uterine cavity and develop asymptomatically. An experienced gynecologist Dmitry Mikhailovich Lubnin warns women that the tumor cannot be treated with Duphaston, as it provokes the growth of fibroids. Contraceptives for uterine fibroids do not have a lasting effect, so after their cancellation, unpleasant symptoms may return.

Surgical treatment of myomatosis is used in cases where the myoma prevents the conception of a child or is of a huge size. Surgery allows you to quickly remove the tumor, which can put pressure on internal organs and give other symptoms, however, after the operation, the woman needs to undergo rehabilitation.

Uterine artery embolization is the best treatment for benign, symptomatic masses that continue to grow. This procedure is safer than surgical methods. The leading specialist in the field of UAE is Boris Yurievich Bobrov, an endovascular surgeon. It confirms the fact that embolization in most cases allows to finally solve the problem of myomatous nodes.

If a gynecologist prescribes birth control for fibroids or surgical removal of the tumor, the woman should consider uterine artery embolization as an alternative option, in which trauma to the body is minimal.

Embolization of the uterine arteries

Embolization of the uterine arteries is widely used in developed countries for the treatment of myoma formations. In Russia, this technique is used in private clinics, since government agencies do not have sufficient funds and qualified personnel in this matter, so hormones are often prescribed for myoma and removal of the reproductive organ.

The UAE procedure involves blocking the vessels that feed the fibroids with the help of a special preparation containing the smallest particles - emboli. The main advantages of EMA are:

during embolization, the uterus is not injured, in addition, the adhesive process is completely excluded;
during UAE, the power of all nodes located in the uterus stops;
patients do not relapse;
UAE does not prevent pregnancy. So, the patient can plan conception 10 months after embolization;
the duration of the procedure is no more than 40 minutes;
UAE does not require anesthesia;
after the procedure, a woman does not need to take hormones for uterine fibroids, as well as any drugs.

After embolization of the uterine arteries, benign formations begin to gradually decrease in size, after which they are replaced by connective tissue, which does not give any symptoms. This effect cannot be obtained when taking contraceptives, so they should be considered as a preventive measure.

Endovascular surgeon B.Yu. Bobrov has the most experience in embolization in Russia. He helps patients to restore reproductive health every day.

Contraceptives for uterine myoma: the main action

According to modern research by scientists and specialists in the field of gynecology, hormonal contraceptives for fibroids do not have a lasting or pronounced effect. So, contraceptives for fibroids are unable to start the process of its reduction.

The appointment of contraceptives can be considered as one of the measures for the prevention of myomatosis, since there is evidence that the likelihood of developing a tumor when using them is reduced by 27%. Gynecologists prescribe contraceptives not only as contraceptives, but also to prevent myomatosis in young nulliparous girls.

The action of contraceptives is manifested in the fact that they reduce the abundance of menstruation. Against the background of taking contraceptives, bleeding becomes scarce, and their duration decreases. A woman taking contraceptives as one of the measures of symptomatic therapy should understand that contraceptives do not affect the growth of nodes.

Contraceptives for uterine fibroids are symptomatic. However, it is unacceptable to use them without the appointment of a gynecologist. A woman can receive, during which a specialist will answer questions of interest and explain how to make an appointment and undergo a diagnosis.

Hormonal contraceptives for fibroids: side effects

The development of myomatous nodes provokes the hormone - progesterone, therefore, the use of contraceptives with this component should be refrained from. When taking birth control pills, there are certain restrictions.

Do not take birth control pills:

women who abuse alcohol and smoke;
at elevated pressure;
with malignant tumors;
with deep vein thrombosis;
with uterine bleeding;
patients with liver disease.

The best treatment for fibroids is uterine artery embolization. In comparison with contraceptive drugs, it allows you to achieve the maximum result. An important advantage of embolization is that after its use it is not required complementary therapy, and the patient can plan conception after 8-12 months.

Women of reproductive age should remember that the likelihood of developing fibroids in them is extremely high. One of the preventive measures is regular visits to the gynecologist at least once every 6 months. The nodes in the uterus develop gradually, so during a routine examination, the doctor may identify small formations.

Bibliography

Assessment of the quality of life in patients with uterine myoma after various kinds surgical treatment/ D.V. Doletskaya, M.A. Botvin, N.M. Pobedinsky and others // Obstetrics and Gynecology. 2006. No. 1. S. 10-13.
Nuzhnov S.V. The study of the quality of life of women before and after embolization of the uterine arteries in uterine myoma // Vestnik ChSPU. No. 8. 2011. P. 245-251.
Benign diseases of the uterus / A.N. Strizhakov, A.I. Davydov, V.M. Pashkov, V. A. Lebedev. Moscow: 2 Geotar-Media. 2010. P.288.

Contraception with fibroids directly affects health. Health cannot be bought with money, which is why it is very important to take care of it throughout life, especially for women. After all women Health much harder to keep. Most women face various diseases reproductive organs, namely the uterus.

Myoma is one of the most common diseases of the uterus. This disease occurs in most women of childbearing age, however, in many it occurs without any symptoms. The main danger of this disease is that it forms peculiar nodes that can burst and cause bleeding of the uterus. That is why it is especially important to choose the right contraceptive.

Hormonal contraceptives.
Condoms.
Intrauterine device.

Hormonal preparations are one of the most effective means contraception for this disease. Its regular use will allow a woman to protect herself from an unplanned pregnancy and improve the general condition of the body. In addition, the use of properly selected medications helps to reduce the unpleasant manifestations of this uterine disease and even contributes to its elimination.

Why you should use hormonal contraceptives

Hormone therapy - as a treatment for uterine fibroids

This type of contraception is one of the most common and effective. The composition of such medicines includes analogues of female hormones. As you know, most drugs include hormones such as:

Estrogen.
Progesterone.

It is synthetic drugs that are analogues of these hormones that not only have a contraceptive effect, but also act as excellent prophylactic agents.

The use of hormone-based medications helps prevent the appearance of uterine fibroids, and also stops its development. However, to achieve this effect, all instructions specified in the instructions must be strictly observed.

A woman should use contraceptives of this kind every day, preferably at the same time. Depending on the number of tablets, the time of taking the drugs also varies. Most funds can be taken for 21 or 28 days.

At this stage, there is a fairly large selection of different hormonal contraceptives. All of them differ not only in name, but also in composition, as well as dosage. In order to choose the optimal remedy, it is best to consult with a gynecologist. It is this specialist, taking into account the individual state of the body, as well as the level of development of the disease, that will tell you which medicines can be used for protection.

How do hormonal contraceptive pills work with fibroids

Medicines in the composition, which include synthetic hormones, in addition to the contraceptive effect, have a beneficial effect on the general condition of the body. This is due to the fact that the composition of such funds includes synthetic hormones. They are similar to those produced female body, however, differ in their properties.

Hormonal contraceptives
help regulate the menstrual cycle, reduce the duration and abundance of menstruation, and also reduce the size of fibroids.

Due to the fact that hormones enter the body from the outside, the need for hormone production temporarily disappears. The use of a hormonal drug normalizes the level of hormones in the body and helps restore reproductive function. In addition, due to the temporary restriction of the intake of hormones, the size of the nodes can be reduced.

Varieties of hormonal contraceptives for fibroids

It is best to use the so-called single-phase tablets in this disease, in which the content of active substances is at the same level.

Monthly breaks when taking hormonal contraceptives should not be done. Immediately after the end of the first course, you need to start the second. This feature should be taken into account when using such drugs.

Non-combination drugs are also quite effective. Their main feature is that they contain only progestogen. It is necessary to take such funds at a certain time, with this reception their reliability increases. When using such a drug, a break is also not worth doing.

How to use birth control for myoma

With fibroids, you should strictly adhere to all the rules for using birth control pills. Basic rules for taking such drugs:

You need to take the tablets every day at the same time.
You need to start drinking the drug from the first day of menstruation.
Every day you need to take one dose of medication.
In the event that vomiting occurs after use, then you need to drink another dose.
If the estimated time of admission was missed, then the drug should be taken as soon as possible.
If you have not used birth control pills before, then after you start taking them, you need to protect yourself for the first 14 days.
With the manifestation of intermenstrual bleeding, you can continue taking medication.

The positive impact of taking contraceptives for fibroids

Reception hormonal pills with this disease helps:

Stop the growth of myomatous nodes.
Promotes the resorption of nodes with a diameter of less than 1 centimeter.
Helps eliminate pain during menstruation.
Accelerates the passage of menstruation.
Reduces the amount of discharge.

However, it is necessary to take into account that taking any hormonal contraceptive pills cannot completely cure this disease, because their main task is to prevent conception. Most often, taking this kind of pill can only alleviate or eliminate the symptoms of this disease.

What contraceptives are dangerous for myoma

Combined oral contraceptives are used to treat uterine fibroids, when the diameter of the tumor does not exceed one and a half centimeters.

This disease is characterized by the growth of the muscular layer of the uterus. One of the oldest ways to solve the elimination of this disease, as well as to solve the problems of contraception, was the surgical removal of the uterus.

However, now such a problem can be solved without resorting to such an aggressive intervention in the body. The best drug for contraception with fibroids are birth control pills. However, you should definitely know which substances that make up their composition are not suitable for women suffering from this disease.

The active development of myoma nodes provokes progesterone.

That is why you should refrain from using tablets based on it. It is best if the composition of the drug will include an analogue of progesterone - progestogen. It does an excellent job of replacing progesterone, but it is quite different in properties.

Limitation when taking hormonal contraceptive pills

The advantages of taking such contraceptives for fibroids are obvious, however, you should definitely take into account contraindications to taking such drugs. You should not take these drugs if:

Smoking after 30.
Alcohol abuse.
Increased pressure.
Uterine bleeding.
Liver diseases.
Deep vein thrombosis.
Malignant neoplasms.

Be sure to take into account that emergency contraception is contraindicated in this disease. This is due to the fact that emergency contraceptives contain a large dose of hormones, which can cause a worsening of the condition. It is best to consult a specialist before using them.

Summing up, we can say that best remedy contraception for fibroids are hormonal drugs. When taken correctly, they can not only protect against unplanned pregnancy, but also reduce the symptoms of this disease. However, when deciding to use this method of contraception, it is worth consulting with a gynecologist. The specialist will be able to choose the optimal pills, taking into account the general condition of the body and the level of development of the disease.

Hormones in fibroids are the main factor influencing the appearance of pathology. Uterine fibroids is considered a hormone-dependent pathology and the organization of its treatment using hormonal drugs is quite effective. The use of hormonal agents makes it possible to avoid unwanted pregnancy in the presence of a node in the uterus during the period of therapeutic therapy, which is important for maintaining the health of women of reproductive age.

Myoma is a benign neoplasm, the cause of which is mainly the increased production of sex hormones, estrogen, in the body.

The causes of the onset of the disease also include:

When the formation tends to grow, which is accompanied by heavy bleeding, prolonged menstrual and intermenstrual bleeding, the woman's reproductive activity worsens. Treatment with such a clinical picture should begin as soon as possible. One of the methods of conservative treatment in the early phases of the development of nodes is hormonal treatment.

In addition to estrogens, other hormones produced by the woman's body also affect the development of the myomatous node, such as: progesterones, androgens and gonadotropins. To balance the hormonal background, which is important in uterine fibroids, the lack of certain hormones is replenished using hormonal preparations.

Hormone therapy makes it possible to reduce the size of the nodes both at the initial stage and in complex cases before surgery. If the size of the nodes can be reduced, the removal of the neoplasm is done laparoscopically, which has minimal trauma on the woman's body and allows her reproductive function to be preserved.

Indications for hormonal treatment

Hormonal drugs are the main means in the treatment of uterine fibroids. The main indications for therapy with the use of hormonal drugs are:

Small sizes of neoplasms (up to 2 cm);
Single nodes or several, but small in size;
Slow growth rate;
Localization of the node in the wall of the uterus (intramural myoma);
Subserous fibroids of medium size and lack of growth;
Absence of pain;
Use as a preoperative preparation for large fibroids.

Contraindications

The use of hormonal drugs in some cases is limited.

Do not use if:

Large tumors;
The presence of multiple nodes;
Rapid growth of the tumor;
Before the menopause;
Incompatibility of hormonal drugs with other drugs used constantly for chronic diseases.

Limitations for hormone therapy are also:

During menopause, hormones are allowed to be used with caution only at the very beginning of the physiological process. After the complete cessation of the menstrual cycle, the tumors decrease without intervention on a reduced hormonal background.

Forecast

The use of conservative treatment with the use of hormones on early stage allows you to completely cure uterine fibroids. Often the course and duration of treatment depends on the number of estrogen receptors in the tumor and its individual sensitivity to hormonal drugs.

It has been proven that rather large fibromyomas regress under the influence of hormone therapy. However, an important factor is the elimination of the very cause of the increase in estrogen in order to avoid relapse after discontinuation of the medication. This is due to the use of hormone therapy and as a preparation for surgery.

The use of hormonal drugs in healthy women allows:

Normalize the hormonal balance, the secretion of hormones is reduced by the ovaries, they go into a resting phase, there is no ovulation.
Eliminate the possibility of an unwanted pregnancy that ends in an abortion, injuring the uterus, causing hormonal failure and creating conditions for the development of uterine fibroids.

Hormonal drugs

Hormones are active elements involved in all physiological processes. They are produced by the endocrine glands and coordinate various processes in the body: growth, reproduction, etc.

Hormone therapy is the use of hormones and their artificial counterparts for therapeutic purposes.

The production of hormones in the body occurs according to the principle of deficiency. When their level in the blood is below normal, the corresponding glands begin to actively produce them, replenishing the shortage. If there is not enough of a hormone, this indicates a malfunction of the gland that produces it, but if there is a lot of hormone, then the organ does not work within the normal range.

In modern medicine, three types of hormone therapy are used:

Stimulating therapy is used when it is necessary to activate the function of the endocrine gland, to determine its capabilities. Apply preparations containing neurohormones of the hypothalamus and the anterior pituitary gland.
Inhibitory or blocking therapy is used when there is excessive activity on the part of any endocrine gland, also for the treatment of certain types of neoplasms. This therapy is used in combination with radiation or surgery.
Replacement therapy is used for problems of the endocrine system that occur with partial or complete inhibition of the function of the endocrine gland. Preparations containing the hormone itself or its synthetic analogue are used. The mode of taking hormonal drugs should correspond to the physiological processes in the body.

Treatment of fibroids with hormonal drugs is aimed at blocking the work of the ovaries, reducing the level of estrogen produced. The use of hormonal agents is the most loyal to the female body, since they act only on small neoplasms diagnosed in the initial phases of the disease. With their use, unwanted conditions that occur when using other drugs are prevented. In a woman, under the influence of hormonal drugs, the function of childbearing is normalized.

Combined oral preparations

Combined oral preparations are among the most used types of hormone therapy. The use of combined oral agents, with uterine myoma, helps to reduce pain and reduce heavy bleeding during menstruation.

This group of drugs in the treatment of uterine fibroids is used only in young patients, when nodes up to 1 cm in size are found with an asymptomatic course. Under their influence, the growth of tumors stops, the size decreases.

Combined oral preparations in most cases are based on a combination of Desogestrel and Ethinylestradiol (included in the preparations Marvelon, Novinet, Mercilon), a combination of Norgestrel and Ethinylestradiol (included in Regevidon and Ovidon) and a combination of Gestodene and Ethinylestradiol (drugs - Lindinet and Logest) are also offered .

Antigestagens

This group of drugs blocks the action of progesterone at the receptor level. , which leads to an increase in the contractility of the myometrium.

The group includes the drugs Mifepristone and Esmya.

Mifepristone has an antiprogestogenic effect and is a synthetic steroid. The active component of the drug activates the myometrium, increasing its tone and contractility. When released into the blood, the drug does not allow progesterone to be released. The drug does not have gestogenic activity. It is used to treat uterine leiomyoma up to 12 weeks of pregnancy.

Drug treatment with Esmya refers to effective hormonal therapy. The active ingredient of the drug is ulipristal.

Esmya tablets act on myoma cells, destroying them and stopping the progression of the growth of nodes. With the use of Esmya, bleeding caused by the presence of uterine fibroids can be eliminated.

Gonadropins

Gonadotropic hormones are hormones that affect the development and function of the gonads. These include luteinizing, follicle-stimulating and lactogenic hormone of the anterior pituitary gland, which produces hormones that stimulate the ovaries. The ovaries synthesize estrogen and progesterone, the main hormones that regulate the activity of the uterus.

Gonadotropin-releasing hormone agonists (Lupron, Sinarel) affect the same cells as the gonadotropin-releasing hormones themselves, with reverse effectiveness. This effect provokes a decrease in the level of estrogen and progesterone, as a result of which monthly cycle stops, fibroids decrease in size, bleeding stops, anemia resolves.

The drugs in this group include:

Decaptil. Introduced subcutaneously;
Decaptil - depot. It is a means of prolonged injections;
Buserelin. Available in the form of nasal sprays, solutions for injection;
Lucrin - depot. Produced in powder form for the preparation of an injection suspension.

Progestins

The drugs are also called "pure gestagens" because they contain pure progesterone. For the treatment of uterine fibroids, they are used to suppress the hormone estrogen and maintain pregnancy when there is a risk of miscarriage due to progesterone deficiency or to treat endometriosis.

To the famous medicines this series includes:

Bysanna or Femoston. The drug has an effect on the growth of the endometrium and stops menstruation;
Orgametril. It is used only in the first phases of uterine fibroids, it is effective for heavy bleeding, it is used to stop the appearance of foci of endometriosis;
Duphaston. Affects only the endometrium, has a sparing effect.

Hormone Replacement Therapy

It is used in women during menopause, facilitating its course. During the menopause, the growth of myomatous nodes slows down or stops, against the background of changes in the hormonal balance. The expediency of using replacement therapy for uterine myoma is determined by a specialist, after a thorough examination. During menopause, a woman's body produces not only less of the female sex hormone - estrogen, but also its weaker form - estrone. Thanks to the introduction of replacement therapy, it is possible to both treat myomatous nodes and stabilize the level of the female sex hormone, which allows:

Activate the work of the brain;
Normalize sleep, heart rate and blood pressure;
Strengthen collagen fibers;
Prevent the development of atherosclerosis;
Reduce the risk of stroke, heart attack, heart attacks;
Eliminate the unpleasant symptoms of menopause;
Normalize thyroid function;
Avoid weight gain under the influence of testosterone.

A large selection of hormonal drugs for replacement therapy makes it possible to choose an individual course for each woman separately, which allows you to avoid the appearance of side effects and improve the effectiveness of therapy.

Popular drugs are:

Trisequence;
Cliogest.

The drug Femoston is also used, however, its use should be under the supervision of a doctor. It is recommended only for small fibroids and in the presence of pre-climatic syndrome.

The use of hormones after 45 years

By the age of 45, the female body begins to rebuild. Estrogens are produced less, fatigue and irritability appear, accompanied by headaches.

If after the age of 45 there are no signs of menopause, hormone therapy can be used as a preventive measure.

Hormonal remedies after 45 years of age protect against unwanted pregnancy, also:

reduce the risk of oncological diseases;
reduce the risk of ovarian disease;
normalize the cycle, reduce pain and relieve premenstrual syndrome.

After 45 years, drugs are prescribed containing:

estrogen and progesterone;
synthetic analogues of progesterone.

Use hormonal drugs should only be under the supervision of a physician. The choice of means and dose should be done by a specialist, strictly individually for each patient. This is the only way to get good results and avoid possible side effects.

With age, the risk of developing uterine fibroids increases. Often they are detected after forty years. But this does not mean that it cannot develop in young women. Therefore, regular monitoring by a gynecologist is a very important component of disease prevention. Therapy in time of detected pathology of the uterus is reduced to the treatment of fibroids with hormonal contraceptives.

Uterine fibroids (also known as fibromyomas or leiomyomas) is a benign neoplasm that occurs inside the muscular layer of the uterus - the myometrium. It is considered one of the most common female pathologies. The frequency of occurrence reaches a quarter of all cases of identified gynecological diseases.

The highest risk of developing fibroids is observed in women in the late reproductive and premenopausal period. We can say that this is a group of women over the age of 45.

The myomatous node is a cluster of smooth muscle fibers that are closely intertwined. It looks like a round formation. In most cases, it reaches a size of no more than a couple of centimeters, however, in some cases, it can grow profusely and weigh more than a kilogram.

Science knows the case when the knot reached sixty kilograms in weight.

Doctors distinguish these types of uterine fibroids:

submucosal;
subserous;
Intramural.

Oral contraceptives

This group of medications is also called oral contraceptives, since they are consumed by mouth, that is, they need to be drunk. They are the most convenient drugs to use.

To date, modern medical devices of this class are presented in the form of combined oral contraceptives (COCs) and single-component drugs.

They include certain female sex hormones that can affect a woman's body in different ways.

Mechanism of action

Their action is reduced to the inhibition of the secretion of gonadotropic hormones by the pituitary gland, the containment of folliculogenesis (the process of formation of follicles) and the suppression of ovulation. Thus, they prevent the development and release of the egg.

Due to the presence of negative feedback from the ingestion of progestin into the body, there is a suppression of the frequency of release of a hormone such as gonadoliberin, which is produced by the hypothalamus.

Thus, the use of oral contraceptives leads to a decrease in the production of follicle-stimulating and luteinizing hormones by the adenohypophysis. In this regard, there is a decrease in the production of estradiol, and this leads to a violation of the formation of follicles.

The presence of progestin negative feedback and the absence of a positive feedback from the production of luteinizing hormone (LH) leads to the suppression of peak LH production in the middle of the ovulatory cycle. The combination of these components leads to the suppression of the formation of follicles and blocks the process of ovulation.

In addition to providing protection for sexual intercourse, these funds are used as emergency postcoital contraceptives and abortifacients.

What other ways are there to prevent pregnancy?

For girls and even for women, it is imperative to bring information about the availability of all possible methods contraception. To date, these methods of protection are:

combined oral contraceptives;
contraceptive injections for women;
sterilization;
intrauterine contraceptives (for example, intrauterine devices);
hormonal patches;
barrier means (they are the most famous non-hormonal contraceptives for the population) - condoms, diaphragms, caps, sponges;
calendar methods;
withdrawal method.

Before using contraceptives, you should consult a gynecologist. An incorrectly selected drug can significantly harm your health.

How to protect yourself and which method to choose depends on the desire of the woman.

Hormonal birth control pills for uterine fibroids

Hormonal contraceptive pills not only help prevent unwanted pregnancies, but are also directly used to treat tumors.

The use of drugs in the treatment of fibroids began in the 60s. Contraceptives for women contain hormones identical to natural hormones.

There are monophasic and polyphasic agents.

Hormonal substances entering the body lead to the fact that the production of its own hormones becomes unclaimed. With the abolition of drugs, the cascade of hormonal reactions starts again and everything falls into place.

Hormonal drugs are good ways to normalize the ovulatory cycle and affect a woman's health. At the same time, birth control pills for nulliparous women are used with the same frequency as for women who have given birth. They are often prescribed for the purpose of stimulating or restoring reproductive function.

The use of drugs from the group of contraceptives for uterine fibroids allows you to stop its growth in the early stages and completely eliminate it. Such drugs are also called drugs that resolve fibroids.

In addition, these drugs are indicated to be taken after the removal of fibroids.

What contraceptive pills are better to take with uterine fibroids?

The situation with hormonal contraceptives is the same as, for example, with technology: the newer the drug, the better effect. If the drugs that existed before gave a good effect, but led to specific negative consequences (and this is not only obesity), then the new generation drugs do not lead to this. Yes, yes, they do not get fat!

As already mentioned, there are two groups hormonal contraceptives. The first is from the group of combined oral contraceptives (COCs). The second includes monocomponent preparations, also known as "mini drank".

Based on the name, it becomes clear that the first contains two hormones, and the second group contains one.

Here are the most common tools from each group.

Combined contraceptives include:

Jeanine (a combination of Ethinylestradiol and Dienogest);
Median (combined Drospirenone and Ethinylestradiol);
Novinet (Ethinylestradiol and Desogestrel);
Rigevidon (combination of Ethinylestradiol and Levonorgestrel);
Silhouette (dienogest and ethinylestradiol are combined) and others.

Monophasic drugs include:

Charosetta;
Micronor;
Continuin and others.

Separation of COCs by dosages

This group of drugs, depending on the dose of the active substance contained in them, is divided into three groups:

microdosed;
low-dose;
highly dosed.

But there are cases when, depending on the dose, one drug may belong to different groups, for example, Mifepristone 50 mg, 200 mg, 10 mg. It is the dosage of 50 mg that is used in the treatment of uterine fibroids.

Contraceptive pills for uterine fibroids after 40

At this age, the reproductive function of a woman begins to fade. She has problems with the ovulatory cycle, menstruation becomes irregular, there are hot flashes, sweating and other symptoms characteristic of menopause. This indicates the imminent onset of menopause.

It turns out that it makes no sense for such women to take contraceptives? Not at all. Their use, on the contrary, is recommended by many doctors. In this way, a woman is not only protected from pregnancy, but also significantly improves her health.

The use of such drugs allows:

Reduce the likelihood of tumors;
Normalize the menstrual cycle;
Get rid of the symptoms of premenstrual syndrome;
Reduce pain during menstruation.

The age of entry into menopause is purely individual, but most often this occurs after forty-five years. Smoking, alcohol abuse, the influence of negative environmental factors, unhealthy lifestyle, genetic factors can “rejuvenate” menopausal age.

Contraceptives for uterine fibroids and endometriosis

Endometriosis is an abnormal growth of the endometrium, both in the organs of the reproductive system and beyond.

The main reason for the development of endometriosis, as well as uterine fibroids, is the imbalance of female sex hormones. This suggests that the use of hormonal contraceptives in these pathologies is not only possible, but necessary.

The selection of the necessary drugs is carried out by a gynecologist individually for each woman. Before that, you need to go through gynecological examination and pass the tests necessary to determine the hormonal status.

Patients who have been prescribed such medications should take them systematically and be regularly observed by a gynecologist.

Contraindications for use

Taking hormonal contraceptives is prohibited if you have:

venous thrombosis or the risk of its development;
ischemic heart disease;
diseases of the blood coagulation system;
severe hypertension;
pathologies of the heart valves;
cardiac conduction disorders;
diabetes;
liver diseases;
lactation in the postpartum period.

In fact, the list of contraindications is much wider. The article presents only the main ones. For detailed information about contraindications to the use of oral contraceptives, you should contact your gynecologist.

Important! Alcohol and oral contraceptives are incompatible things. Just like smoking when using hormonal methods of contraception.

Hormonal contraceptives have entered a person's life relatively recently. Despite this, they quickly proved their effectiveness. Today they are used as one of the main methods of preventing unwanted pregnancy.

However, do not forget that there are contraceptives for men.

Hormonal contraceptives are widely used in the treatment of uterine fibroids. Moreover, they are the main and most secure modern method their treatment.

In the 21st century, women increasingly prefer combined oral contraceptives (COCs) as a method of effective pregnancy control. COCs have also found their place in gynecology for complex treatment uterine fibroids. Myoma is a hormone-sensitive tumor, which, in most cases, is asymptomatic. This disease occurs among women of different age groups, however, a higher incidence of the development of a tumor in women over 35 years of age.

Please note that this text was prepared without the support of our.

Now the attitude towards combined oral contraceptives has changed dramatically, since it has been proven that they do not have a pronounced effect on the myomatous node. They are prescribed only as a means of prevention for women after myomectomy or for nulliparous women, so as not to start the growth process. COCs do not affect the reduction in the size of the myomatous node, they do not contribute to the regression of the node. They reduce the likelihood of developing a tumor by 25-30% with their constant use. Their goal is symptomatic treatment and prevention. Our expert council uses in its practice only modern technologies and international protocols in the fight against dangerous disease. Advanced offers you a whole range of services for the diagnosis and treatment of fibroids. Among all methods of surgical treatment, uterine artery embolization remains the most successful and effective method, with minimal complications and relapses. On the basis of the European Clinic, this method of treatment has been practiced for a long time. Our specialists, Bobrov B.Yu. and Lubnin D.M., achieved the highest professionalism in this field of action.

COC action: regulon, silhouette, janine with uterine myoma, reviews

In order to understand the work of hormonal contraceptives, one should understand what they are and the mechanism of their action.

Hormones are biologically active substances that are produced by our endocrine glands: thyroid gland, adrenal glands, etc. Their range of action is varied. They are involved in the basic metabolism, growth of the body, are responsible for behavior and support the function of other organs. But we are only interested in the hormones of the gonads: estrogens and progestogens (progesterone). It is these two groups of hormones that are actively involved in the regulation of the monthly cycle.

The principle of operation of all hormonal contraceptives is basically the same:

Suppress ovulation;
They prevent the egg from gaining a foothold in the endometrium of the uterus.

The daily use of COCs (Janine, Regulon, Silhouette) introduces the woman's ovaries into the so-called "artificially induced" drug-induced sleep, as a result of which the gonads do not ovulate each new cycle.

The use of drugs such as janine, with uterine fibroids, or regulon with uterine fibroids, helps to reduce the intensity of bleeding during the cycle, reduces the duration of menstruation to one or two days. The pain that you feel during menstruation will become less pronounced, the cycle will normalize and become regular. In addition, taking combined oral contraceptives reduces the risk of developing ovarian and endometrial cancer. They can prevent some causes of infertility, thereby promoting pregnancy.

Remember that you cannot take hormonal drugs on your own, since any uncontrolled use of hormonal drugs can lead to the progression of tumor growth, or disrupt the function of other endocrine glands. Our expert advice guarantees first-class and timely advice on any issue. To do this, you just need to, and you will receive answers to all your questions about hormonal contraceptives, alternative methods of surgical treatment.

Contraceptives for myoma: contraindications

Combined oral contraceptives for uterine myoma are not always effective, and their uncontrolled use can lead to undesirable consequences from all body systems. In spite of a large number of useful properties hormonal drugs, there are a number of absolute contraindications to their appointment:

Woman's age >35 years;
Diseases of the cardiovascular system (thrombosis, hypertension, stroke, heart attack);
Pregnancy or pregnancy planning;
Smoking;
Breastfeeding, period 6 months after childbirth;
Diabetes;
Liver diseases (tumor, hepatitis).

Long-term use of hormonal contraceptives can cause the so-called "climacteric syndrome", which leads to obesity, osteoporosis and cardiovascular disease. If you have any questions, you can always contact us directly and get. Remember that COCs are not the only method of treatment, an alternative to hormones is a less traumatic, effective and fast embolization of the uterine arteries.

Combined oral contraceptives for fibroids

Combined oral contraceptives (COCs) are drugs containing two components: gestagens and estrogen. According to the mechanism of action, they are close to the sex hormones of the female reproductive system.

COCs have several mechanisms of action:

Suppress ovulation;
Reduce motor activity spermatozoa;
They change the chemical and biological properties of the endometrium, thereby making it impossible for the egg to attach to the mucous membrane;
They affect the microflora in the vagina (thickening mucus in the cervix), preventing further movement of spermatozoa.

This class of drugs is the most effective method of preventing unwanted pregnancy. Combined oral contraceptives are divided, according to the ratio of estrogens and gestagens, into three types:

Monophasic: 21 tablets containing an equal ratio of estrogen and progestin;
Biphasic: 21 tablets containing two different combinations of estrogen and progestin;
Triphasic: 21 tablets, varying in color, contain three different combinations of estrogen and progestin.

The most optimal are three-phase COCs, but this is not the "gold standard" of treatment. Each woman needs an individual approach in the treatment and choice of a hormonal drug. Our gynecologists prescribe hormonal therapy only in the presence of small fibroids - up to two centimeters. Remember that COCs are only prevention, for the complete elimination of the pathological process, our expert advice recommends embolization of the uterine arteries. Around the clock you can ask us any question you are interested in and get from the best specialists of our clinic.

Combined oral contraceptives for myoma: the role of gestagens

Gestagens belong to the group of steroid sex hormones. The mechanism of their action is to suppress the processes of hyperplasia and hypertrophy of the muscle fibers of the uterus and the launch of degenerative-dystrophic processes in the myomatous node, suppression of the ovaries and mammary glands. Gestagens are prescribed for women of reproductive and premenopausal age. However, despite all the hopes placed on the antitumor effect of these drugs, they did not justify their originally intended effect. In most cases, on the contrary, they increased tumor growth.

How to use hormonal drugs for myoma

The drug should be taken every day, at about the same time of day, for 21 or 28 days, depending on the drug: mono-, two- or three-phase.
Within a week after day 21, the so-called "menstrual reaction" occurs. Ease of use makes each tablet on the plate correspond to a calendar day.

If the plate contains 21 tablets, then the drug should be started from the first day of menstruation, and after the end - take a week break. During this period, you do not need to use other types of contraception. If you have been prescribed a drug containing 28 tablets in its package, then it is taken continuously. Before taking, you should consult with a gynecologist. Great amount information you can get on our website or.

What are the complications in the treatment of fibroids with hormones

Gynecologists of our clinic are reluctant to prescribe hormonal drugs for the medical treatment of uterine fibroids. Despite the almost “ideal” method of contraception, combined oral contraceptives have a huge list of complications:

Weight gain;
Decreased libido;
Osteoporosis;
Amenorrhea;
intermenstrual bleeding;
The development of thrombosis;
Soreness and tenderness of the mammary glands.

Many physicians do not agree that contraceptives is a panacea for the treatment of uterine fibroids. Modern ones offer an alternative option - uterine artery embolization. After this procedure, which lasts 40-50 minutes, the myomatous node gradually decreases in size and atrophies due to blockage of the vessel by the embolus. You will feel the effectiveness of the operation after two or three menstrual cycles. As the node atrophies and decreases in size, the symptoms also regress: menstruation becomes less abundant, intermenstrual bleeding gradually disappears, pulling, dull pain, and the function of other pelvic organs normalizes.

IN Russian Federation this technique is practiced only in private clinics, since public hospitals do not have enough qualified medical personnel and supply of expert-class medical equipment. Hormonal preparations do not give such a significant effect as UAE. The leading expert in UAE, endovascular surgeon Bobrov B.Yu., has perfected this procedure for many years of his practice. Every day he helps women across the country to live a full life!

Bibliography

Assessment of the quality of life in patients with uterine myoma after various types of surgical treatment / D.V. Doletskaya, M.A. Botvin, N.M. Pobedinsky and others // Obstetrics and Gynecology. 2006. No. 1. S. 10-13.
Nuzhnov S.V. The study of the quality of life of women before and after embolization of the uterine arteries in uterine myoma // Vestnik ChSPU. No. 8. 2011. P. 245-251.
Benign diseases of the uterus / A.N. Strizhakov, A.I. Davydov, V.M. Pashkov, V. A. Lebedev. Moscow: 2 Geotar-Media. 2010. P.288.