Hormonal pills in the treatment of fibroids are safe. What birth control pills should be taken for uterine fibroids: reviews of doctors, patients. The effect of contraceptives on uterine myoma

Uterine fibroids is a benign hormone-dependent tumor that occurs mainly in women over 35 years of age. The appearance of nodes is accompanied by characteristic pain in the lower abdomen and menstrual irregularities. Hormonal drugs are used to treat small tumors, and combined oral contraceptives deserve special attention among them. The use of birth control pills allows you to achieve regression of fibroids and eliminate the main unpleasant symptoms of this disease.

What are COCs and how do they work?

Combined oral contraceptives are called means of protection against unwanted pregnancy, which contain estrogen and progestogen.

The mechanism of action of drugs:

The proliferation of the inner lining of the uterus is supported, which prevents the implantation of the fetal egg.
Ovulation is suppressed, so that the mature egg cannot leave the follicle to meet the sperm.
Hormones thicken the cervical mucus, and male gametes are not able to penetrate the uterine cavity to meet the egg.

Is it possible to prescribe COCs for uterine myoma?

Combined oral contraceptives are prescribed as effective remedy protection against unwanted pregnancy. A benign tumor of the uterus, reaching certain values, interferes with the normal bearing of the fetus and causes miscarriage or premature birth. In this regard, gynecologists recommend getting rid of fibroids before conceiving a child, and often we are talking about surgical intervention. Until the tumor is removed, your doctor may recommend oral contraceptives.

Important to know: it is recommended to stop taking oral contraceptives before surgery to remove fibroids, as the risk of thrombosis increases after surgery.

Experts say that in addition to the contraceptive effect, COCs are able, when taken regularly, to reduce the growth rate of fibromatous nodes, and also, to a certain extent, prevent the formation of new ones. Oral contraceptives are one of the methods of conservative treatment of uterine fibroids and are actively used in modern gynecology.

Gynecologists also prescribe COCs for the treatment of the following comorbidities:

Anemia. When using combined oral preparations, the amount of discharge during menstruation decreases.
Associated gynecological diseases. Quite often, along with uterine fibroids, endometrial hyperplasia, polyps, etc. appear. Hormonal agents can treat these ailments.
Mastopathy. Since its development is also associated with a violation of the content of sex hormones, taking COCs is useful for a woman.
Menstrual pains. The drugs can reduce discomfort in the lower abdomen and the severity of PMS.

Expected effects: what will happen if you drink birth control pills for fibroids?

Doctors believe that at an early stage of development, the fibromatous focus is highly sensitive to the effects of sex hormones - estrogen, progesterone and prolactin. There is a change in the number of receptors for these substances, which in the future stimulates the growth of target tissues. Over time, the tumor grows connective tissue, and the knot is compacted. In the future, the neoplasm is not able to regress even with normalization hormonal background.

Uterine fibroids are sensitive to endogenous hormones only at small sizes. Upon reaching a size of 2.5-3 cm, the tumor acquires the ability to autonomous growth.

Application scheme

Oral contraceptives begin to be taken daily from the first day of the menstrual cycle, 1 tablet per day at the same time of day. There are several reception schemes:

Classic 21 + 7: you need to drink pills for 21 days, and then take a break for 7 days, or use dummy pills at this time.
Extended regimen 63 +7: the contraceptive is taken continuously for three months, and then a 7-day break is made, followed by a repetition of the regimen.

Note: the first day of the menstrual cycle is the first day of bleeding during menstruation.

Experts say that the classic mode "pulls" the reproductive system and does not allow the body to get used to the new hormonal model of functioning. In contrast, the prolonged scheme turns off and starts the system less often, only once every 3 months. However, the 63+7 option has one significant drawback. Long-term use of COCs increases the risk of spotting spotting in the middle of the cycle and breakthrough bleeding, so this option is not suitable for every woman.

The course of COC treatment is at least 3 months. At the end of this period, a control ultrasound is done and the size of the myomatous node is estimated. Your doctor may recommend using birth control pills for therapeutic purposes and for a longer period of time.

If a woman is to undergo surgery, it is necessary to stop taking the drug 4 weeks before the operation. If the operation is urgent, it is necessary to warn the attending doctor about taking combined oral contraceptives. The fact is that COC contributes to the thickening of the blood and the formation of blood clots. Knowing about the use of such contraceptives by a woman, the doctor will prescribe medications to thin the blood. You can resume taking combined oral contraceptives 14 days after the operation.

Article last updated 07.12.2019

Every 4 women of childbearing age are diagnosed with uterine fibroids. This is a neoplasm that can cause bleeding, anemia, deterioration of well-being, infertility. In the initial stages, the disease does not manifest itself in any way, so the diagnosis is often random.

It is not desirable to become pregnant and give birth to a child with fibroids, because there is a high risk of complications, miscarriages, and tumor degeneration. Contraceptive pills for fibroids will help prevent unwanted pregnancy.

You can also use condoms or an intrauterine device for contraception. The use of medications is the most effective option, since it not only prevents pregnancy, but also has a therapeutic effect on the tumor, allowing it to be reduced to an operable size. An experienced doctor should choose the drug. If you drink contraceptives for fibroids without a gynecologist's appointment, this can aggravate the situation, cause problems, uterine bleeding and other complications. The doctor can choose optimal scheme protection, based on the clinical picture of the disease and the results of the examination.

Contraceptive pills for uterine fibroids provide effective protection and prevention of various diseases of the reproductive system. The preparations are based on special substances - analogues female hormones. Myoma develops due to an excess of estrogen and hormonal failure. A properly selected drug and taking the medication according to the prescribed scheme will stop the growth of the node.

Pharmacies offer a wide range of hormonal drugs effective in myoma. They differ in name, composition, dosage and the result obtained. The choice of the appropriate one should be made only after consulting a gynecologist who knows the nature of the disease, the degree of its neglect, the type of node, etc. Artificial hormones, entering the body, block their natural production, which allows you to stabilize the hormonal background. Doctors divide drugs that can affect the tumor into two large groups:

Combined oral contraceptives for fibroids or COCs. They include estrogen substitutes and progestogen.
monophasic drugs. Their main distinctive feature is that each tablet contains an equal amount of active substances and active ingredients.

In practice, COCs are more often used, such as Microlut, Novinet, Marvelon, etc., they have proven themselves well. An effective drug is "Silhouette".

This is a combined contraceptive with an antiandrogenic effect. It is completely absorbed and easily excreted in the urine during the day. The main action of the tablets is the inhibition of ovulation and a change in the structure of the endometrium.

Retail prices for "Silhouette" tablets vary from 650 to 1600 rubles, depending on the geolocation and packaging of the tablets. usually packaged from 21 to 63 pieces.

A course of hormone therapy can reduce the manifestations and symptoms of the disease, such as uterine bleeding and pain. In combination with hormonal drugs can be used folk recipes based on herbs, bee products, plant components. An integrated approach, diet, restriction is welcome physical activity and aces of sun exposure.

Rules for taking contraceptives

When treating fibroids, it is extremely important to follow all the recommendations of doctors. The course and dosage of the drug should be prescribed by a gynecologist, based on the indications of the disease. There are several simple rules, which must be followed when taking COCs, namely:

taking hormonal drugs should be started from the first day of menstruation;
do not exceed the prescribed doses;
it is not recommended to alternate the course with breaks, after the end of the prescribed regimen, treatment should be continued;
take the tablets systematically, preferably at the same time;
in case of vomiting, you need to repeat the medication;
as soon as a woman starts taking COCs, the first two weeks should be protected with a condom;
if the time of taking the drug was missed or you do not remember when you last took the pill, you need to take the medicine as soon as possible.

It is worth noting that bleeding and vaginal discharge between periods when taking COCs is not an alarming sign, it is necessary to continue the prescribed course. Remember that contraceptives are not a method of treatment, they are intended to exclude conception, and have more of a preventive and anti-symptomatic effect.

Combined drugs are effective if there is a mini node.

If the tumor size is more than 1.5 cm in diameter, COCs are not used.

In the present situation right decision will be the removal of the tumor by surgery. Today, minimally invasive techniques are actively practiced that reduce pain, the risk of complications and the rehabilitation period.

The effectiveness of birth control pills after 40 years

Often women are interested in whether it is possible to take birth control pills after 40 years? Doctors are unanimous in their opinion that the use of oral contraceptives is not only necessary, but also useful, because it has an excellent therapeutic effect. They not only prevent the conception of a child, but also have a positive effect on overall well-being, the body as a whole becomes more cheerful and healthy.

If you systematically use contraceptives after forty years, this will allow you to appreciate the many benefits, namely:

reducing the risk of developing cancer;
antisymptomatic action;
normalization of the menstrual cycle;
reduction of manifestations of pain syndrome and PMS.

It is believed that a woman enters menopause at the age of 45-50 years. This age indicator is purely individual. Often under the influence bad habits, ecology or genetic predisposition menopause occurs earlier. During this period, menstruation may be absent, but the ability to conceive is still preserved.

The use of contraceptives after 40 years excludes the possibility of pregnancy, and also reduces the negative manifestations of menopause - hot flashes, spotting, pain in the lower abdomen, etc.

Before a doctor prescribes oral contraceptives to a patient aged 40+, he needs to conduct an examination, find out if the woman smokes, if she has any diseases of cardio-vascular system, whether he lives a regular sexual life, whether there are tumor formations. An important role is played by the state of immunity. If it is weakened, the absorption of drugs worsens, which reduces the effectiveness of the drugs.

In the 21st century, women increasingly prefer combined oral contraceptives (COCs) as a method of effective pregnancy control. COCs have also found their place of application in gynecology for the complex treatment of 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 tumor development in women older than 35 years.

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 a 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.

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

The use of drugs such as janine, with uterine myoma, or regulon with uterine myoma, 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 for all your questions about hormonal contraceptives, alternative methods surgical treatment you will get the answers.

Contraceptives for myoma: contraindications

Combined oral contraceptives for uterine myoma are not always effective, and their uncontrolled use can lead to undesirable consequences on the part of all body systems. Despite the large number 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 diseases. 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. Every woman needs individual approach in treatment and choice of hormonal preparation. Our gynecologists prescribe hormonal therapy only in the presence of fibroids small size- 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 must 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. You can get a huge amount of information on our website either.

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 doctors disagree that birth control is the panacea for treating 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 the 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 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.

Many women wonder - is it possible to use birth control pills for uterine fibroids? Since the appearance of benign nodular tumors in the uterus is a common disease that occurs in all more women of reproductive age, the priority is the choice of a method of contraception in the presence of myomatous nodes in the uterus.

Read about the tumor itself here: https://matkamed.ru/mioma/simptomy-i-lechenie

Benefits of contraceptives for fibroids

Modern contraceptives incorporate synthetic hormones that are similar in properties to the hormones produced by the woman's body. Regularly using contraceptives for uterine fibroids:

the growth of existing myomatous neoplasms slows down;
no new nodes appear;
the amount of blood lost during menstruation is markedly reduced.

A developed disease without proper treatment provokes bleeding, which contributes to the development of anemia in women. In addition, frequent companions of uterine neoplasms are polyps and endometrial hyperplasia.

Contraceptives in the presence of myomatous nodes in the uterus:

contribute to the treatment of concomitant ailments;
save women from recurrent uterine bleeding;
enhance libido;
reduce pain during menstruation;
relieve symptoms of PMS;
prevent unwanted pregnancy;
when taken during menopause, they contribute to a more rapid onset of menopause.

Contraindications

Like any medicine, contraceptives also have contraindications from doctors. Hormonal contraceptive pills are used only for the treatment of sexually active women and are not used for:

diabetes mellitus;
heart disease;
obesity
the presence of frequent tonsillitis and laryngitis in history;
migraines and frequent headaches of various etiologies;
tendency to frequent depression;
varicose veins and other vascular pathologies;
hypertension;
smoking women of any age.

Rules for taking contraceptives

Methods of contraception with and without fibroids are selected by the attending physician individually, depending on the characteristics of the woman's body. And yet there are several rules for receiving these funds that must be followed.

Contraceptives for myoma (and in the absence of such a pathology):

cannot be used for self-treatment;
are taken daily in three-week courses with a seven-day break;
used daily at the same time.

What birth control pills are better to take with myoma

Gynecologists advise to use for the treatment of uterine fibroids:

combined contraceptive preparations based on estrogen and progestogen;
single-phase tablet preparations;
non-combined funds.

The contraceptive drug and the treatment regimen is selected individually by the attending physician.

For small knots

If there are small myoma nodes in the uterus, any contraceptive is suitable. The choice depends on the characteristics of a particular female body.

For large nodes

Not all contraceptives are suitable for women with large myomatous nodes, since large neoplasms in the uterus lead to its deformation and displacement. In such cases, it becomes impossible to use any intrauterine devices. And oral contraceptives with large diameter fibroids will not cope with the task. In such cases, more serious hormonal agents are prescribed, which are selected taking into account individual characteristics.

When combined with other diseases

Often, benign neoplasms in the uterus cause other pathological changes in a woman's body. When choosing contraceptives, you need to consider all concomitant diseases:

In the presence of bleeding or anemia, the use of a hormonal intrauterine device is recommended.
With endometriosis, combined and monocomponent contraceptives are indicated.
For cervical erosion, only tablet preparations, patches or injections are suitable.
With mastopathy, oral contraceptives are ideal.

For the young

For women under the age of 35, for the treatment of neoplasms in the uterus and the prevention of unwanted pregnancy, it is recommended to use:

combined contraceptives in the form of tablets;
mini-drank.

But other means may also be used.

For women over 40

After overcoming the 40-year milestone, it is advisable not to use products that promote increased production of estrogen, since they can help increase the size of fibroids. After 40 years, doctors prefer prolonged forms of drugs, or even non-hormonal methods of contraception.

Birth control pills after 40 years reduce the risk of cancer and suppress the negative symptoms of menopause.

After removal of the fibroid

After the removal of fibroids, it is important to responsibly approach the issue of protection. Hormonal agents in various forms are considered optimal during this period, which will prevent the development of new fibroids. The choice depends on the age of the patient and general condition health.

Possible side effects and complications after taking

An individual approach to the choice of contraceptives for fibroids does not give a 100% guarantee of the absence of side effects. Women with concomitant diseases are most likely to develop complications:

circulatory system;
nervous and others.
The most common side effects are:
smearing secretions;
breakthrough bleeding;
headaches;
migraine;
thrombosis;
thromboembolism;
decreased libido;
weight gain.

The appearance of headaches or migraines is an absolute indication for discontinuation of the drug.

Reviews about OK with myoma

Women of different ages, who used oral contraceptives for myoma, mainly give positive reviews about the use of drugs:

Lyudmila, 39 years old.

“I took birth control pills for 3 years. During this time, a benign neoplasm in the uterus has decreased by 6 mm.

Elena, 34 years old.

» Taking the pills did not cure the fibroids, but completely stopped their growth. I am pleased."

Oksana, 29 years old.

» There is a pedunculated myoma in the uterus. The doctor prescribed OK. I'm on my third month. Ultrasound showed a slight decrease in the size of the node. I'll keep drinking."

matkamed.ru

Contraceptive pills for uterine fibroids

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's health is much more difficult to maintain. Most women are faced with various diseases of the genital 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 drugs are one of the most effective contraceptives 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 containing synthetic hormones, in addition to 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 by the female body, however, they 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

Taking hormonal pills for 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 contraceptive drug for 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.

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Contraceptive pills for uterine fibroids: how it works

What are COCs and how do they work?

Combined oral contraceptives are called means of protection against unwanted pregnancy, which contain estrogen and progestogen.

The mechanism of action of drugs:

The proliferation of the inner lining of the uterus is supported, which prevents the implantation of the fetal egg.
Ovulation is suppressed, so that the mature egg cannot leave the follicle to meet the sperm.
Hormones thicken the cervical mucus, and male gametes are not able to penetrate the uterine cavity to meet the egg.

Is it possible to prescribe COCs for uterine myoma?

Combined oral contraceptives are prescribed to patients with fibroids as an effective means of protection against unwanted pregnancy. A benign tumor of the uterus, reaching certain values, interferes with the normal bearing of the fetus and causes miscarriage or premature birth. In this regard, gynecologists recommend getting rid of fibroids before conceiving a child, and often we are talking about surgical intervention. Until the tumor is removed, your doctor may recommend oral contraceptives.

Important to know: it is recommended to stop taking oral contraceptives before surgery to remove fibroids, as the risk of thrombosis increases after surgery.

Gynecologists also prescribe COCs for the treatment of the following comorbidities:

Anemia. When using combined oral preparations, the amount of discharge during menstruation decreases.
Associated gynecological diseases. Quite often, along with uterine fibroids, endometrial hyperplasia, polyps, etc. appear. Hormonal agents can treat these ailments.
Mastopathy. Since its development is also associated with a violation of the content of sex hormones, taking COCs is useful for a woman.
Menstrual pains. The drugs can reduce discomfort in the lower abdomen and the severity of PMS.

Expected effects: what will happen if you drink birth control pills for fibroids?

Doctors believe that at an early stage of development, the fibromatous focus is highly sensitive to the effects of sex hormones - estrogen, progesterone and prolactin. There is a change in the number of receptors for these substances, which in the future stimulates the growth of target tissues. Over time, connective tissue grows in the tumor, and the node thickens. In the future, the neoplasm is not able to regress even with the normalization of the hormonal background.

Uterine fibroids are sensitive to endogenous hormones only at small sizes. Upon reaching a size of 2.5-3 cm, the tumor acquires the ability to autonomous growth.

Contraceptive pills prescribed by a doctor for fibroids change the hormonal background of a woman and lead to the development of the following conditions:

Inhibition of ovulation and suppression of tissue proliferation. The monotonous level of hormones prevents the growth of the myomatous node and inhibits its development.
Regular use of combined oral contraceptives prevents the formation of new nodes and to some extent slows down the growth of old ones. The fact is that instead of progesterone, progestogen binds to the receptors, which has a similar structure, but differs in its action.

The effect of taking COCs occurs after 2-3 months and persists all the time of taking the drug. Against the background of the use of contraceptive pills, it is noted:

Reducing the size of small myomatous nodes.
Inhibition of tissue proliferation: the tumor stops growing, new nodes do not appear.
The volume of menstrual flow decreases.
Pain syndrome goes away.
Reduces the risk of uterine bleeding.
The general condition of the woman improves.
The likelihood of recurrence of the disease after surgical treatment is reduced.

Birth control pills are used to reduce the size of the tumor if it is less than 2.5 cm.

Benefits: why COCs are prescribed for fibroids

Combined oral contraceptives have proven to be reliable and effective against tumors. They have advantages, according to which experts prescribe them to patients with uterine myoma:

The drugs have not only a contraceptive effect, but also reduce the progression of the disease.
Allow to avoid abortion, which also benefits the woman. There is evidence that abortion provokes the growth of fibroids.
Able to stop the growth of the node, whose size does not exceed 2.5 cm.
Affect the reduction of fibroids smaller than 1.5 cm.
Eliminate or alleviate the manifestations of fibroids.
Characterized by reliability and high efficiency.
Easy to use: just take one tablet a day.
Affordable: The cost of oral contraceptives is lower than other hormonal treatments for uterine fibroids.

Read also: How to take birth control pills correctly.

Application scheme

Oral contraceptives begin to be taken daily from the first day of the menstrual cycle, 1 tablet per day at the same time of day. There are several reception schemes:

Classic 21 + 7: you need to drink pills for 21 days, and then take a break for 7 days, or use dummy pills at this time.
Extended regimen 63 +7: the contraceptive is taken continuously for three months, and then a 7-day break is made, followed by a repetition of the regimen.

Note: the first day of the menstrual cycle is the first day of bleeding during menstruation.

Experts say that the classic mode "pulls" the reproductive system and does not allow the body to get used to the new hormonal model of functioning. In contrast, the prolonged scheme turns off and starts the system less often, only once every 3 months. However, the 63+7 option has one significant drawback. Long-term use of COCs increases the risk of mid-cycle spotting and breakthrough bleeding, so this option is not suitable for every woman.

Feedback from practitioners indicates that combined oral contraceptives do their job well and really help stabilize the growth of the node. Studies have shown that taking COCs for 5 years reduces the risk of developing pathology by 17%. Among women who took birth control pills for 5-10 years, this figure was 31%.

There are several options for prescribing COCs for myoma:

As the main method of conservative therapy. It is indicated for newly diagnosed small fibroids (up to 2-2.5 cm).
As a preparation for surgical treatment for a course of 3-6 months. It is used in situations where stronger agents (gonadotropin-releasing hormone agonists) cannot be used.
After removal of fibroids to prevent recurrence of the disease.

Overview of popular remedies for the treatment of uterine fibroids

Medicines of the COC group are represented by many drugs. Most often, doctors use the following pills to treat uterine fibroids:

Novinet, Mercilon or Marvelon: These are medicines that contain Ethinylestradiol + Desogestrel.
Rigevidon, Ovidon: consist of the hormones Ethinylestradiol + Norgestrel.
Logest, Lindinet: the active ingredients are Ethinylestradiol + Gestodene.

Gynecologists advise taking COCs with fibroids containing a strong progesterone component - levonorgestrel, gestodene or desogestrel. The use of oral contraceptives based on dienogest is considered promising. Which drugs the doctor will prescribe is decided individually. It is strictly forbidden to use combined oral contraceptives on your own, since such actions can be harmful, provoking tumor growth.

Note: Women over 35 years of age are prescribed microdosed COCs containing a minimal dosage of estrogen.

Monitoring a woman while taking COCs

During treatment, a woman should be dynamically observed by a gynecologist, visiting him every 3 months. So the specialist can control the regression of the tumor and respond to its growth in a timely manner, changing the treatment tactics if necessary.

After the first month of using COCs, you need to visit a doctor to assess the acceptability of the method of conservative therapy. The patient should also have every 6 months ultrasonography pelvic organs.

If there are indications (the occurrence of side effects, migraine, jaundice, an increase in blood pressure over 160/100 mm Hg, complaints of headaches, pain behind the sternum or calf muscles), you should immediately stop taking the drug, and then consult a gynecologist to he ordered a hemostasiogram, biochemical analysis blood and other special studies.

Combined oral contraceptives are a good option treatment of small fibroids, especially for women of early reproductive age. It is important to understand that COCs do not allow you to permanently get rid of the problem. Birth control pills only inhibit the growth of the tumor, but do not lead to its complete regression and resorption. After the abolition of hormonal drugs, the fibroid gradually returns to its previous size and continues its growth until the menopause itself.

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Contraceptive pills for uterine fibroids: action, instructions

The female body is prone to many diseases associated with the genital organs, but one of the most common problems is uterine fibroids. Women of childbearing age are exposed to the disease without observing any manifestations, symptoms.

When a pathology appears, special nodes appear that are likely to burst and lead to intrauterine bleeding. Right choice birth control pills for uterine fibroids allows you to save health, improve the condition of the body, and also prevent unwanted pregnancy.

Hormonal protection

The opinions of doctors agree on one thing, which is the most right option considered the choice of hormonal contraceptives. Regular use of tablets by a woman not only gives a feeling of reliability, preventing pregnancy, but also affects the body, improving the condition and well-being. With the exact selection of a contraceptive, uterine fibroids weaken the symptoms, and then eliminated.

The effectiveness and popularity of hormonal drugs has long been known. They contain analogs of hormones present in the female body. Most medicines contain substitutes:

estrogen;
progesterone.

Preparations developed on the basis of synthetic components, which are analogues of hormones, provide reliable protection against unwanted pregnancy and prevention of diseases of the reproductive organs.

Preparations containing hormones prevent the occurrence of uterine fibroids, stop the development process. To achieve improvements and get rid of the disease is possible only by strictly following the instructions. Hormonal contraceptives are taken daily for 21-28 days, as directed. The pills are swallowed at the same time, usually in the evening.

A variety of contraceptives, differing in name, composition, dosage, and so on, allow you to choose the best option in accordance with the necessary parameters. At whatever stage of development the disease is, doctors do not advise to engage in independent choice or focus on the opinion and experience of friends, since each organism is individual, a consultation with a gynecologist is necessary.

Action of tablets

Medicinal contraceptives with synthetic components not only prevent pregnancy, but improve the functioning and functioning of the body. Despite the similarity of female and synthetic hormones, artificial components have a different effect, differing in properties:

The menstrual cycle is regulated;
The duration of menstruation is reduced;
The volume of blood secretions decreases;
The size of uterine fibroids gradually decreases.

When additional hormones enter the body, the need to produce their own temporarily disappears. Medicines improve the hormonal background, restore and normalize the functions of the reproductive organs. Nodes under the influence of special hormonal influences gradually decrease. The effectiveness of drugs is noted in the presence of a benign tumor, whose size does not exceed 1.5 cm, the need for surgical intervention passes. If the tumor is larger, a complete examination of the hormonal background, health status is required so that the reception does not have a negative effect.

The patient should not pause between courses, after the first, the second immediately begins. Given the peculiarity of the use of dragees, the likelihood of an unwanted pregnancy is reduced to zero. Pills, which include one component, are also highly effective.

List of medicines

Tablets of a mixed, combined type, which contain progestogen and estrogen, are suitable for the prevention and treatment of uterine fibroids. Progestogen is an analog of a hormone produced by female body, progesterone. To ensure the best absorption of hormones, single-phase preparations should be chosen, where the active substances are at the same level. Popular means are:

Yarina;
Regividon;
Regulon;
Jeanine;
Diana 35;
Mirena;
Jess.

Dragees are selected strictly based on the individual characteristics and reactions of the body to the components that make up the composition. The gynecologist conducts a thorough examination, and then prescribes a specific drug. Women with previously removed myomatous nodes also take such contraceptives to prevent unwanted pregnancy, reduce the risk of recurrence of nodes if the course lasts 5 years or more.

Instructions for use

A woman with uterine fibroids should be more careful about her health, follow the rules for taking pills, so that the process has a positive effect on the organs, pregnancy does not occur. Basic instructions for use:

Dragees are taken daily at a strictly specified time. More often, the reception is scheduled for the evening, for example, they drink it before bedtime;
At the onset of the first day of menstruation, they begin to use the drug;
The daily dose should not be exceeded;
If a woman vomited after taking the pill, the substances are not absorbed by the body, you need to drink another pill;
A woman who missed taking a pill should take the drug as soon as possible so that the effect on the body does not disappear;
In situations where the pills are just starting to be taken, additional contraceptives are used during the first two weeks;
The occurrence of mild intermenstrual bleeding does not prevent the reception of the drug. If bleeding abundant, you should consult a doctor for advice.

We must not forget that hormonal contraceptives primarily prevent the occurrence of pregnancy, and are not medicine fully. Drugs eliminate symptoms, facilitate the course of the disease, can get rid of tumors early stages small sizes.

Prohibited funds

With the disease, the muscular tissue of the uterus grows, which was previously cured only by its removal. The woman not only forgot about the problems associated with contraception, but also received a lot of complexes about her own body.

Contraception in the presence of fibroids is not much different from the use of drugs by a healthy woman, in addition, most of the pills have a positive effect on the condition. Doctors recommend not making a choice on your own, but listening to their advice and conducting a full examination.

In the presence of an excessive amount of progesterone, the body malfunctions, myomatous nodes appear, so the use of hormone-based contraceptives is excluded. Dragees are prescribed, which contain a substitute for progesterone - progestogen. Contraindications include the following factors:

Smoking women over 30;
Excessive consumption of alcoholic beverages;
The presence of hypertension;
Uterine bleeding;
Liver disease;
Thrombosis;
Malignant neoplasms;
Cardiovascular diseases;
Diabetes;
Pregnancy.

Complications may appear after abortion, causing uterine bleeding, pain, and an increase in the growth rate of tumors.

In the presence of a pathology, it is strictly forbidden to use emergency contraception. A large number of hormonal substances in the composition can adversely affect the development of uterine fibroids, the body as a whole. It is allowed to use only hormonal drugs of moderate dosage, prescribed by the attending physician.

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What contraceptives are most preferable for myoma?

For many years, hormonal contraceptives have been the most popular means of preventing unwanted pregnancies among many women. Hormonal contraceptives for fibroids are prescribed to many gynecologist patients not only to prevent unwanted pregnancy, but also for therapeutic purposes. According to clinical research hormonal contraceptive pills and spirals containing desogestrel can slow down the growth rate of myomatous nodes in many patients and serve as an excellent prevention, eliminating the need for surgical treatment of this gynecological disease. Fibroids and contraceptives remain a hot topic for many studies in gynecological practice. Although this technique conservative therapy is not indicated for all women with uterine myoma nodes, this species therapy remains in demand in some clinical cases of this female ailment.

Hormonal contraceptives for the treatment of fibroids

Oral contraceptives for uterine fibroids, containing in their composition such a component as desogestrel, are able to block progesterone receptors, which is a stimulant for the growth of myomatous nodes. It is the excess of this hormone that provides ideal conditions for the growth of this benign tumor, which frightens many women with the upcoming operation. In addition, in the body of a woman while taking these drugs, ovulation does not occur, which entails the formation of a corpus luteum that produces progesterone.

Unfortunately, not in all clinical cases, OCs are able to inhibit the growth of nodes. They are indicated for the appointment of those women in whom myomatous neoplasms of no more than 1.5 cm are detected. The use of these drugs for large tumors can have both negative and positive effects. In such clinical cases, the appropriateness of such therapy is determined individually for each patient, and the choice of this type of conservative therapy can only be made after a detailed examination of the woman (including her hormonal status).

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Contraceptive pills for fibroids can also be prescribed in order to minimize the size of the node. This tactic of therapy can be used to prepare women for surgical treatment or to reduce the size of the tumor, provoking massive uterine bleeding during menstruation. In addition to these areas, contraceptives for uterine fibroids with a high degree of reliability protect a woman from unwanted pregnancy and possible abortions, which are highly undesirable for this benign tumor.

Contraceptives for uterine fibroids are often prescribed to those patients who have already gone through the stage of removal of myoma nodes without hysterectomy. Such use of hormonal contraception provides not only a contraceptive effect, but also serves as an excellent prevention of recurrence of this tumor. According to statistics, even a 3-5 year period of taking these drugs many times reduces the risk of re-growth of myomatous nodes in the uterine cavity. Hormonal contraceptives for uterine myoma are prescribed only after determining the appropriateness of their use against the background of the underlying disease and after excluding all possible contraindications for their application:

pregnancy;
severe liver pathology;
no severe vascular or heart disease;
diabetes;
oncological diseases;
tendency to bleeding or thrombosis;
Rotor's syndrome, etc.

Complications

Prevention of unwanted pregnancy with myomatous nodes in the uterine cavity remains topical issue for many women of reproductive age. Abortions that may follow after its onset may provoke a more active growth of the tumor neoplasm and be accompanied by heavy uterine bleeding. To prevent such undesirable consequences and the inability to use other methods of protection (for example, when the uterus is deformed by myomatous nodes, intrauterine devices cannot be used), it is hormonal contraception that is prescribed for fibroids.

Contraception for uterine fibroids, prescribed by an experienced and competent specialist to women of reproductive age, who are not recommended for pregnancy due to this disease, allows achieving excellent results in preparing the body for future conception and gestation. Such preparation makes it possible to exclude complications during pregnancy against the background of the presence of myomatous nodes in the uterine cavity and does not affect the health of the child planned in the future.

Hormonal contraceptives for fibroids are selected only after a detailed examination of the woman, which is aimed at studying the myomatous node (its location, growth rate) and general health. The selection of hormonal OK is performed individually for each patient, taking into account all the identified data. Most often, patients are prescribed the following hormonal contraceptives: Mirena spiral, Janine, Jess, Yarina, Diana 35, Regividon, Regulon, etc.

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Uterine fibroids are benign nodular tumors. The presence of such fibromatous formations in women of reproductive age is not uncommon, and therefore the issue of selecting suitable contraceptives for such a pathology does not lose its relevance. In most cases optimal solution is the use of hormonal drugs.

What are the benefits of OK in the treatment of fibroids

Contraceptives are characterized by the presence of artificially synthesized hormones in the composition. They act in much the same way as those produced by the female body.

Uterine fibroids are among the hormonally caused diseases. Regular use of such contraceptives contributes to:

slowing down the growth and development of fibromatous nodes (sometimes to a decrease in their size);
treatment of some concomitant pathologies;
increase the level of libido;
prevention of the emergence of new formations;
prevention of unwanted pregnancy (women with fibroids are more likely to develop gestation pathology);
weakening of menstrual bleeding and their accompanying symptoms;
the imminent onset of menopause (if the drug is used during menopause).

Without adequate therapy, fibroids cause severe and frequent uterine bleeding, which soon leads to the development of anemia. In addition, the risk of detecting polyps or endometrial hyperplasia in a woman increases. Therefore, the use of hormonal contraceptives is very appropriate.

Which OK is better to take with myoma

According to gynecologists, the following types of oral contraceptives are the most effective for this disease:

combined type means made on the basis of progesterone and estrogen;
tablets of a single-phase principle of action;
non-combination drugs.

With fibromatous nodes, the selection of suitable medications is carried out only by the attending physician based on the results of the examination. He also determines the regimen for taking the drug.

For small formations

For the treatment of small-sized intrauterine nodes or for the prevention of their occurrence, they are suitable hormonal contraceptives of any type. Therefore, the selection of the drug is based on the individual characteristics of the hormonal status and constitution of the patient.

The choice usually rests on the application mini saw d (“minimal pills” of sparing action), since they include only microdoses of progestin and they are characterized by the least number of contraindications.

At large

If a myomatous node detected in a woman has large sizes, then it is necessary to take into account that volumetric neoplasms displace and deform the uterus, and it will not be possible to completely eliminate them with the help of contraceptives.

However, with the correct selection of the drug, it is possible to achieve a decrease in the size of the fibroid, which will facilitate its subsequent surgical removal. But to achieve the desired effect, more effective means will be required than in the case of small nodes (for example, Buserelin and its analogues).

When combined with other diseases

Often, the presence of intrauterine formations leads to the development of a number of comorbidities, which must also be taken into account when choosing contraceptives.

Disease	Recommended method of contraception
Regular bleeding or anemia	An intrauterine hormonal coil with a progestogen component (after a single installation, it is valid for five years).
Cervical erosion	It is best to use drugs in tablets, injections and patches. Intrauterine devices and vaginal rings will not work, as they will irritate the affected areas of the epithelium even more (in addition, pathogens quickly settle on them).
Mastopathy	Means intended for oral administration.
Endometrial pathologies	OK prolonged action (Depo-Provera) or intrauterine devices with a progestogen.
endometriosis	Single-component and combined (estrogen-gestagen) drugs. In some cases, the use of antagonists and agonists of gonadotropic hormones may be prescribed.

If the choice of contraceptive for fibroids is made without taking into account concomitant diseases, then it is unlikely that the treatment will be really effective.

For the young

Women under 35 who have been diagnosed with intrauterine fibroids are prescribed estrogen-gestagen tablets(combined) facilities, vaginal rings or contraceptives mini pili.

For ladies over 40

From the age of 40, women are not recommended to use drugs that stimulate an increase in estrogen levels, as this can lead to the growth of the neoplasm. Instead, doctors prescribe long-acting drugs or even recommend protection, not using hormonal contraceptives.

After removal of the fibroid

Upon completion of the elimination of formations, it is necessary to direct all efforts to prevent the formation of new nodes. Therefore, contraceptives used in the postoperative period should contribute to this as much as possible, and also correspond to the age of the woman and her state of health in general.

Application rules

As noted earlier, the dosage and regimen for taking hormonal contraceptives is determined by the attending physician. Usually, oral-type drugs are used for three weeks at the same time, after which a seven-day break is required.

The principle of using vaginal rings and patches is similar (replaced every seven days). Injections of prolonged-type drugs are done every three weeks, and the intrauterine device is installed once every five years.

Possible side effects after taking

Despite the individual approach to the treatment of each patient, it is impossible to guarantee the absence of complications and side effects. Their occurrence is most likely if a woman has concomitant ailments of the nervous, circulatory or other body systems.

Frequent side effects observed when taking hormonal drugs are:

breakthrough bleeding and spotting(usually observed at the stage of addiction);
headache attacks;
thromboembolism and thrombosis(women with various cardiovascular pathologies are most located among them);
decrease in libido;
biliary dyskinesia(accompanied by bouts of nausea, vomiting, etc.);
weight gain about 3-5 kg.

The fact of the occurrence of migraine headaches has the status of an absolute indication for stopping the use of a contraceptive.