Intrauterine Spiral Can Reduce The Severity Of Menstrual Bleeding

Intrauterine Spiral Can Reduce The Severity Of Menstrual Bleeding.
Women with oppressive menstrual bleeding may secure some relief using an intrauterine device, or IUD, containing the hormone levonorgestrel, according to supplemental research. British researchers found that the treated IUD was more effective at reducing the slang shit of heavy menstrual bleeding (also called menorrhagia) on quality of life compared to other treatments. Normally employed for contraception, the intrauterine system is sold under the brand name Mirena.

So "If women decline with heavy periods and do not want to get pregnant - as the levonorgestrel intrauterine approach is a contraceptive - then having the levonorgestrel intrauterine system is a very good first-line treatment election that does not require taking regular, daily oral medications," said the study's lead author, Dr Janesh Gupta, professor of obstetrics and gynecology at the University of Birmingham and Birmingham Women's Hospital in England. For women who do want to get having a bun in the oven taking the blood-clotting tranquillizer tranexamic acid during periods is an pinch-hitter method of treating heavy periods.

Results of the study, which was funded by the United Kingdom's National Institute of Health Research, appear in the Jan 10, 2013 exit of the New England Journal of Medicine. Heavy menstrual bleeding is a significant tough nut to crack for many women. About 20 percent of gynecologist role visits in the United States and the United Kingdom are because of heavy bleeding. There are several nonhormonal and hormonal healing options available to reduce blood loss.

The current study compared the use of conventional medical options - tranexamic acid pills, mefenamic acid (Ponstel), combined estrogen-progestogen and progesterone solitary - to the use of the levonorgestrel intrauterine system. The researchers randomly assigned nearly 600 women with impenetrable menstrual bleeding to receive either the IUD or standard medical care. They assessed recovery using a patient-reported score on a scale designed to measure hardness of symptoms. The scale goes from 0 to 100, with lower scores indicating more severe symptoms.

The researchers also asked about trait of life and sexual activity, and noted whether a woman needed surgery for encumbered periods. Women in the IUD group reported much greater improvement - 32,7 points on the trait scale versus 21,4 points in the standard treatment group. They also reported greater improvements in prominence of life.

There was no difference in the rates of surgery or sexual activity between the two groups. More women were still using the intrauterine group after two years than were still taking standard medical treatments - 64 percent compared to 38 percent. Gupta said the chief insight she believes the IUD group was more successful at reducing symptoms is that there is "100 percent compliance with care as there is a continuous drug treatment effect".

Women taking medications may forget to take them sometimes. Serious secondary effects were similar between the groups. Gupta said the main side effect from the intrauterine technique is irregular periods for up to six months.

Another expert said the findings show promise for women bothered by distressful bleeding. "This study really adds to the evidence that shows how useful this intrauterine combination is for heavy menstrual bleeding," said Dr Eve Espey, professor of obstetrics and gynecology at the University of New Mexico School of Medicine in Albuquerque.

Getting an intrauterine pattern as a rule just requires one office visit. Insertion of the device may be mildly uncomfortable for some women. For women who may be unresolved to use an IUD because of pelvic infections linked to an early version called the Dalkon Shield, Gupta said that as dream of as women are screened for sexually transmitted diseases before getting an intrauterine system, the endanger of infection is low. espey agreed. "Today's intrauterine systems have a great side-effect profile sildenafilrx.net. They also have a consequential continuation and a high satisfaction rate".