Hormonal contraceptives as a means of conservative treatment of uterine fibroids. How are birth control pills useful in the treatment of uterine fibroids List of modern contraceptives for those who have fibroids

Medicines are aimed at stopping the growth of myomatous node or nodes in women of reproductive age. For this purpose, hormonal treatment is widely used to meet the body's needs for progesterone and activate its production.

Treatment with hormone therapy is quite long - at least six months, and upon the onset of menopause, the drugs are taken continuously.

Drugs for the treatment of uterine fibroids used in our country and providing good results are as follows:

• Gestagens are able to restore the internal hormonal balance and thereby normalize the balance of the endometrium with small size nodes. These include: utrozhestan, duphaston, norkolut.
• Due to their properties, androgens reduce the activity of estrogen when used for 6 months or more. They include danazol, gestrinone.
• Mirena is a hormonal IUD, which, thanks to the minimal amount of levonorgestrel released daily, is capable of normalizing the hormonal status of a woman, leading to stopping the growth of the node.
• Combined hormonal drugs are indicated for nodes whose size does not exceed 20 mm and are used for at least three months. Most often they use Yarina, Regulon, Janine.

Medicines for uterine fibroids are primarily hormonal, since they are able to alleviate the symptoms of its manifestation and inhibit the growth of a benign uterine tumor, but they are not able to completely dissolve or remove it, and after stopping their use, tumor growth may resume. Therefore, hormonal therapy for uterine fibroids is carried out in order to prepare for surgical treatment, which reduces the number of complications during conservative myomectomy or hysterectomy.

The most effective drug for uterine fibroids is part of the group of GnRH agonists, which bind receptors in the pituitary gland, suppressing its function of producing gonadotropins. This leads to a decrease in the production of gonadotropins - estrogens and progesterone, and, accordingly, a decrease in the size of the node, elimination of the symptoms of its manifestation - pain and hemorrhagic and the cessation of division of myomatous cells. But, given the side effects - vascular reactions, hot flashes, nausea and decreased bone density, it is not recommended to use drugs from this group for a long time, but only to prepare for surgery and reduce the size of the node.

Treatment of uterine fibroids with medication is indicated in the absence of complications and with strict indications for surgical treatment. If a woman is diagnosed with a node more than 14 weeks old or more than 10 cm in diameter, rapid growth of the node during the reproductive period of life or tumor growth in postmenopause, submucosal node. If it is located in the cervical region, the pedunculated node is submucosal, there is compression of adjacent organs with disruption of their function, necrosis of the node or infertility, then surgical treatment is necessary, the extent of which is determined by the doctor, taking into account concomitant pathology, age, and the desire to have children in the future.

The medicine for uterine fibroids, its price and types are quite variable, because several groups of drugs are available and effective for its treatment, which have a positive effect on the growth of the node, stopping it and preventing further growth.

Tablets for uterine fibroids, which have become quite widely used in the preparatory stage for surgery, are mifepristone. This is a drug from the group of antiestrogens, capable of short-term regression of the tumor.

The drugs used now for medium-sized uterine fibroids are quite common. Myoma at 10 - 12 weeks is considered a medium-sized fibroid, which most often occurs when the balance of biologically active substances is disturbed. Most often, such sizes do not damage the function of neighboring organs, so their treatment in some cases is conservative. If conservative treatment is ineffective or symptoms appear that disrupt the functioning of adjacent organs, then surgical treatment is necessary.
In most cases, if the node is not complicated, laparoscopic myomectomy with organ sparing is indicated. The method of embolization of the uterine vessels, which provide nutrition to the node, has become quite widespread. After embolization, the growth of the node stops, since the nutrition in them stops.

Tablets for uterine fibroids, called Esmiya, are quite modern and of a new generation, but their effect is already obvious. Thanks to these tablets, many women of childbearing age managed to preserve the reproductive organ due to the active substance - ulipristal, which affects the receptors that produce progesterone, which leads to a decrease in the concentration of progesterone in the body, under the influence of which, according to recent studies, the growth of the node occurs.

When the drug is used correctly, the endometrial layer of the uterus stops forming, which leads to the cessation of menstruation during its use, that is, artificial menopause occurs.

Its use not only leads to a decrease in the blood supply to the node, but also makes surgical intervention safer, since after its use the contours of the node become clearer and smaller, which facilitates the surgeon’s work and reduces blood loss. It is used from the first day of menstruation, 5 mg daily for 3-6 months, then after the cessation of menstruation, they resume. Apoptosis and cell proliferation occurring under the influence of Esmya lead to regression of the nodes and cessation of their growth.

Phytoestrogens

Phytoestrogens are prohormones of plant origin that are used for a long time, until complete recovery.

Phytoestrogens are indicated for uterine fibroids to protect ERβ receptors from estradiol produced by the gonads or to block the activity of the aromatase enzyme. For this purpose, flavonoids and isoflavones are used: boron uterus, black cohosh (cohosh) root and prutnyak.

Herbalists advise taking echinacea to reduce inflammation, motherwort to relieve spasms and pain, and dandelion and milk thistle to improve metabolism.

Phytoestrogens for uterine fibroids, reviews from women who have taken them are ambiguous, because the effect of their use is not always predictable.

Norkolut for uterine fibroids

Norkolut is a hormonal drug used in the treatment of uterine fibroids and is widely popular not only among women, but also among doctors.

Norkolut for uterine fibroids, reviews from doctors about its use are more and more positive, since it, thanks to the active substance - norethisterone, helps normalize hormonal balance in the body, which allows many women to fight benign uterine tumors. For this purpose, its administration should be daily, orally, in a dose that is selected only by a doctor and the duration of its use is regulated only by the attending physician.

Cyclodinone

Cyclodinone is a herbal drug that has a positive effect on the regulation of the menstrual cycle by stabilizing hormonal levels and correcting concomitant pathologies: endometrial hyperplasia, infertility, mastopathy and menstrual irregularities.

Is it possible to take cyclodinone for uterine fibroids, reviews from doctors are in most cases positive, if a woman is diagnosed with infertility against the background of fibroids, although it does not affect the growth and size of the node, but, due to its properties, is able to restore the woman’s reproductive health, prevent the growth of the node. This is due to the fact that during pregnancy and lactation, the growth of uterine fibroids is prevented.

Novinet for uterine fibroids

Novinet is a new generation hormonal drug, microdosed, used in the treatment of uterine fibroids only after complete exclusion of pregnancy and examination of the body.

Novinet for uterine fibroids: reviews from doctors are quite common. Its effectiveness is associated not only with the contraceptive effect, but also with the normalization of cyclic changes in the ovaries and uterus, the regulation of hormonal levels, as well as the effect on the growth of myomatous nodes. In this case, their development is inhibited, even to the point of growth arrest, and with prolonged use, the likelihood of disintegration of the tumor process increases.

Klimadinon for uterine fibroids

Klimadinon is a drug from the group of plant origin that has an effect similar to estrogen, since it binds to estrogen-like receptors, which leads to a decrease in the production of luteinizing hormone by the cells of the anterior pituitary gland, and thereby eliminating the changes that occur during menopause against the background of decreased production of estrogen and increasing the production of gonadotropins.

Klimadinon for uterine fibroids - can it be used? This question interests many, but given its estrogenic effect, the manufacturer does not recommend its use for uterine fibroids, which can accelerate the growth of the node.

Is it possible to take climadinon for uterine fibroids: reviews from doctors say that its use is not recommended for uterine fibroids, but if a woman is contraindicated in taking hormonal medications, then climadinone can be used under the supervision of a doctor, because, unlike hormone replacement therapy, it is safe and does not cause severe disturbances and changes in the woman’s body. Moreover, it effectively affects the symptoms of menopause, eliminating its manifestations almost always, and when interacting with other drugs, it is easily tolerated and compatible.

Fish oil for uterine fibroids

Another drug that helps inhibit the growth of myomatous nodes is fish oil, which is available in all pharmacy chains and is therefore widely used in the treatment of benign tumors of the uterus.

Fish oil for uterine fibroids, reviews from doctors and women are always positive, since with long-term use in complex treatment with drug therapy, regression of the tumor or stopping its development has always been observed. This is due to the antitumor activity of fish oil, which is also found in fatty varieties of sea fish.

Wobenzym for uterine fibroids

In the treatment of uterine fibroids, Wobenzym is used, which belongs to the group of combined enzymes, consisting of both enzymes of plant origin and animal cells.

Wobenzym for uterine fibroids - reviews from doctors are contradictory, as some claim that the effect of its use is quite good, while others claim that it is not effective. According to observations, effectiveness in the treatment of uterine fibroids is observed when used for a course of up to two months in combination with combined contraceptives. Thanks to its actions, it helps improve blood rheology, stimulate the immune system, and also has a thrombolytic effect, stimulates tissue healing and eliminates side effects when taking hormones.

Regulon for uterine fibroids

Among the drugs of the contraceptive group, the leading place in the treatment of uterine fibroids belongs to regulon, which is capable of inhibiting the production of gonadotropins by the anterior pituitary gland, reducing the levels of follicle-stimulating and luteinizing hormones, while ovulation is suppressed and therefore pregnancy is impossible, which is very important in the treatment of benign uterine tumors.

Regulon for uterine fibroids: reviews from doctors are positive, since with long-term use it can reduce the size of a node or nodes to a size that can be treated surgically.

Folic acid for uterine fibroids

Folic acid for uterine fibroids: reviews from doctors who use it in the complex treatment of fibroids to correct anemia are always positive. This is due to the fact that with fibroids, bleeding or hyperpolymenorrhea often occurs, leading to iron deficiency anemia, and folic acid can increase the bioavailability of iron in the body and thereby prevent or correct anemia. The dose is selected by the doctor individually: from 1 to 5 mg per day. It has been proven that folic acid acts not only on the level of red blood cells in the blood, but also on the process of cell division in the myomatous node.

Cyclim

Is it possible to take Cyclim for uterine fibroids in menopause or premenopause? Yes, the drug is widely used in the treatment of uterine fibroids due to biologically active substances that are similar in structure and function to female hormones and have an estrogenic effect. Its action is based on long-term use, while the growth of the node is inhibited or stopped completely.

Is it possible for a woman to drink Cyclim with uterine fibroids if she has severe sweating, irritability, mood swings, fluctuations in blood pressure or changes in the genital organs associated with age-related changes? Of course yes, because it does not have a stimulating effect on the growth of nodes, but helps eliminate or alleviate the symptoms of menopause when taken for a long time. But in no case should you take the drug without first consulting your doctor. Only after a complete examination and prescription of the drug can it be used 1 tablet twice a day under the control of ultrasound examination: the growth and condition of the node. For uterine fibroids, it must be taken for a long time, in a continuous regimen, under the strict supervision and control of a doctor.

Ginestril: treatment of uterine fibroids

Recently, for the treatment of uterine fibroids, a drug used to normalize hormonal levels and regulate hormone levels is ginestril. It is a hormonal drug of synthetic origin based on mifepristone, a steroidal antigestagenic substance.

Ginestril: treatment of uterine fibroids is based on blocking the production of progesterone at the receptor level, which promotes the growth of the node. When used correctly, the cells of the myomatous node or nodes stop growing and regress, which leads to a decrease in tumor size. at the same time, it does not have any effect on the mammary glands, endocrine glands and the cardiovascular system.

Tablets for uterine fibroids - ginestril, are available in 10 pieces in a blister, light green or yellow, containing 50 mg of the active substance - mifepristone. The intake should be daily only after consultation with a doctor and under his strict supervision, and after 3 months it is necessary to conduct an additional examination and evaluate the growth and size of the node. If necessary, the use of the drug for therapeutic purposes can be extended.

Ginestril in the treatment of uterine fibroids, reviews from doctors are in most cases positive. From the point of view of specialists, the drug has an effective effect when the size of the nodes does not exceed 12 weeks, but if the size of the node exceeds these indicators, then the effectiveness of the drug has not been proven. Many women who took the drug claim that after stopping it, after some time, the growth of the node resumes. It must also be remembered that its use is contraindicated for submucous fibroids. Also, many women and doctors indicate the high effectiveness of its use after myomectomy, since the drug prevents the regrowth of myomatous cells and the formation of new nodes.

Karsil

Many women who have been diagnosed with uterine fibroids in combination with liver pathology requiring the use of silymarin - the trade name is Carsil: “Is it possible to take Carsil with uterine fibroids? And does it affect the growth of myomatous nodes? This question has become quite relevant, because the instructions for use of the drug do not contain uterine fibroids as a contraindication, while the packaging contains a note: use with caution for fibroids. Everything is quite simple - silymarin has a weak estrogen-like effect and with prolonged use of the drug its manifestations are possible. Therefore, the drug should be taken only after consultation with a doctor and when the effectiveness of its use outweighs the risks of complications for the woman.

Alfit for uterine fibroids

Alfit for uterine fibroids, as a herbal mixture consisting of kelp, elecampane, knotweed and duckweed, is one of the alternative methods of treating thyroid diseases, uterine fibroids and mastopathy. Thanks to the properties of iodine contained in the plants that make up it, in addition to normalizing the functioning of the thyroid gland, it is able to stop the growth of the myomatous node or nodes, reduce them in size, or lead to the complete disappearance of these formations. In addition, it is used in complex hormonal treatment of fibroids and uterus and can alleviate the side effects of hormonal therapy.

Utrozhestan for uterine fibroids and pregnancy

Utrozhestan for uterine fibroids and pregnancy has become quite widespread, since it contains natural micronized progesterone, which is necessary for hormonal disorders and hormonally dependent formations. Its use during pregnancy with the threat of abortion is quite common, since its effectiveness has been proven and the number of side effects is minimized.

Utrozhestan for uterine fibroids: doctors' reviews are slightly different. Supporters of the idea that the growth of fibroids is associated with hyperproduction of estrogen argue that the use of a synthetic analogue of progesterone - utrogestan - is justified and proven. But a small group of specialists argue that it is precisely because of the hyperproduction of progesterone in a woman’s body that myomatous nodes grow, as evidenced by minor observations.

But, taking into account the opinions of all doctors and reviews of women, about the use of utrozhestan for uterine fibroids, its advantages come to the fore, and observation of the results over the dynamics of its use indicates a good therapeutic effect.

Remens

Another drug used in the complex treatment of fibroids is remens, a homeopathic remedy that can eliminate or alleviate some of the symptoms that occur with uterine fibroids. These include bleeding that occurs regardless of the menstrual cycle, as well as pain that occurs when adjacent organs and nerves are compressed.

Remens for uterine fibroids: reviews from doctors who used it in the complex treatment of uterine fibroids, in order to reduce inflammation leading to infertility in women of reproductive age, as well as to normalize hormonal levels that occur with the growth of the node, are always positive.

Phosphogliv can be taken for uterine fibroids

Phosphogliv is a drug that restores liver function and reduces the growth of connective tissue, containing phospholipids and glycyrrhizic acid, which can have an anti-inflammatory effect and immunomodulatory, membrane stabilizing and antiviral effects. Thanks to the phospholipids included in its composition, it restores structure and function, and also has a cytoprotective effect, while reducing the likelihood of fibrosis formation.

Can Phosphogliv be taken if you have uterine fibroids or not? A question often asked by women when they combine liver pathology with uterine fibroids. Phosphogliv can be used for uterine fibroids if there is no individual intolerance and according to strict indications for the use of the drug, established and approved in the instructions for it.

It must be remembered that self-medication in some cases can threaten a woman’s life, so before using the drug, undergo an examination and consult with a doctor about the need for its use, the dose and duration of treatment, as well as the likelihood of complications. And only after that you can take the drug under the supervision of a doctor according to the dosage regimen prescribed by him.

Mexidol for uterine fibroids

Mexidol is a drug from the group of antioxidants that are used to normalize metabolic processes and blood supply in organs, especially the brain, in order to relieve withdrawal symptoms and purulent-inflammatory conditions of the abdominal cavity. Mexidol for uterine fibroids can provoke the growth of myomatous cells, which leads to an increase in the size of the node, since the blood flow in the nodes increases with its use. As for the instructions for the drug, uterine fibroids are not included in the list of contraindications for use, but given that it can enhance trophic processes in tissues and metabolism in them, its use is possible only after a full examination and consultation with a doctor.

Another of the general strengthening drugs is mildronate. It improves metabolism within the cells and tissues of the body.

Mildronate can be used for uterine fibroids, since in the instructions fibroids are not a contraindication to its use, but given its main effect, it is better to consult a doctor before taking it, because long-term use can increase the growth of fibroids by increasing metabolism in the body's cells.

Is it possible to take Feminal if you have uterine fibroids?

Is it possible to take Feminal if you have uterine fibroids? A drug that is a food supplement during menopause, allowing to eliminate the symptoms of menopause, providing an anti-menopausal effect and an estrogen-like effect on the woman’s body, that is, it acts similarly to estrogens, therefore, if a woman has fibroids, taking it can stimulate the growth of estrogen-dependent formations, which include and uterine fibroids. You should not start taking the drug on your own, since only a doctor, after examining a woman, can prescribe the correct treatment, taking into account all concomitant diseases.

Silhouette

Silhouette is a hormonal monophasic drug that, in addition to the contraceptive effect, has an effect on the inflammatory process in the pelvic organs, helps prevent and treat endometriosis, and also prevents the growth of uterine fibroids. Moreover, it should be taken daily for 3 months with a seven-day break, and not only will the size of the node decrease, but also bleeding and pain will decrease.

Silhouette for uterine fibroids: reviews from doctors are always positive, because the results of its use in most cases are also positive.

Other drugs

In the treatment of uterine fibroids, a number of other drugs are also often used, and there are drugs that are strictly prohibited for it. Let's look at them in more detail. So, it is strictly forbidden to use Ovestin for uterine fibroids, because it is a drug containing estrogen of natural origin, and uterine fibroids are an estrogen-dependent tumor.

Divigel for uterine fibroids can stimulate the growth of uterine fibroids, since it is identical to endogenous estradiol, which is normally produced in women. Therefore, its prescription is carried out with caution and only under the supervision of a doctor.

Polyoxidonium for small uterine fibroids up to 9 weeks of pregnancy has been widely used in complex treatment and has shown great results. It is used in the form of rectal suppositories for three days in a row at night, and then for another 2 weeks every other day, which gives relatively good results in the complex treatment of uterine fibroids: reduction in the size of the node or nodes, elimination of the pain symptom. Moreover, over the course of a year after taking them, none of the women who underwent treatment for fibroids in combination with polyoxidonium experienced growth of nodes or the appearance of new ones.

Metronidazole for uterine fibroids does not have any effect on the growth of the node, but in the presence of inflammatory processes of the pelvic organs, its use is not prohibited. Often, for uterine fibroids, it is prescribed in the postoperative period, especially in women of reproductive age, to prevent the occurrence of inflammatory processes in the early postoperative period.

Many specialists also use befungin for uterine fibroids as an auxiliary drug. This is a herbal preparation based on chaga and has a tonic, immunostimulating and restorative effect on the woman’s body. In case of uterine fibroids, it is used to treat anemia that occurs against the background of heavy bleeding, as well as to reduce uterine bleeding. Taking it for myomatous nodes should be at least three months, then a two-week break and ultrasound monitoring. Use it 1 tablespoon 3 times a day before meals by preparing a solution: 2 teaspoons of befungin are diluted in a glass of boiled warm water.

Dimexide for uterine fibroids is used in combination with propolis in the form of suppositories for 14 days at night in the vagina, then a break of 5 days and, if necessary, the treatment can be repeated. Their action is aimed at eliminating inflammation, regeneration and has absorbing properties, and dimexide promotes the transport of medicinal substances and enhances their effect.

One of the non-traditional methods of treating uterine fibroids is the hijama (bloodletting) method, especially when combined with infertility. Its principle is as follows: getting rid of the so-called bad blood that has stagnated in a woman’s body and this leads not only to the normalization of metabolism, but also to an improvement in the general condition of the body, increasing the body’s resistance and immunity, normalizing hormonal levels and the menstrual cycle. Hijama for uterine fibroids and infertility can, according to some experts, resolve the tumor in a few sessions and relieve infertility.

Logest for uterine fibroids is used as a combined oral contraceptive that reduces pain with fibroids and bleeding during menstruation. Its use is indicated only in young women with the presence of small - up to 1 cm, nodes, with an asymptomatic course and the action is aimed at stopping the growth of the node or nodes and reducing their size.

Diferelin is a GnRH analogue that inhibits the production of gonadotropin with inhibition of gonadotropin production. In the treatment of uterine fibroids, it occupies one of the leading areas, as it helps to reduce the size of the nodes. When using it, maximum effectiveness is observed after the third injection. According to the instructions for the drug, it is used to reduce the size of a node on the eve of surgical treatment or when there are no indications for surgery. Diferelin: reviews from doctors for uterine fibroids indicate that hormone injections must be carried out every 28 days, with the first being carried out during five days of menstruation for three months in order to prepare for surgical treatment, and for women for whom surgery is not indicated, treatment can be carried out up to six months.

To treat uterine fibroids, a minimally invasive method such as myolysis is also used. Its essence lies in the fact that due to the physical impact on the tissues in the tumor, suppuration and necrosis occurs.

Myolysis for uterine fibroids is carried out using various techniques and energy sources: laser, cryo, bipolar coagulation or using high-frequency ultrasound. They are used under MRI control through the patient's skin, but the process of tissue destruction is very difficult to diagnose, so not many clinics use this method. Myolysis can be carried out laparoscopically, where the destruction of myomatous nodes occurs with the help of laser energy or under the influence of current. The cryo myolysis technique is carried out using liquid nitrogen, which is injected through a probe and as a result the node or nodes are frozen and their growth stops. Myolysis is indicated only if no more than three nodes are identified in the uterus, not exceeding 5 cm. This procedure is carried out only under anesthesia and there are no scars after it, since the access is minimal. So, myolysis is one of the conservative surgical methods in the treatment of uterine fibroids, which is not inferior in its effectiveness to embolization of the uterine vessels. It is carried out under fluoroscopic control and is based on catheterization of the femoral artery, which allows emboli to be delivered to the uterine artery, which leads to impaired blood supply and degenerative changes in the node or nodes. at the same time, they also decrease in size and their growth subsequently stops.

Margarita Sergeevna asks:

What contraceptives can be used for uterine fibroids?

With uterine fibroids, a woman is recommended to use the following contraceptives:
1. condoms;
2. hormonal contraceptives;
3. intrauterine device .

Condoms.

A condom is one of the few contraceptive methods, which has virtually no contraindications for use ( except for allergies to the material or components of the condom). Therefore this contraceptive recommended for use if a woman has uterine fibroids.

The following advantages of condoms are highlighted:

• do not require a special doctor’s prescription;
• safe to use;
• have virtually no side effects;
• easy to use;
• when used correctly, they reliably protect against unwanted pregnancy;
• protect against sexually transmitted diseases.

Hormonal contraceptives.

Hormonal oral contraceptives are effective contraceptives containing synthetic analogues of female sex hormones ( estrogen and progestin). In addition, these drugs are successfully used as a prophylaxis for uterine fibroids, and their use slows down and stops the growth of fibroid nodes up to one and a half centimeters in size.

A woman should take oral contraceptives daily, preferably at the same time during the 21st ( if the package contains 21 tablets) or 28 ( if the package contains 28 tablets) days. Currently, there are many types of hormonal oral medications, differing in composition and dosage. To choose the optimal drug, a woman should consult a gynecologist, who will individually select the appropriate drug based on the existing disease.

Intrauterine device.

This contraceptive is a plastic device whose shaft contains hormones ( levonorgestrel). The hormones contained in the IUD are produced daily into the uterine cavity, exerting a local effect.

In addition to the fact that the hormonal intrauterine device reliably protects against unplanned pregnancy, it also has a therapeutic effect on fibroids by acting on the uterus. This contraceptive can slow down the development of fibroids. However, in the presence of submucosal myomatous nodes growing into the uterine cavity, the intrauterine device is contraindicated.

This contraceptive is also used in the treatment of the following diseases:

• endometrial polyps;

Before installing the IUD, a woman must undergo a gynecological examination and pass the necessary tests (

Article last updated 12/07/2019

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

It is not advisable to become pregnant and give birth to a child with fibroids, because there is a high risk of complications, miscarriages, and tumor degeneration. Birth control 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, because 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 select the drug. If you take birth control for fibroids without a gynecologist's prescription, this can aggravate the situation and cause problems, uterine bleeding and other complications. The doctor will be able to select the optimal contraception regimen based on the clinical picture of the disease and examination results.

Birth control pills for uterine fibroids provide effective protection and prevention of various diseases of the reproductive system. The drugs are based on special substances – analogues of female hormones. Myoma develops due to an excess of estrogen and hormonal imbalance. Correctly selected medication and taking the medication according to the prescribed regimen will stop the growth of the node.

Pharmacies offer a wide range of hormonal drugs that are effective for fibroids. 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 stabilizing the hormonal balance. Doctors divide drugs that can affect the tumor into two large groups:

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

In practice, COCs such as Microlut, Novinet, Marvelon, etc. are more often used; they have proven themselves to be excellent. An effective drug is “Silhouette”.

This is a combined contraceptive with an antiandrogenic effect. It is completely absorbed and easily excreted in the urine within 24 hours. The main effect of the tablets is inhibition of ovulation and changes in the structure of the endometrium.

Retail prices for Silhouette tablets range from 650 to 1,600 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 medications, you can use folk recipes based on herbs, bee products, and herbal ingredients. An integrated approach, diet, limitation of physical activity and exposure to the sun are encouraged.

Rules for taking contraceptive drugs

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

• taking hormonal medications should be started on the first day of menstruation;
• do not exceed the prescribed doses;
• It is not recommended to alternate the course with breaks; after finishing the prescribed regimen, treatment must be continued;
• take the pills systematically, preferably at the same time;
• in case of vomiting, you need to repeat the medication;
• as soon as a woman starts taking COCs, she should be protected with a condom for the first two weeks;
• If the time for taking the drug was missed or you do not remember the last time you took the pill, you need to take the medicine as quickly as possible.

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

Combination drugs are effective if a mini-nodule occurs.

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

In this situation, the correct solution would be to remove the tumor surgically. Today, minimally invasive techniques are actively practiced to reduce pain, the risk of complications and the rehabilitation period.

Effectiveness of birth control pills after 40 years

Women often wonder whether it is possible to take birth control pills after 40 years of age? Doctors are unanimous in the 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 beneficial effect on overall well-being, the body as a whole becomes more vigorous and healthier.

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

• reducing the risk of developing cancer;
• antisymptomatic effect;
• normalization of the menstrual cycle;
• reducing the manifestations of pain and PMS.

It is believed that a woman enters menopause at the age of 45-50 years. This age indicator is of a purely individual nature. Often, under the influence of 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 eliminates the possibility of pregnancy, and also helps reduce 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 to find out whether the woman smokes, whether she has diseases of the cardiovascular system, whether she has a regular sexual life, and whether there are tumor formations. The state of immunity plays an important role. If it is weakened, the absorption of drugs is impaired, which reduces the effectiveness of the drugs.

Women's opinions about contraception for fibroids

The effectiveness of contraceptive drugs for women diagnosed with uterine fibroids can be better than any advertisement in the reviews of those who have taken them.

Irina, 39 years old

“A year ago, a fibroid measuring 2.7 cm was discovered. It was diagnosed by chance during a routine examination. The doctor decided to observe rather than operate immediately, for which I am very grateful. Hormonal medications were prescribed and a diet was developed. Contraceptives were also prescribed. The gynecologist said that Regulon is extremely effective for fibroids, which I was convinced of.

When I started taking the drug, I felt better. During menstruation I stopped experiencing pain and became calmer. After a year and a half, the size of the fibroids decreased to 1.5 cm. Based on this, I can conclude that the effectiveness of treatment depends 50% on how competent and experienced your doctor is, and the remaining 50% on the drugs used.”

Ekaterina, 45 years old

“When fibroids were discovered, the gynecologist prescribed Regulon as a contraceptive. The drug is effective, and what I liked most is that it does not irritate the stomach, does not cause nausea, vomiting or other side effects. I've been taking the drug for a year now. I am 100% satisfied with it. I recommend it to everyone."

Zhenya, 33 years old

“Treatment of fibroids is a long and complex process. Everything is very individual, and what suits everyone does not always help you specifically.

Before I felt an improvement in my health, I had to try more than one medicine. Basically, the gynecologist prescribed COCs, but they did not help. Then I asked the doctor, underwent a re-examination, and was prescribed Regulon. This is a monophasic drug, the effect of which I felt after two weeks of taking it. I drink it regularly, but I’m thinking about surgery.”

Elina

“I took Silhouette as a contraceptive. It is very convenient that you need to take the tablets at the same time. The body gets used to it and it is almost impossible to forget about the medicine. I like the drug because it really helps. For a year and a half of admission there were no problems in the gynecological area.”

Tatyana, 47 years old

“When I started menopause (43 years old), the doctor immediately prescribed Silhouette. The medicine helps prevent the risk of developing tumors and reduces the symptoms of menopause. I almost didn’t feel hot flashes or other unpleasant symptoms. “I still drink Silhouette, but I advise all my friends to use this particular drug during the onset of menopause.”

Kirill, 38 years old

“I am a doctor with many years of experience. I can speak about the effectiveness of Regulon first-hand. The drug really works well as a contraceptive, and also allows you to influence the growth rate of the myomatous node.”

Marina, 41 years old

“I prescribe Regulon to women diagnosed with fibroids, because I am confident in the effectiveness of the drug. I myself take the pills as a contraceptive, as well as a preventive measure. If you follow all medical recommendations and take the drug according to the schedule, the reduction in fibroids will be noticeable after 3-4 months.”

With age, the risk of developing uterine fibroids increases. They are often identified after forty years. But this does not mean that it cannot develop in young women. Therefore, regular observation by a gynecologist is a very important component of disease prevention. Therapy for timely identified uterine pathology is reduced to treating fibroids with hormonal contraceptives.

Uterine fibroids (also known as fibroids or leiomyomas) are benign neoplasms that arise 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 periods. We can say that this is a group of women over the age of 45.

A 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 of a case when a knot reached sixty kilograms in weight.

Doctors distinguish the following types of uterine fibroids:

1. Submucosal;
2. Subserous;
3. Intramural.

Oral contraceptives

This group of medications is also called oral contraceptives because they are taken orally, that is, they need to be drunk. They are the most convenient drugs to use.

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

They contain certain female sex hormones that can have different effects on a woman’s body.

Mechanism of action

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

Due to the presence of negative feedback from the entry of progestin into the body, there is a suppression of the frequency of release of a hormone such as GnRH, 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 disruption in the formation of follicles.

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

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

What other methods are there to prevent pregnancy?

For girls and even women, it is imperative to provide information about the availability of all possible methods of contraception. Today such protection methods are:

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

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 woman’s desire.

Hormonal contraceptive pills for uterine fibroids

Hormonal birth control pills not only help protect against unwanted pregnancy, 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. When the medications are discontinued, a cascade of hormonal reactions is restarted and everything falls into place.

Hormonal drugs are good ways to normalize the ovulatory cycle and influence a woman’s health. At the same time, contraceptive pills are used for nulliparous women with the same frequency as for women who have given birth. They are often prescribed to stimulate reproductive function or restore it.

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 removal of fibroids.

Which birth control pills are best to take for uterine fibroids?

The situation with hormonal contraceptives is the same as, for example, with technology: the newer the drug, the better the 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 of drugs does not lead to this. Yes, yes, they don’t make you fat!

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

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

Here are the most common remedies from each group.

Combined contraceptives include:

• Janine (a combination of Ethinyl estradiol and Dienogest);
• Median (combining Drospirenone and Ethinyl estradiol);
• Novinet (Ethinyl estradiol and Desogestrel);
• Rigevidon (a combination of Ethinyl estradiol and Levonorgestrel);
• Silhouette (Dienogest and Ethinylestradiol are combined) and others.

Monophasic drugs include:

• Charosetta;
• Micronor;
• Continuin and others.

Separation of COCs by dosage

This group of drugs, depending on the dose of the active substance they contain, 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.

Birth control pills for uterine fibroids after 40

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

It turns out that there is no point in taking contraceptives for such women? Not at all. Their use, on the contrary, is recommended by many doctors. In this way, a woman not only protects herself from pregnancy, but also significantly improves her health.

The use of such drugs allows:

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

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

Contraceptives for uterine fibroids and endometriosis

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

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

The selection of necessary medications is carried out by a gynecologist individually for each woman. Before this, you must undergo a gynecological examination and pass the tests necessary to determine your hormonal status.

Patients who have been prescribed such medications need to take them systematically and be regularly monitored by a gynecologist.

Contraindications for use

Taking hormonal contraceptives is prohibited if you have:

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

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

Important! Alcohol and oral contraceptives are incompatible things. The same as smoking when using hormonal methods of contraception.

Hormonal contraception has entered human 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 also contraceptives for men.

Hormonal contraceptives are widely used in the treatment of uterine fibroids. Moreover, they are the main and safest modern method of treating them.