вторник, 15 октября 2013 г.

Intrauterine Spiral Can Reduce The Severity Of Menstrual Bleeding

Intrauterine Spiral Can Reduce The Severity Of Menstrual Bleeding.
Women with thick menstrual bleeding may boon some replacement using an intrauterine device, or IUD, containing the hormone levonorgestrel, according to renewed research. British researchers found that the treated IUD was more telling at reducing the property of tubby menstrual bleeding (also called menorrhagia) on calibre of life compared to other treatments male celeb hot. Normally hand-me-down for contraception, the intrauterine way is sold under the brand name Mirena.

So "If women put up with with heavy periods and do not want to get having a bun in the oven - as the levonorgestrel intrauterine technique is a contraceptive - then having the levonorgestrel intrauterine pattern is a very good first-line treatment recourse that does not require taking regular, daily enunciated 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 pursuit of hot penis. For women who do want to get pregnant, Gupta said, winsome the blood-clotting tranquillizer tranexamic acid during periods is an substitute programme of treating awful periods.

Results of the study, which was funded by the United Kingdom's National Institute of Health Research, appear in the Jan 10, 2013 climax of the New England Journal of Medicine. Heavy menstrual bleeding is a significant complication for many women. About 20 percent of gynecologist house visits in the United States and the United Kingdom are because of critical bleeding. There are several nonhormonal and hormonal care options close by to subdue blood loss.

The course sanctum compared the use of old medical options - tranexamic acid pills, mefenamic acid (Ponstel), combined estrogen-progestogen and progesterone unsurpassed - to the use of the levonorgestrel intrauterine system. The researchers randomly assigned nearly 600 women with prodigious menstrual bleeding to ascertain either the IUD or law medical care. They assessed recovery using a patient-reported grade on a mount designed to calculate severity of symptoms. The spectrum goes from 0 to 100, with lower scores indicating more stormy symptoms.

The researchers also asked about status of life and sexual activity, and notorious whether a woman needed surgery for heavy periods. Women in the IUD union reported much greater rehabilitation - 32,7 points on the characteristic scale versus 21,4 points in the measure treatment group. They also reported greater improvements in superiority of life.

There was no difference in the rates of surgery or propagative activity between the two groups. More women were still using the intrauterine organized whole after two years than were still alluring standard medical treatments - 64 percent compared to 38 percent. Gupta said the sheer point she believes the IUD assortment was more successful at reducing symptoms is that there is "100 percent compliance with therapy as there is a connected drug treatment effect".

Women fascinating medications may forget to take them sometimes. Serious school effects were similar between the groups. Gupta said the foremost side effect from the intrauterine modus operandi is irregular periods for up to six months.

Another masterful said the findings show promise for women bothered by downhearted bleeding. "This consider really adds to the evidence that shows how practical this intrauterine system 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 approach largely just requires one department visit, Espey said. Insertion of the thingumajig may be mildly uncomfortable for some women, she said. For women who may be unresolved to use an IUD because of pelvic infections linked to an dawn model called the Dalkon Shield, Gupta said that as yearn as women are screened for sexually transmitted diseases before getting an intrauterine system, the hazard of infection is low. espey agreed. "Today's intrauterine systems have a great side-effect profile med rx check. They also have a exalted continuation and a pongy vindication rate".

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