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Adenomyosis: Is Mirena effective in treating dysmenorrhea?

Mirena is a high-tech drug controlled-release device. According to its progesterone controlled-release layout, it can ensure effective contraception within 5-6 years after placement. At the same time, it will make the ovarian endometrium in a dormant state. While achieving the contraceptive effect, it can effectively alleviate the dysmenorrhea symptoms and heavy menstrual flow of females. 



Adenomyosis is also a significant cause of secondary dysmenorrhea, mainly manifested by heavy menstrual flow, prolonged menstruation, progressive aggravation of dysmenorrhea. The degree of spastic or colic pain is unbearable. A few patients may also have pain after sex. A few patients may have vaginal bleeding before and after menstruation.


The disease mainly occurs in women over 30 years of age, followed by postpartum, induced abortion, and curettage. About half of the patients are complicated with uterine leiomyoma and 15% with pelvic endometriosis. About 30% of adenomyosis has no clinical symptoms. Adenomyosis may also cause postmenopausal bleeding, although this is uncommon. 


Many females who have no birthing planning and dysmenorrhea, they very suitable for placing Mirena, but before placement, you should think about it clearly, because although Mirena has many advantages, it also causes a lot of side effects.


The cause of dysmenorrhea is that the endometrium releases too much prostaglandin, which leads to excessive uterine contraction and dysmenorrhea. The use of Mirena can make the endometrium thinner, gland atrophy, and reduce the production of prostaglandin. Levonorgestrel can inhibit uterine contraction and achieve the effect of treating dysmenorrhea. Therefore, it can treat perimenopausal abnormal uterine bleeding and prevent endometrial lesions.



The primary function of Mirena is to inhibit the atrophy of endometrium and induce the reduction of menstrual volume and even amenorrhea. Its efficacy in contraception, treatment of menorrhea, hormone supplementation, and endometrial protection has been recognized. It is also effective in the treatment of pain related to adenomyosis. 


People pay great attention to it. In addition to alleviating dysmenorrhea, Mirena can also improve anemia symptoms. It is a safe and effective treatment method that can not only retain fertility function but also effectively control symptoms.


Mirena can be placed directly if the uterus is less than eight weeks of gestation. If the uterus is bigger than eight weeks of gestation, GNRH-a is recommended first, and it is better to place it after the uterus shrinks. Even if the Mirena is displaced, as long as it is still in the uterine cavity, it will release levonorgestrel and be used on the endometrium, which still has a therapeutic effect.


Although Mirena has a good curative effect, it still has some side effects, such as irregular bleeding, which usually occurs in the first few months of the ring, or maybe caused by decidualization of endometrium and exfoliation after atrophy. But these side effects generally disappear after three months. The symptoms of dysmenorrhea in most of the patients can be effectively alleviated or even go.



However, there are still some patients whose dysmenorrhea can not be improved or relapsed after improvement. Most of the conditions are caused by the large size of uterus combined with larger adenomyoma, which is not suitable for the use of Mirena. Some other factors which make Mirena displaced are also the leading causes. 


If you want to improve the symptoms of dysmenorrhea thoroughly, first to find out the causes, and then targeted treatment, patients can take conservative, safe and effective Fuyan Pill, has the effect of promoting blood circulation and removing blood stasis, promoting qi and relieving pain, clearing heat and dampness, can cure the adenomyosis fundamentally. 


On the basis of understanding, patients should actively treat and pay attention to the lifestyle and diet, which will be conducive to the recovery of the disease.

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