In the article, we will consider how Utrozhestan is taken for endometriosis.
Among gynecological problems, it is a fairly common disease. A large number of drugs have been developed and used for treatment, but Utrozhestan with endometriosis is considered one of the most effective drugs. It is prescribed only after medical consultation and determining the exact diagnosis. Endometriosis can be treated for a long time, and the effectiveness of therapy will depend on the use of specific agents and compliance with all medical recommendations.
In the article we’ll try to understand: what is better with endometriosis - “Utrozhestan” or “Dufaston”.
Description of the drug "Utrozhestan"
The main active ingredient is dydrogesterone, in its structure and qualitative composition resembling progesterone. Studies have proved that this compound does not have obvious androgenic activity, that is, it does not cause side effects characteristic of a group of substances with such properties.
Dydrogesterone is the main progestogen ingredient in hormone replacement therapy (HRT). In addition, it allows you to save the lipid composition of blood plasma, while not violating the level of blood coagulation indicators, including coagulation.
This drug is advised to take with endogenous deficiency.
Also of no small importance is the course administration of Utrozhestan for endometriosis. As soon as the necessary concentration of active substances is created in the human body, the drug creates an ideal environment for conception and further preservation of the fetus.
Release form and composition
"Utrozhestan" is made in the form of round, soft, shiny yellow gelatin capsules. Their contents are a whitish, oily, homogeneous suspension in which there is no apparent phase separation. The active substance is progesterone micronized natural. In one capsule, 100 milligrams.
Auxiliary components: peanut butter, soya lecithin, glycerol, gelatin, titanium dioxide.
But with Utrozhestan endometriosis, 200 mg is an ideal dosage. This medication is available in the form of soft oval, shiny, yellowish gelatin capsules. Their contents are similar. One capsule contains 200 milligrams of micronized natural progesterone. Excipients are the same.
Why is the treatment of endometriosis Utrozhestan so popular?
The main signs of endometriosis
Symptoms of endometriosis are painful, heavy menstruation, pain during intimate communication, spotting spotting from the genital tract and infertility. Extragenital symptoms of endometriosis, manifested by bloody discharge from the navel, bladder and intestines, are much less common. Some women experience sharp pains in the rectum and perineum that occur during emptying of the bladder or during bowel movements. Since this symptomatology is characteristic of a number of other pathologies, the diagnosis is difficult.
Is "Utrozhestan" indicated for endometriosis?
Indications for use
The drug has an extensive range of uses in the gynecological field. It effectively replaces endogenous progesterone deficiency, helping the endometrium to form properly. "Utrozhestan" for endometriosis is prescribed to reduce the production of estrogen in the body, due to which the growth of the uterine endometrium is suppressed.
Most often, treatment of endometriosis with medicines is practiced in nulliparous and young women, the main goal of which is to restore the ability to bear children. Utrozhestan is also indispensable as a prophylactic against endometriosis in patients at risk.
In addition to the prevention and treatment of endometriosis, the drug is used for various kinds of progesterone deficiency conditions:
- premenstrual tension syndrome;
- infertility with lutein deficiency;
- premenopause;
- menstrual irregularities in the absence of ovulation;
- hormone replacement therapy in postmenopause and perimenopause.
In this case, capsules are recommended to be taken orally.
Intravaginal application
However, there are several indications in which the drug is prescribed to the patient intravaginally:
- prevention of permanent abortion or the threat of abortion in women with progesterone deficiency during pregnancy;
- hormone replacement therapy with a lack of progesterone;
- if the patient had a premature birth;
- with infertility diagnosed with endometriosis;
- before in vitro fertilization.
Dosage and administration features
How to take "Utrozhestan" with endometriosis? The disease is characterized by a recurrent nature, therefore, when choosing a drug, special attention must be paid to both its effectiveness and long-term tolerance and safety. The drug has established itself as truly safe; it is successfully prescribed for long-term treatment.
The use of "Utrozhestan" in the presence of endometriosis contributes to the normalization of the menstrual cycle, relieves the symptoms of diseases, significantly worsening the quality of life of a woman. Treatment of endometriosis should be comprehensive. When choosing a therapeutic regimen, the doctor should focus on the reproductive function and age of the patient, the presence of other inflammatory pathologies of the reproductive system, severity, localization and spread of the disease.
Utrozhestan capsules are taken orally or injected into the vagina, mainly on days 16-25 of the menstrual cycle. The dosage regimen for endometriosis is individual in each case. The specialist studies in detail anamnestic information, the results of instrumental studies (endoscopy, ultrasound of the pelvic organs), analyzes, prescribes the most appropriate scheme for using the medication. When using Utrozhestan suppositories for endometriosis, it is forbidden to independently determine the dosage, duration of treatment and route of administration.
Therapy with this drug is long, from six months to nine months. General treatment periods depend on the specifics of the clinical picture - for example, on the severity of menstrual cycle failures and the characteristics of the pain syndrome. The ultimate goal of treating the disease is also taken into account.
In the treatment of pathology with a hormonal agent, its effectiveness is evaluated once every three months. If necessary, the drug is changed or resorted to surgical intervention. Since the causes of the appearance of endometriosis are not fully understood, the effect of treatment will be unstable, and the drug course will have to be repeated throughout life.
Contraindications
To minimize the likelihood of undesirable symptoms, Utrozhestan should not be prescribed to patients with the following problems:
- vaginal bleeding of unknown origin;
- allergic reactions to the elements of the drug;
- disorders of the blood coagulation system;
- cancer of the genitals and mammary glands;
- severe impaired liver function at the time of treatment or in history;
- breastfeeding time.
Utrozhestan is used with caution in diabetes mellitus, cardiovascular pathologies, epilepsy, arterial hypertension and severe kidney diseases. If the patient is pregnant, then she can take the drug in the 2-3 trimester exclusively under strict medical supervision.
Side effects
Although there have been many studies that have proven the safety of the drug when used correctly, it, like any remedy, has its own side effects. Mostly drowsiness, dizziness and headaches are observed. Such symptoms can appear several hours after taking the capsules and are corrected by reducing the dosage of the drug. In this case, it is recommended to use the capsules at bedtime at night or switch to the introduction into the vagina.
Digestive problems may occur - vomiting, nausea, constipation, or diarrhea. In rare cases, during treatment, women report the occurrence of acne and itching of the skin. Sometimes patients see changes in the menstrual cycle: bleeding between menstruation or their absence is characteristic for treatment with any progestogen medication.
If Utrozhestan is administered intravaginally, then a local allergic reaction may occur, manifested in the form of itching, redness and burning of the vaginal mucosa. Oily discharge may also appear.
Although the list of side symptoms is quite extensive, the reviews of experts on the drug are positive, since with proper use the likelihood of complications is minimized. If any of the above signs has been detected, you should immediately inform your doctor about this in order to make a decision on changing the quantity or canceling Utrozhestan.
The cost of the drug and its analogues
Since long-term use of hormonal drugs is required, it is important that Utrozhestan has an affordable cost - the packaging of the drug will cost about 300-400 rubles.
Structural analogues of Utrozhestan are Prajisan and Iprozhin. The first is in the form of a gel and capsules. The latter are taken orally or inserted into the vagina, the gel must be administered intravaginally through a disposable applicator. Like Utrozhestan, Iprozhin is taken orally or inserted into the vagina.
During the treatment of endometriosis, they often use Dufaston, which is similar in composition to Utrozhestan, but which is its synthetic analogue. It is produced only in the form of tablets for internal use in endometriosis.
Dufaston or Utrozhestan?
If we compare Utrozhestan with its synthetic analogue, we can see that they have fairly similar indications for use, but from a chemical point of view, they are not analogues. That is why when choosing should first of all listen to the opinion of the doctor.
Reviews
You can not take this drug on your own, because with inadequate intake, sudden bleeding may open or many irreversible complications will occur. Even if the reviews about "Utrozhestan" in case of endometriosis are positive, the woman herself should not choose the dosage, type of application and regimen. Especially when someone decided to use it for prevention.
In each case, the treatment regimen is selected only individually after examination by a specialist and a full diagnostic study. The drug is hormonal, its effect on the body is adjusted and controlled from time to time, the time of administration and dosage changes.
From the reviews of "Utrozhestan" for endometriosis, you can understand that everyone reacts differently to the medicine, that is, it is impossible to be treated according to one prescription, as mentioned above. You need to contact a gynecologist who will prescribe the correct dosage and time of admission.
The use of the drug, agreed with the doctor, will help normalize the menstrual cycle, as well as eliminate the unpleasant symptoms of the disease.
We examined how endometriosis is treated with Utrozhestan.