In the article, we will consider how to take Duphaston with an ovarian cyst.
Every woman needs to visit a gynecologist at least once a year to avoid the development of diseases of the reproductive system and in order to prevent their possible occurrence. Ovarian cyst is one of the common female ailments, which becomes dangerous in the absence of proper treatment. The most prescribed drug for the treatment of pathology is Dufaston.
What to do with an ovarian cyst, the doctor will tell.
Description of the drug
Dufaston is a synthetic analogue of the most important natural hormone, progesterone. The drug does not have a contraceptive effect. The Dyufaston medicine does not disturb the menstrual cycle and does not suppress ovulation; the product helps maintain pregnancy, contributing to its development. The medicine has a beneficial effect on the possibility of conception and bearing within the course of therapy. This drug is indicated for use in the presence of all cases of progesterone deficiency:
- In case of development of endometriosis in women.
- Against the background of infertility due to luteal insufficiency.
- In an abortion associated with an established lack of progesterone.
- Against the background of premenstrual syndrome.
- With dysmenorrhea and against the background of irregular menstruation.
- In the presence of secondary amenorrhea and hormonal failure.
- Against the background of dysfunctional uterine bleeding.
How to take Duphaston with an ovarian cyst is described in detail in the instructions.
Hormonal disorder in the female body can be caused by a number of factors in the form of excess weight, cycle disorders, early puberty, and so on. Such failures do not pass without a trace and can often provoke the appearance of benign neoplasms of the ovaries, which are called a cyst or otherwise cystadenoma. Cysts are usually a thin-walled cavity that is filled with fluid. They can be located in the body of the ovary or directly on its surface.
Cysts are easily detected by ultrasound. As part of the examination of the ovaries, the size of the cyst is evaluated along with its structure and location. To evaluate growth dynamics, several ultrasound tests are required in subsequent cycles.
Cysts and their classification
Ovarian cysts are classified (code according to ICD-10 N83) as follows:
- Functional cyst. In this case, we are talking about a temporary cyst that occurs as a result of a weak disturbance in the functioning of the ovary. Such a cyst usually disappears, regressing without therapy for three months. Follicular cysts are mainly referred to this type - this is the most common type of ovarian formation.
- Organic cysts with a lifespan of more than two months, which require compulsory treatment, be it medical or surgical therapy.
In addition to hormonal failure, sometimes the appearance of cysts can be triggered by various types of disorders, for example, the inflammatory process in the female body.
Causes of ovarian cysts in women
The causes of this pathology can be very different:
- The follicular cyst is a kind of follicle overriding. That is, when the egg does not come out of the follicle. "Duphaston" with a follicular ovarian cyst is very effective.
- A cyst of the corpus luteum is isolated. At the same time, fluid accumulation is observed in the area of the bursting follicle immediately after the oocyte leaves it.
- The appearance of a hemorrhagic cyst is formed due to hemorrhage inside the corpus luteum or follicle.
- Dysontogenetic cyst is associated with impaired growth and development of the ovaries.
- Endometrioid cysts are formed due to endometrium entering the ovarian tissue.
Unfortunately, not all types of ovarian cysts (code according to ICD-10 N83) can be treated with Dufaston. The effects of this drug are only those tumors whose growth depends on the content of hormones in the blood. So, thanks to him, follicular cysts are often successfully treated if they are observed and there is no possibility of independent disappearance during three cycles.
To many women with an ovarian cyst, “Dufaston” is prescribed. Therapy with the drug in question gives very positive results in the fight against small functional cysts, which helps to avoid surgery to excise neoplasms. The appointment of Duphaston as a doctor is possible if there is no torsion of the cyst legs. This situation requires emergency medical care. In addition to this urgent surgical intervention, the presence of a strong proliferation of the cyst in order to avoid its possible rupture requires.
Endometrioid cysts are not treated with Duphaston, and if they are found, they should be removed surgically. But the consequence of such an operation is all kinds of hormonal disorders in the female body, which are eliminated with the help of a long course of taking "Dufaston." The course is usually six months.
The mechanism of action of the drug
The mechanism of action of Duphaston on the neoplasm consists in suppressing the secretion of luteinizing hormone by progesterone, which leads to a gradual depletion of the cyst body. The treatment process must be monitored using periodic ultrasound examinations and examinations by a gynecologist in order to record positive dynamics.
This drug acts as a progestogen in hormone replacement therapy. Thanks to it, the positive effect of estrogen hormones on lipid profiles of the blood remains. This tool does not change coagulation indicators and does not have a negative effect on liver function and carbohydrate metabolism.
When ingested, the drug can selectively affect the endometrium. It thereby prevents the increased risks of endometrial hyperplasia, and, in addition, its transformation into tumor tissues against the background of an excess of estrogen.
The drug is not endowed with a contraceptive effect. In that case, if you take "Duphaston" in the presence of an ovarian cyst, menstruation will not be disturbed and ovulation will not suffer. During drug therapy in women, the possibility of conception remains.
What is the composition of Duphaston? About this in the next section of the article.
Format of release and composition of the drug
The drug "Dufaston" is produced in the form of tablets, which are coated. One pill of the drug contains 10 milligrams of dydrogesterone. In one pack with the drug is twenty tablets. The pills are very small and do not differ in bitter taste, and therefore are convenient for use. One package of the drug is designed for a normal ten-day course of administration. Additional substances in the composition of Duphaston are: lactose monohydrate, hypromellose, corn starch, silicon dioxide and magnesium stearate. The shell is prepared from hypromellose, polyethylene glycol and titanium dioxide.
Side effects
The difference between Duphaston and natural progesterone is that the medication has an improved formula, due to which the therapeutic agent practically does not cause side effects during treatment. Contraindications for use in therapy are also not numerous, due to which Duphaston is one of the most prescribed gestagenic drugs in the treatment of progesterone deficiency.
Nevertheless, with the use of this drug in rare cases, adverse reactions can occur in the form of hemolytic anemia, allergic reactions due to hypersensitivity to the components, migraine and headache, breakthrough uterine bleeding and increased sensitivity of the mammary glands. Violations in the functioning of the liver are not ruled out.
In case of breakthrough uterine bleeding, it is necessary to increase the dosage of the drug. Usually this side effect is characteristic for the first months of using the medicine.
How much is Duphaston, we will tell below.
Contraindications
The drug is contraindicated in a number of the following cases:
- Intolerance to the active and auxiliary components.
- The occurrence of severe liver disease.
Use the medicine with caution if itching was previously detected with its use.
During pregnancy, the drug in question is indicated for use if there is an appropriate symptomatology for its administration. In case of lactation, it is undesirable to use this medicine due to the ingestion of progesterone in breast milk.
So, we will consider how to take Duphaston with an ovarian cyst.
Instructions for use
Immediately before prescribing the drug in question, in order to treat functional cysts, a preliminary examination is recommended. This is especially required when the patient has a progesterone-dependent tumor (for example, meningioma, or fibroids). It is also required to take a blood test to establish the degree of deficiency of own progesterone.
Not everyone knows how to drink Dufaston with an ovarian cyst correctly. The frequency and regimen of this medication, in case of detection of functional cysts, are selected individually, together with the attending physician. Treatment begins, as a rule, at a certain period of the cycle, starting from the eleventh to twenty-fifth day. In most situations, the duration of therapy varies from three months to six months.
Take this medicine orally and drink it with a little water. It is recommended to take these pills regularly, at the same time, because otherwise this drug is very quickly eliminated from the female body. Against this background, the daily dose of the drug should be distributed evenly throughout the day. Continuous use provides optimal therapeutic dosing of dydrogestrogen in the blood.
This is confirmed by the instructions for the use of "Duphaston" in ovarian cysts.
Analogs
It is worth noting that there are only two structural full-fledged analogues of Duphaston, which have the same active component in the composition, we are talking about Duphaston and Dydrogesterone. These drugs have similar indications and contraindications, differing only in cost, depending on the area of sale. A slight difference from the drug "Dufaston" consists only in the difference in the auxiliary components. Both of these analogs are difficult to find in pharmacies, which is a significant minus. If we consider substitutes for Duphaston by therapeutic effects, then these include: Iprozhin, Ingest, Krainon, Prajisan, Progesterone, Endometrine, Lutein, Oxyprogesterone and Progestogel ".
Dufaston has another famous analogue - the Utrozhestan drug. It is worth saying that Utrozhestan is the most common substitute for Dufaston. Its main advantage is a lower price. The main active ingredient of this substitute is progesterone, which is obtained from plant materials.
A distinctive feature of Duphaston, in comparison with analogues, is an extremely rare manifestation of undesirable effects. As a rule, this drug does not cause abnormalities in the liver, it does not adversely affect blood coagulation and does not act as a source of manifestation of “female” symptoms in boys born after pregnancy, which proceeded against the background of receiving this medicine. Among other things, the medicine "Dufaston" does not affect the blood glucose and the activity of internal secretion organs.
The drug "Dufaston" is allowed for use during pregnancy due to the absence of any pathological changes in the fetus during the use of the drug. Compared with the main substitute "Utrozhestan", this medicine does not produce a sedative effect on the female body; when it is used, there are no restrictions on the work that requires increased attention.
Drug price
How much does Dufaston cost? This question is of interest to all women who need to take this drug. The main disadvantage of the considered medical device is its high price in comparison with analogues. Its cost today is about 600 rubles.
Reviews about the drug
The drug "Duphaston" has been registered in our country for more than fifteen years, and during this time managed to establish itself as a medicine with a fairly good effectiveness in the treatment of conditions that are accompanied by progesterone deficiency. This is confirmed by the positive reviews of Dufaston. With an ovarian cyst, according to experts (gynecologists) and women who have taken this drug, it is very effective.
To the advantages of the medication, doctors include, first of all, the minimum list of side effects and contraindications, as well as the possibility of conducting therapy during pregnancy. To the additional benefits, experts consider the wide availability of medicines in pharmacies.
What other reviews are there about Duphaston with an ovarian cyst?
Patients are also pleased with the results of treatment with the drug. Women say that in the treatment of small functional cysts, gynecologists almost always prescribe hormone therapy with this drug, and only in rare cases, against the background of the lack of the desired effect, do laparoscopy or abdominal surgery to remove the cyst.
The main thing is to take Dufaston correctly with an ovarian cyst, and then a positive result is ensured.