1. What is Mannorrhea?
Mannorrhea is a type of intrauterine device (IUD), the full name of which is the levonorgestrel intrauterine delayed release system. It can release progesterone locally and continuously in the uterine cavity. Lv Hongtao, Department of Obstetrics and Gynecology, Shandong Qianfo Mountain Hospital
2. What kind of people are suitable for the placement of Mannoprogesterone?
Patients with adenomyosis, endometriosis, recurrent endometrial polyps, hormone replacement therapy, and contraception. style=”text-indent:0″>
3. How does Mandelol work?
Mannorrhea ring contains a total of 52mg levonorgestrel, which mainly acts on the endometrium to make it thinner and has little effect on the E2 level in the body, so even though it shows amenorrhea, its own female function is not affected. It is released in an amount of 20 mcg/day for the first 5 years and 16 mcg/day for the last 2 years, so it is recommended to replace it after 5 years. style=”text-indent:0″>
4. When is the best time to place the Manometrix?
① The IUD should be placed on the 3rd day of menstruation (within 7 days). Those who have had sex for more than 1-2 days and are not having sex can still have the IUD placed, but if you are having sex, you cannot have the IUD placed.
② IUD after abortion.
5. What are the precautions for IUD release?
① Amenorrhea or spotting bleeding after IUD is normal and will improve after 3-6 months. However, if there is a lot of bleeding after the IUD, you should seek medical attention promptly. A lot of bleeding after the IUD means that the ring may not be strong or may fall off or there may be inflammation.
② Patients with endometriosis of ovarian chocolate cysts have 54% suppression of ovarian function in the first year and 14% after 3 years, manifesting as anovulatory dysfunction.
③ For patients with uterine adenomyosis with uterine thickness <10cm, IUD release is effective. For >10cm, IUD release can be treated with GnRHa etc. before IUD release; if >12cm, IUD release cannot be performed first or surgery is recommended.
④ For simple excessive menstruation, the contraceptive pill can be used for 3-6 months before considering the IUD.
⑤ Before releasing the IUD, we should first check the routine of leucorrhea, liver and kidney function, blood count, blood clotting, electrocardiogram, etc.
(6) If the uterus is large, it is easy to fall off.
⑦ There is no normal menstrual cycle and menstrual volume after IUD release, e.g., you can have a little bleeding for 40 days.
⑧ For those with amenorrhea, menstrual regulation is prohibited! Current solutions for spotting and bleeding after IUD release.
① Chinese medicine.
② Tonic Jelly
③ For patients with adenomyosis: Mifepristone Continue to take 12.5mg (half tablet) for 1-2 months after continuous 3 months before IUD release.
④ Contraceptive pills (Daing 3-5) 3-4 months after IUD release, then continue taking it! (You can take it all the time or 21 days amount per month)