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Hormonal IUD/spiral, e.g. Mirena®



About this Treatment

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Intrauterine system (IUS) with progestogen, sold under the brand name Mirena among others, is an intrauterine device that releases the hormone levonorgestrel into the uterus. It is used for birth control, heavy menstrual periods, and to prevent excessive build of the lining of the uterus in those on estrogen replacement therapy. The device is placed in the uterus and lasts three to seven years. Fertility often returns quickly following removal.

Hormones and Endo: When symptoms such as pain and cramping are prominent, hormones may be considered for treatment of endometriosis. Since endometriosis foci enlarge and shrink depending on hormones, they can be influenced by hormones just like menstruation. 

However, if a person wants to become pregnant, hormonal treatments are not suitable. 

Like oral combined contraceptives, hormone spirals can have a mitigating effect on endometriosis symptoms, as they alter the menstrual cycle. However, despite their frequent use for this purpose, they are not approved as endometriosis therapy. As a result, women use these hormones as "contraceptives" even though it is needed as a medication to treat their disease ("off label use"). 

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