Patient's question:
Due to endometriosis, I am using Mirena. My periods have been very regular, and so far, I have been feeling great. For the past two months, I haven't had a period, but I have experienced symptoms such as bloating and slight lower abdominal pain. I am worried about whether I might be experiencing amenorrhea?Doctor's answer:
Mirena is only a type of intrauterine device (IUD) containing a small amount of progestogen. It exerts an inhibitory effect on the endometrium in situ within the uterine cavity, preventing it from undergoing cyclic changes and shedding. This helps alleviate symptoms of dysmenorrhea and excessive menstrual bleeding, and indirectly achieves the goal of controlling the progression of endometriosis.Since Mirena does not have the effect of suppressing ovarian function, it cannot cause residual micro lesions in the pelvis to shrink and absorb.
If you have poor liver function, it is best not to take the medication. You can opt for injections instead, such as GnRH-a injections like Suprefact (leuprorelin, produced in Japan) or Zoladex (triptorelin, produced in France). These also achieve the effect of suppressing ovarian function.