Patient's question:
Due to endometriosis, I am using Mirena. My periods have been very regular, and I have been feeling great so far. 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 only acts on the endometrium in the uterine cavity, inhibiting its cyclical changes and shedding, thereby alleviating symptoms of dysmenorrhea and excessive menstrual bleeding. It also 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 an injection instead, such as GnRH-a injections like Suprefact (leuprorelin, produced in Japan) or Zoladex (triptorelin, produced in France). These injections also achieve the effect of suppressing ovarian function.