Doctor's advice

Health 2023
Doctor's advice
Doctor's advice

Is the intrauterine device really harmless? Do you need protection after 50? These and other questions are answered by a gynecologist, Ph.D. Dmitry Lubnin

Doctor's advice

Is the intrauterine device really harmless? Do you need protection after 50? These and other questions are answered by a gynecologist, Ph.D. Dmitry Lubnin

On the benefits of the spiral

Question: After I cured the erosion, the doctor advised me to put in an intrauterine device made of a special medical alloy, which not only protects, but is also good for he alth. But I am afraid of a “foreign body” in the uterus: they say that spirals often grow in and are generally not harmless. How is their action manifested and are my fears in vain?

Answer: Intrauterine devices (IUDs), in my opinion, are not the best method of contraception. And the presence of a foreign body in the uterus is indeed undesirable. It is believed that when using spirals, the risk of infection from the vagina increasing into the uterus and appendages increases. In addition, the IUD does not prevent the process of fertilization of the egg, that is, when it is used, the egg is fertilized by the sperm and descends from the tube into the uterus, but cannot attach to the mucous membrane. In other words, against the background of an intrauterine device, pregnancy in its very initial stage occurs, but does not progress. As for "he alth benefits", that's a misconception. A simple IUD - from any alloy - only protects against unwanted pregnancy.

Get pregnant after 50…

Question: I seem to be going through menopause already - periods have become more rare. Do you think I should use contraception at 51?

Answer: It is worth it, because, despite the extinction of the reproductive system, single ovulations can occur. If you do not smoke, then you can be advised hormonal contraception: it will also serve as hormone replacement therapy (maintain beauty and youth).

A girl becomes a girl

Question: My 10-year-old daughter has already begun to grow breasts. Does this mean that she is already producing female hormones and will soon begin her period? And is it normal at this age?

Answer: Puberty of a girl normally begins at 9-10 years old: this is the growth of the mammary glands. Then, at 10-11 years old, hair appears in the pubic area and in the armpits. At 11-12 years old, the growth and development of the internal genital organs, mammary glands, and expansion of the pelvic bones begin. The first menstruation appears at the age of 12-13 years. There are permissible deviations: the first menstruation can normally begin at 9 years old or linger up to 15 years. These individual features are considered normal. You should be worried if puberty began before 8-9 years old or does not manifest itself in any way until 15 years old. So everything is going according to plan for your daughter.

If you have been diagnosed with uterine fibroids

Small myoma nodes (2.5-3 cm) in the absence of painful symptoms are found in every third woman after 35-40 years. Our readers are interested in precautionary rules, possible restrictions on loads, for example, are fitness classes and abdominal exercises contraindicated? Fortunately, they are not contraindicated, and this is important for women who are trying to maintain good physical shape. The presence of small fibroids in general requires only a few preventive measures:

1. Regular ultrasound (once a year), with the growth of fibroids - decide with the doctor about the start of treatment.

2. Do not abuse baths, saunas and tanning.

3. Avoid inflammation of the genitals, abortions and curettage.

4. Taking hormonal contraceptives stabilizes the growth of fibroids of this size. In the absence of contraindications, on the one hand, this is contraception and abortion prevention, on the other hand, preventing further growth of the node.

In general, if all these recommendations are followed, the diagnosis of uterine fibroids will remain for the patient just an entry in the medical record.

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