曼月乐用来避孕，还能治病?Mirena is used for contraception, but also for treatment?

曼月乐(左炔诺孕酮宫内节育系统)，适应症为避孕 ，也可用于特发性月经过多，即非器质性病变引起的月经过多。什么意思呢，陈凤林教授提醒：就是只是功能性月经失调，即子宫及卵巢没有器质性的病变是由于功能失调导致的。我们常见到的腺肌症，子宫息肉，多囊卵巢等导致的月经量过多，都属于器质性病变。

Mirena (levonorgestrel intrauterine contraception system), the indication for contraception, can also be used for idiopathic menorrhea, that is, non-organic lesions caused by menorrhea. What does it mean? Professor Chen Fenglin reminds us that it is only functional menstrual disorders, that is, the uterus and ovaries have no organic lesions due to functional disorders. We often see adenomyosis, uterine polyps, polycystic ovaries and other causes of excessive menstruation, are organic lesions.

左炔诺孕酮是一种抗雌激素活性的孕激素，在宫腔内主要发挥局部孕激素作用。一旦放置曼月乐后，大多数女性的月经模式会发生改变。因为它会干扰正常内分泌系统，内膜不再受雌激素影响，会有形态改变如萎缩变性等等，部分人排卵抑制，也会导致皮肤痤疮，卵巢滤泡囊肿等多方内分泌疾病的发生!

Levonorgestrel is a kind of progesterone with anti-estrogenic activity, which mainly plays a local progesterone role in uterine cavity. Once Mirena is placed, most women's menstrual patterns change. Because it will interfere with the normal endocrine system, endometrium is no longer affected by estrogen, there will be morphological changes such as atrophy, degeneration and so on, some people ovulation suppression, will also lead to skin acne, ovarian follicular cysts and other endocrine diseases!

曼月乐也有适应症：如已知或怀疑妊娠;现患盆腔炎或盆腔炎复发;下生殖道感染;产后子宫内膜炎;过去3个月内有感染性流产;宫颈炎; 宫颈发育异常;子宫或宫颈恶性病变;孕激素依赖性肿瘤; 不明原因的异常子宫出血;先天性或获得性子宫异常，包括使宫腔变形的肌瘤; 增加感染易感性的状况;急性肝脏疾病或肝肿瘤; 对有效成分或辅料过敏，这些人群均不能安置曼月乐。

Mirena also has indications: known or suspected pregnancy; recurrent pelvic inflammation or pelvic inflammation; lower genital tract infection; postpartum endometritis; infective miscarriage in the past three months; cervicitis; cervical dysplasia; malignant lesions of uterus or cervix; progesterone-dependent tumors; unexplained abnormal uterine bleeding; congenital or acquired uterine abnormalities, including myomas that cause uterine abnormalities; Increased susceptibility to infection; acute liver disease or liver tumors; allergies to active ingredients or excipients; these populations are unable to place Mirena.

所以，曼月乐本身并不能治病，一定程度上会加速某些病变的生长，奉劝很多腺肌症，及内膜病变的女性，不要抱侥幸心态，科学治病是关键。

Therefore, Mirena itself can not cure diseases, to a certain extent, it will accelerate the growth of some lesions. Many women with adenomyosis and endometrial lesions are advised not to take chances. Scientific treatment is the key.