Pregnancy after "Visanna": composition of the drug, features of use, consequences of withdrawal

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

Endometriosis is one of the most common gynecological diseases. It most often affects women of reproductive age and often causes infertility. In such cases, doctors prescribe Vizanne tablets to patients. This tool belongs to the drugs of the first line of therapy. It acts on the causes of the disease and effectively eliminates pathological changes in the endometrium. When can I expect pregnancy after "Visanne"? And how long does it take to normalize ovulation? These questions concern many patients.

Composition and action of tablets

The active ingredient in the Visanne tablets is dienogest. It is a synthetic substance similar in properties to progesterone. It suppresses the excess secretion of male hormones in the patient's body.

Dienogest interacts with uterine receptors that are sensitive to progesterone. The active ingredient of the drug has the following therapeutic effects:

1. Antiestrogen. Dienogest reduces the production of estradiol. An excess of estrogenic hormones is one of the causes of endometriosis.
2. Healing. Under the action of a synthetic analogue of progesterone, detachment of affected tissues occurs, and then atrophy of endometriosis foci.
3. Antiproliferative. The drug stops the growth of cells and the spread of the pathological process.

Pregnancy after "Visanna" in many cases becomes possible. The drug normalizes the functioning of the ovaries and removes obstacles to the attachment of the fetal egg to the endometrium.

Indications

Gynecologists prescribe this drug only if the patient is diagnosed with endometriosis. This is the only indication for the use of the drug. Before using Visanne tablets, a woman needs to be examined. Endometriosis must be confirmed by hysteroscopy, laparoscopy, ultrasound or MRI.

This pathology is the spread of endometrial cells outside the uterine mucosa. This is accompanied by bleeding, inflammation and pain. In patients with infertility, endometriosis occurs in 80% of cases. The cause of pathological changes is systematic hormonal failures.

Contraindications

Not all women with endometriosis can take this medicine. Contraindications to the use of a hormonal drug are as follows:

• menopause;
• pregnancy and lactation;
• prone to thrombosis;
• vein diseases;
• cardiovascular pathology;
• diabetes mellitus;
• malignant tumors (especially hormone-dependent);
• liver disease.

This medicine should also not be given to girls under 12 years of age. However, endometriosis almost never occurs in children. This disease is typical for women over 20 years old. In rare cases, the pathology is diagnosed in adolescents.

Drug tolerance

The reaction of a woman's body to taking hormonal drugs is purely individual. Many patients do not feel any unpleasant symptoms during therapy. However, in some cases, the following side effects may occur:

• weight gain;
• fatigue;
• migraine headaches;
• dyspepsia;
• pain and swelling of the mammary glands;
• feeling of heaviness in the lower abdomen;
• mood swings;
• decrease in libido;
• back pain.

These manifestations usually disturb patients in the first days of therapy. As the body adapts to the drug, side effects gradually weaken.

Admission rules

The recommended dose of medication is 1 tablet per day. The drug can be takenstart on any day of the cycle. It is advisable to take the tablets at the same time of day.

Usually the drug is taken for 6 months. After that, the woman needs to take tests and do an ultrasound or MRI. Based on the results of the examination, the doctor decides whether to stop or continue therapy.

Pregnancy while taking pills

Pregnancy after the abolition of "Visanne" is not uncommon. However, there have been cases when conception occurred while taking pills. This situation is highly undesirable. The use of a hormonal drug can adversely affect the fetus.

It is important to remember that while taking "Visanna" the probability of fertilization of the egg is significantly reduced. This medicine suppresses ovulation. However, this drug does not apply to contraceptives and it is impossible to completely exclude the possibility of conception. Therefore, while taking the pills, doctors strongly recommend the use of barrier methods of contraception.

If pregnancy still occurs during treatment, then you must immediately stop using the drug and visit an obstetrician-gynecologist. Continuing to take the pills may cause a miscarriage.

Probability of conception after withdrawal

This drug is quite effective. Many women had a long-awaited pregnancy after the "Visanne". How long does it take to conceive?

There have been cases of pregnancy in the first cycle after the pills were discontinued. However, doctorsrecommend the first two months after stopping the course of treatment to use non-hormonal methods of contraception. This period is necessary for the complete restoration of the endometrium, as well as the normalization of hormonal levels and ovulation.

It is very difficult to predict the exact timing of pregnancy after "Visanne". At the end of the course of treatment, the patient should be tested for hormones and undergo an ultrasound examination. This will help to assess the state of her reproductive he alth and the likelihood of conception.

Many women became pregnant after "Visanne" within 3-6 months. However, much here depends on the age of the patient and on the presence of concomitant hormonal disorders. If conception does not occur within six months, then do not despair. It is not always possible for couples to independently determine the days of the cycle favorable for conception. In this case, you should purchase special tests in pharmacy chains that show ovulation with high accuracy.

Planning pregnancy after "Visanna" should be carried out under the supervision of a doctor. If during treatment the patient had pronounced side effects, then small hormonal disruptions after the end of therapy cannot be ruled out. These he alth problems must be addressed before conception.

Most often, after stopping the pills, dienogest is quickly excreted from the body. If pregnancy occurred after the drug was discontinued, then the previous hormonal treatment does not affect the development of the fetus.

Prescribing the drug after laparoscopy

Laparoscopy is the most accurate way to diagnose endometriosis. However, this procedure can also be used for medicinal purposes. In this case, during an endoscopic examination, the doctor removes or cauterizes the affected tissue. After that, the patient is prescribed a course of treatment with Visanne or other progesterone-based drugs.

The use of the drug helps prevent relapses of endometriosis. This combination therapy leads to positive results. In most patients, there was a significant improvement in hormonal levels due to the use of "Visanna" after laparoscopy, and pregnancy occurred in more than 85% of cases. Half of the women conceived within the first 3 months after stopping treatment.

Feelings from patients

Most patients have a positive opinion about the drug. Judging by the reviews, pregnancy after "Visanne" was observed within 2-5 months after cancellation. Hormonal treatment had no effect on the development of the embryo.

A part of the patients was diagnosed with a threatened miscarriage. However, this is not due to taking the drug, but to the fact that many women develop endometriosis against the background of endocrine disorders. In such cases, doctors prescribe the drug Duphaston, which helps to successfully bear the fetus.

However, not all patients had a long-awaited pregnancy after "Visanne". You can find reviews aboutunsuccessful drug use. In such cases, the woman needs to undergo additional examination. It is possible that the cause of infertility lies not only in endometriosis, but also in comorbidities. After all, the growth of endometrial cells is often accompanied by hormonal disorders and cystic changes in the ovaries.

With regard to drug tolerance, many women experienced headaches and mood swings during treatment. This is due to the effect of progesterone hormones on the central nervous system. The disadvantages of the patient's drug include its high cost. The price of "Visanna" ranges from 3,000 rubles (for 28 tablets) to 10,000 rubles (for 168 tablets). However, this remedy works much more effectively than cheaper progesterone-based drugs, and the chance of pregnancy after stopping the pills is much higher.