Gel Progestogen for treatment of mastopathy - detailed instructions

In the last century, mastopathy "terrorizes" the beautiful half of humanity especially strongly. This is due to the hormonal imbalance that affects a large part of the world's population in one way or another. Separate cases of hormonal failures were also met in the old days - who did not hear about bearded women in the roaming circus troupes. But one thing is an accident, and quite another is a trend.

Causes of mastopathy

The main psychological and physiologicalthe development of mastitis ( non-malignant growth of the mammary gland tissues) is considered:

1. The relationship model that developed after the sexual revolution.
2. The psychology of consumption against the background of technological progress( as a result, families become child-free or for the sake of material well-being, they are limited to one child).
3. "Industrial" scale of environmental degradation.
4. And, to top it off, the fashion on the laundry is push up.

Together or separately, these factors destroy the balance of sex hormones: hyperestrogenia with progesterone deficiency is a typical hormonal background for mastopathy. Naturally, hormonal failure does not immediately lead to the development of the disease: the mechanism of pathological changes in the tissues of the breast can trigger:

• infectious-inflammatory diseases of the small pelvis;
• endocrine pathology;
• abortion or prolonged absence of pregnancy;
• refusal of breastfeeding, tug of war;
• stresses of various origins, mechanical injuries;
• bad habits, a serious excess of body weight.

Although none of the women of reproductive age is immune from mastopathy, it's not so sad: there are methods of treatment polished for years and they work!

Gel Progestogen in the treatment of mastopathy

The therapeutic effect of the progestogen is based on the activity of the hormone of the ovary's yellow body - progesterone( 1% of the total mass of the gel).This gestagenic preparation( from the Latin gestation - bearing) increases the concentration of progesterone in the tissues of the breast, blocks the receptors of estrogens and suppresses lactation.

The result of the whole complex of processes has the following manifestations:

Subjective	Objective
Asphyxiation	Aspirating of the seals
Fading of the anxiety	Relieving the inflammation and / or retraction of the nipples, restoring the shape of the breast
Disappearance of the sense of heaviness and the "stone chest"	Getting rid of swelling and preventing fluid retention in the tissues
Decrease in the intensity of PMS	Stops the growth of cysts and other lesions in the mammary glands
Termination of serous discharge from the
ducts Stasis of milk stagnation in lactationleft

Before appointment of the Progestogen, gynecologists usually recommend a consultation of a mammologist, which in turn will send to ultrasound( with an average volume and elastic structure of glands) or mammogram ( with "extreme" breast size or age-related changes).Most likely, also tests for hormones:

• of the ovaries and adrenals( androgens, estrogens, progesterone) will also be prescribed;
• of the pituitary gland( prolactin);
• of the thyroid gland( TTG, T-3 and T-4 free).

Without waiting for the results of the examination, self-medication is risky: after all, the protozoal and analgesic effect of the Progestogen can mask the symptoms of cancer.

Keep in mind !The use of progesterone gel does not require the abolition of contraception: "external" hormonal treatment is compatible with the administration of COCs and can be prescribed to patients with an intrauterine device.

If the doctor has not indicated otherwise, treatment of mastopathy with a Progestogen is carried out regardless of the monthly cycle( in particular, and during menstruation).

Application method

Evenly, without rubbing or massaging, distribute the necessary amount of gel on the surface of one or both mammary glands, excluding the nipples and the areola area. The active substance, micronized progesterone, after a few minutes will be absorbed through the skin and will begin to act.

To facilitate the application of the preparation, the manufacturer has provided a measuring spatula in the kit: its smooth side is intended for distributing the gel over the skin, and a groove with markings on the reverse side for measuring the required quantity.

Keep in mind !Depending on the intensity of the drug and the size of the mammary glands, 800 mg is enough for 10-30 days of use.

Contraindications and limitations

Like any( especially hormonal) medication, Progestogen has contraindications to the use. But their comparatively little:

• individual sensitivity to auxiliary components( castor oil, carbomer 934, triethanolamine and octyldodecanol);
• monotherapy oncology of mammary glands or pelvic organs;
• breastfeeding( unless the predicted benefit to the mother's health justifies the risk of cessation of lactation).

Immediately after application of the gel to the skin, the following types of activity should be discarded:

• sunbathing in the open sun( topless - generally taboo, in a "decent" bathing suit - not earlier than 2 hours after the drug dries);
• swimming in the pool or outdoor pond, taking a bath;
• classes in the gym and shower.

Scheme of application

Treatment of mastopathy is selected based on the subtype of the disease( see next section), but this is by no means the only factor. When appointing a treatment regimen, the Progestogen also draws attention to:

• general condition of the body( hormonal background, concomitant diseases);
• age, number of births and pregnancies;
• heredity, medical history( history of the disease), working conditions, etc.

It is the doctor who can choose the correct dosage and schedule. Frequently used schemes are given below solely for acquaintance and approximate calculation of the cost of treatment with this non-expensive drug.

Scheme 1: apply 1-2 times a day for 12.5-25 mg per each breast for 3 months as part of a comprehensive treatment. In addition - oral intake of vitamins, non-hormonal herbal preparations( Mastodinone, Tazalok, etc.), soothing.

Scheme 2: Calculated for 3 months of treatment, but use of Projugol is recommended in the 2 nd phase of each cycle. Apply to both or one( with unilateral mastopathy) gland.

Scheme 3: Twice a day for 25 mg of the Progestogen per breast for 2 months. After - the mandatory month of the vitamin course( for example, Aevit), then a long( 1-3 months) homeopathy.

The progestogen can also be prescribed as a means of episodic use( for the removal of edema and PMS pain) and as a preventive remedy for prolonged use. The main thing is that the course duration does not exceed 6 months.

Adverse effects and undesirable effects of

It has been experimentally proven that when applied sporadically, progesterone is practically not absorbed into the systemic bloodstream. So, the probability of its influence on the hormonal background is negligible. Nevertheless, patients who have been prescribed Progestol for the first time often are afraid of a decrease in libido( it is stated in the instructions as one of the rare side effects).

Scientific evidence supports the fact that the effect of anti-libido is purely psychological: nervousness, discomfort and fatigue. When these factors are eliminated, the intensity of sexual desire is restored even against the background of the use of the Progestogel. The only negative - the patient can feel some decrease in the sensitivity of the mammary glands.

Among other unpleasant effects of the use of progesterone gel, we note:

• long( up to 5 min) drying on the skin, a sticky sensation, "gluing" the laundry;
• irritating smell of alcohol( especially hard it is carried by asthmatics);
• the effect of drying the skin( requires the application of a moisturizer).

Keep in mind !Individual reviews of the Progestogen contain surprising information about the "pleasant side effect" - an increase in breast size of 0.5-1.5.Probably, this is a simple auto-suggestion, and even a deliberate attempt at disinformation: the effect of the drug leads to a drop in edema and, accordingly, the normalization of gland size.

Types of mastopathy and the features of their treatment

In clinical medicine, it is customary to distinguish diffuse( distributed) and nodular( with large inclusions) forms of mastopathy. Nodal mastopathy is less common. Their treatment, unfortunately, can only be symptomatic or surgical. Diffuse forms are more common and better suited to conservative treatment.

Diagnosis of diffuse mastopathy suggests a more precise definition of the pathology subtype:

• fibrocystic form( depending on the prevalence of fibrotic or cystic components in the lesions, parts of the word in the diagnosis may change places or disappear);
• forms with predominance of glandular component( adenoses of different stages);
• mixed forms.

Features of "local" treatment with progesterone of various forms of mastopathy - the subject of many scientific studies. More common in practice and, accordingly, better studied fibrous( see two-sided drawing-comparison), fibrocystic mastopathy and adenosis.

Practice shows that the course( 3-4 months) monotherapy by the Progestogen is most effective in adenoses. For a stable relief from the symptoms of other forms of diffuse mastopathy, a connection is required:

• of anti-inflammatory drugs;
• homeopathic immunomodulators;
• of vitamin complexes;
• hepatoprotectors( if necessary, as recommended by a physician).

But the "possessor" of diagnoses is fibrous or fibrocystic mastopathy. The progestogen helps to get rid of puffiness and pain faster. Approximately one third of patients with FM / PKM feel a positive effect after the first application of the drug.

After completion of therapy, relief or complete absence of symptoms in most patients is observed for 1-6 months( depending on the initial stage of the disease).To extend this period is possible, but for this, at least, it is necessary to neutralize predictable stress factors( both intrafamily and "workers").

Keep in mind !Since the production of hormones directly depends on the emotional state, psychological practices can be considered an integral part of the fight against women's ailments. The patient should not wait, reluctantly, to wait for relief: it is necessary to help the body to recover on its own.

Video - Treatment of mastopathy

Methods of maintaining the achieved result

Mastopathy is an insidious disease: it always strives to return, taking advantage of the "breach" in the body's immune defense. To prevent relapse, it is important to follow a comprehensive approach both during and after treatment.

The basis of mastopathy - the proliferation of cells of the connective tissue of the gland - can be caused by malnutrition. An overabundance in the daily menu of fats( especially trans fats) against hypodynamia, vitamin deficiency and insufficient fiber intake can give a boost to cysto- and tumor-forming processes.

How to avoid this? In accordance with the principle "We are what we eat", the main attention in the prevention of mastitis should be given to the diet. We do not stop here on the rules for the preparation and storage of useful food. We give only a list of products and herbs needed for women's health.

1. Broccoli( vitamins C and A, antineoplastic substances indole and sulforaphane), cauliflower and other cruciferous.
2. Tomatoes( selenium, lycopene), fresh herbs - spinach, dill, etc.
3. Unrefined vegetable oils( vitamin E).
4. Sprouted wheat grains, bran( fiber, vitamins).
5. Low-fat lactic acid products( calcium, beneficial bacteria).
6. Seafood( iodine and fatty acids).
7. Various legumes, soy, nuts( magnesium).
8. Herbs and infusions of plant leaves( nettle, thyme, celandine, dandelion, dog rose, black currant, etc.).

Keep in mind !This information should be noted, but to make a diet of only the listed products - a mistake: in all the diversity is important! In addition, with frequent use of active plant substances, you need to carefully monitor your health, so as not to miss possible manifestations of allergies.

In addition to maintaining balance and diet, breast maintenance will be helped by systematic physical doses.

Swimming, walking, aerobics, jogging, badminton and even fussing in the garden are welcome, but without extraordinary efforts. Less is better, but it becomes a habit. But loved by many volleyball, handball, etc. team sports, although they improve overall physical shape, are not very friendly to the mammary glands. As a result of an accidental impact of the ball, "healed" pathological processes in the chest can be resumed with renewed vigor.

Finally one more tip. Try to keep harmony in everything: between sleep and waking, between work and hobbies, between caring for the family and about one's own health. Allocating only one side of life as the most important, the other processes you let out on your own, and what it can turn out for your body - who knows. ..