Medikamente Packungsbeilage: Mirena Intrauterinpessar
❤️ Click here: Gewichtszunahme mirena
Din acest motiv nu mai are ce să se elimine sub formă de menstruaţie. Small amounts of progestins approximately 0.
Vor dem Einsetzen sollte ein Antibiotikum, um Frauen mit hohem Risiko für Endokarditis Entzündung der Auskleidung des Herzens gegeben werden, aber sie sollten nicht routinemäßig eingesetzt werden. There definitely are systemic effects from Mirena, especially for some women.
Hormonspirale - Allerdings, wenn Sie erwägen, es sind aber besorgt über die Gewichtszunahme, gibt es einige Schritte, die Sie ergreifen können, um sie zu bändigen.
Pros: Unlike all other types of hormonal birth control, Mirena does not completely shut down ovulation and hormone production. Compared to Pills and implants, it delivers a lower dose of the drug. The blood level of levonorgestrel in Mirena users is about. But even that low dose can cause side effects. Please see the first Con point below. Officially, fertility returns to gewichtszunahme mirena. It is released systemically into the whole body and can cause acne,hirsutism,anxiety, headaches, breast pain,and gewichtszunahme mirena gain. Obviously, this Con is a pretty big deal, and possibly a deal-breaker. It causes ovarian cysts in. It damages the vaginal microbiome and. It gewichtszunahme mirena ovulation some of the time. It can cause irregular bleeding and spotting during the first three to six months of use. After that, you may get no bleed although you still cycleor you may get a light period. Your doctor has to insert it, and that will probably be painful. It carries a small risk of uterine perforation, which could lead to surgery. If and when you want gewichtszunahme mirena out, you will need to see your doctor. A small amount of levonorgestrel about 0. I prefer non-hormonal methods such as condoms, and. So, as a realist, I will say there are times when Mirena is needed, and it is often a better choice than surgery or other types of hormonal birth control. Also, because Mirena permits some normal hormonal cycling, I view it as the least harmful of all the types of hormonal birth control. Do you need a period. First of all, do you need a period. But you do need hormones, and ovulation is the only way to make them. Hormones are why a healthy menstrual cycle is beneficial. I had Mirena fitted 4 months ago. My period has almost stopped with only a few days of spotting a month. I previously suffered from 3 gewichtszunahme mirena approx ovulation pain. Does anyone else suffer from ovulation pain on the Mirena. Wondering whether to visit my Dr or put it down to a cycle thing?. Thanks Hi Lara there are a couple of things I would like to comment on about this blog. I am sure you are aware that it increases ferritin, this is highly oxidative and damaging. I know some people suggest donating blood, I am not sure this is ideal. However if the levonorgestrel does not travel outside of the uteri, the feedback mechanism is still at play, and the message that the local receptors are full is going loud and clearly to the hypothalamus, thus potentially reducing natural healthy progesterone. As you know progesterone is critical for many functions not least bone density. It is released systemically into the whole body and can cause acne, hair loss, hirsutism, depression, anxiety, headaches, breast pain, yeast infections, and weight gain. Gewichtszunahme mirena in terms of ovulation is a more accurate way to speak about how progestins suppress progesterone… as opposed to speaking about the feedback mechanism with the hypothalamus. After reading your book which Ioved by the way I decided to try the mirena. Insertion was painless for me and done under ultrasound guidance which I recommend. Unfortunately for me I just began to feel so sad, and miserable. I had no real reason for this and had lovely things in my life to look forward to. The sadness settled in and over the course of ten week and got worse. I made the decision to remove it and did so myself. I was so worried that a Dr would prescribe antidepressants and would not remove it due to the shot time it had been in. I can honestly say about four hours after I removed I smiled properly for the first time in ten weeks. Twenty four hours after removal I was my old self. I am glad I tried the mirena as I can now rule that out for me. I know some women have huge success with them. Each to their own and no judgement. I will now try a more herbal approach using Happy Hormones and make some lifestyle changes eg meditation, decrease alcohol and increase walking. Your book is changing the way women think and I love that. During the first month, I had an extremely gewichtszunahme mirena period and no cramps, but the acne is still here. And I also think it was causing me to have bad motion sickness. I just wonder, what is the best option for me. In terms of my acne, periods, and pregnancy prevention. Micronized progesterone is almost always studied in combination with estrogen. But progesterone can be used on its own for menopause and other conditions. Taken without estrogen, progesterone would potentially have zero breast cancer risk and may even help to prevent breast cancer. I am 39 years old and I have been using Mirena for seven years after the first five years I have changed and I have been for two years. I always had endometriosis and polycystic ovary. Lately I have opted for a more natural diet and supplementation of vitamins. There are also those who apply Lugol directly to the uterine cervix to eliminate cysts …. Hi, I am 50 with a history of serious mennoragia heavy bleeding that went on for weeks at a time. It stopped the bleeding and made life bearable, but this year my hair has been falling out at an alarming rate. I also have other hormone-related side effects. Are there natural gewichtszunahme mirena that could work for me. I have been led to believe that the choice I am facing is hysterectomy vs. Thank you for your thoughts. Hi there — I am 48 and have recently been recommended to get a Mirena. My periods are very very heavy and last 10 days every month like clock work. I am a vegan for years and vegetarian for 30 years. I have become very diligent about my diet since my latest bout of anemia. My question is can I overcome this if I work extra hard at my diet without getting the Mirena. I am just not a fan of putting something in my body that has hormones. I do not even like taking Advil so this is over the top. I am super sensitive to all medicine too and feel that this would really be hard on me. Do you have any thoughts on my situation. This is such a great post to read. However, I am seeing top gynaecologists and they all go for this method. I was perhaps hoping to have this done again and start over with perfect diet and lifestyle which will never be perfect. This is a great post with the pros and cons. Do I need more synthetic hormones in my body — obviously this one is a no. I am planning to try the Mirena too, asap, but have just recently started on Cerazette to try and stop my periods. I also started using cbd oil this week non thc containing and have noticed some reduction in pain. I was just gewichtszunahme mirena how the original poster is getting on and whether she did try gewichtszunahme mirena Mirena with any luck so far. Thanks I had the Mirena for 3 yrs and the entire 3 yrs I had spotting every single day. I found your blog and am curious as to any suggestions that you gewichtszunahme mirena have. Much appreciated for your time. Would this be a good choice. I am scheduled to have my Mirena removed in two weeks. I have had it for two years. In those two years, I have developed anxiety, panic attacks, weight gain, painful bloating during ovulation although I am not positive I am ovulatingfatigue, dry eyes, brain fog…. I am so excited to get it removed and hopefully return to my old self. Is there anything I can do now to help prep my body to help lessen or prevent the crash. Can I start those things now, two weeks out from removal. Aurora, it went really well. The actual removal was quick and easy. Just a slight tug and a little pinch. Kind of felt like removing a tampon or menstrual cup with a slight pinch. I was a little crampy for the next day or two and then I began bleeding three days post removal. I was due for my period in the next few days anyway. The bleeding was fairly heavy for two days, along with painful cramps. But by day 3 it slowed to a light flow and I stopped gewichtszunahme mirena completely on day 5. My next cycle was textbook, 29 days long. Same thing, very heavy bleeding and cramps for 2-3 days and then light and done by day 5. The third cycle was a little longer at 38 days. I am still having small little bubbles of anxiety, but it is no longer a daily battle. I just feel like myself. I am hoping that I continue to heal and adjust back to my normal self. Good luck with your removal. I had heavy periods and Mirena was the only option given to me or hysterectomy. I want to try a more natural option, so hopefully everything works out for me after my Mirena is removed. Thanks again for your kind response. Thank you for providing such informative content. Since this second attempt I feel that my uterus has never been the same, I have frequent infections, pains in the cervix and the vaginal canal that I have not been able to identify until now, apparently everything is normal in the exams. Gewichtszunahme mirena there any explanation for this. Hello I m 33 year old. N having mirena from last 3 year inserted to control heavy bleed problem. And everything is well in that. I want to keep ovulating. Mirena is ok for me, but the implant is cheaper. What do you think about it. Do you think is an option. After going to the gynecologist I was diagnosed with adenomyosis. I got the Mirena, and although it has not stopped my periods, it has made them extremely light, an absolute bonus considering before I was dealing with a monthly crime scene at my house which prevented me from going gewichtszunahme mirena at all. The issue is, now I am dealing with the weight gain side effect which for me is a danger since I control gewichtszunahme mirena blood pressure which is naturally hypertensive, through diet and weight management. I have gained 25 pounds on the Mirena wthin gewichtszunahme mirena period of 1 year and have not changed my diet at all. I feel stuck since if I remove the Mirena I lose the weight, and my blood pressure subsides back to normal levels, but the floodgates get re-opened. Any suggestions as to what to do. My Grandma is a natural path. I have taken 29 mg. I have very regular cycles and my compounded progesterone helps, but my pms is still terrible. My doctor has done two ultrasounds last two years and everything is clear. They think I am dealing with endo or andenomyosis. Do you think the Mirena could help. I struggle with that with my thyroid already but maintain a 150lb. Let me know your thoughts. A year ago I adopted a whole-food, plant based lifestyle, working to remove all toxins from my body. The systems still come and go although not as often or severe. Happily Quin Hi Laura, I tried Mirena about 8 years ago gewichtszunahme mirena I was in my early twenties. The procedure of having it put in was definitely painful, and my gynecologist also warned that there may be some dull pelvic pain the first few days of having it in… I, however had the device in for about three days before I had to have it removed because it was causing me so much pain. Thank you so much for this post. I recently listened to the episode of Harder to Kill Radio that you were on and it really got me second guessing about my Mirena, which I have had for about 2 years now. I look forward to diving into the rest of your site. I understand it may take some time to come back. Any suggestions on things I can do to help my gewichtszunahme mirena health. Hello Lara, I am 27 years old and I have been on birth control for 10 years now and have never been pregnant. I started with the Nuva Ring which seemed to worked well. I decided to try the pill 4 years ago, I tried three varieties for 3 months each. My period would not stop throughout that entire time. I switched back to the nuva ring hoping that my period would get back to normal. I gewichtszunahme mirena decided to get the Mirena 10 months ago because I heard it could stop periods completely. This also has not worked. I have not had many days without some sort of bleeding for the last 4 years. Luckily, I never have had heavy or painful periods but constantly bleeding is really inconvenient. I know this is not normal, but my doctors keep telling me that it is. I do not want children any time soon and therefore need to be on some sort of birth control. I also thought that maybe turmeric or iron supplements could help. Or maybe trying the Paragard. I am completely lost and need some suggestions. I am willing to try anything at this point. Hi, Gewichtszunahme mirena am 22 years old. I had been taking Yasmin since I was 16 but last year my new doctor told me I could not take Yasmin or any birth control with estrogen because I get migraines. She gave me my very few options and I got the Mirena. It has been almost 1 year since Gewichtszunahme mirena got the Mirena implanted. I got all hormones tested and a full thyroid panel before I started your protocol and after. Everything came back normal gewichtszunahme mirena my lh:fsh ratio was 1:2. The ultrasounds said my uterine lining is thick not sure how severe. I have acne, hirsutism, insomnia, fatigue and thinning hair. I have 4 older sisters with the same symptoms they all chosen the pill. Most recently I was told by my doctor that it is all stress induced. He is recommending the Mirena to thin my uterine lining and slow my flow as a preventative measure his concerns are gewichtszunahme mirena cancer and anemia. I am feeling pretty confused about what my next steps should be. My main question for you is this: Is natural progesterone an alternative that could help to thin the uterine lining and lighten periods in the same way as the mirena. Thanks for being an advocate and giving women hope for their health. Thanks for sharing your story, Emily. That amount of pain does suggest endometriosis. Have you spoken to a Gynecologist who understands endometriosis. She could do a physical exam and maybe order a specialized ultrasound to see what is going on. And hopefully, the new saliva test for endometriosis will become available soon. Gewichtszunahme mirena you see my post. Finally, you might want to think about eliminating eggs. When I shared about eggs on social media a couple of weeks ago, many readers mentioned that their endometriosis improved a lot gewichtszunahme mirena eggs. I had the Mirena removed because of extreme mood swings, insomnia, heart palpitations, and really bad headaches, all of which went away within about a week after I had it out and good thing, because I thought I was going crazy. Briden, I have learned so much from your book and website!. Thanks so much for sharing your story. There definitely are systemic effects from Mirena, especially for some women. The things to compare would be Mirena versus progestin-only pill, and I think the progestin-only pills did pretty badly in the Danish study as well. And that the effect can last past the time when the drug is stopped. Which could explain your ongoing spotting suggestive of progesterone deficiency. Finally, I have a theory unproven that some women have a nervous system reaction to having a foreign body in the uterus. But some women seem to be okay. I have no idea how scientists would even test this possibility. I just had a Mirena inserted after many years of suffering from heavy periods. I hesitated in gewichtszunahme mirena it because I did read many negative side effects of it. I love gewichtszunahme mirena article as it spelled out exactly the pros and cons and concerns that I gewichtszunahme mirena. I hope I had made the right choice and not experience some horrible side effects. Hi Lara, What a wonderful, informative site. I had the Mirena placed 8 months ago for heavy periods and birth control. I am 41 and have 3 kids. I am still having bleeding and spotting for about 15-20 days each month with a week or two break in between episodes. I would rather not introduce more synthetic hormones so I am leaning towards removal. Do you have any recommendations for naturally balancing gewichtszunahme mirena things before I give up. I am currently not having a period with the Mirena and am unsure if I am ovulating. Labs show an gewichtszunahme mirena bioavailable testosterone 7. I had pelvic ultrasound which was normal. I have the Mirena x 2 years now. I am very active, and would like to periodize my workout schedule around my menstrual cycle, so that I am protecting my natural hormone levels as best I can. Any tips or advice you have would be greatly appreciated. I went today to have a Mirena inserted. I have 2 children now aged 10 and 13 both delivered naturally with no complications. I do not need the Mirena for birth control as we use withdrawal and have successfully for over 20 years the 2 kids were completely planned. The Mirena is to reduce the amazingly heavy periods that I have been gewichtszunahme mirena for the past few years and the irregular periods I have experienced for the past 9 months since turning 40. My doctor has suggested I have the Mirena inserted under a general anaesthetic in hospital and I am not sure that having him knock me out to stretch my cervix when it is obviously amazingly tightly shut to insert a device I am not sure I want is really worth it. Can you offer another suggestion for reducing my periods possibly something that is oral rather than inserted. Thank You I had Mirena inserted about two months ago. Birth control pills were the only thing that would stop the spotting; I tried so many natural treatments vitex, magnesium, ashwagandha, progesterone cream, etc after quitting the pill but none of them helped. Have you written anything on this topic or do you have any advice. Your book mostly talks about coming off the pill, and as I understand it they have different effects. Thank you for a great book. The solution is to support the healthy detoxification or metabolism of estrogen as I discuss in my book. Are there other things you would recommend. Hi Lara, I hope this finds you so well~ So about the year before I got the Mirena, my periods had gotten quite debilitating and heavy which is why my gyno suggested it. I also got very fatigued and had symptoms of the common cold before my periods in the past. As it all felt like it was getting worse, and before a move, I thought about it, and finally got the Mirena Dec 2016. My acne has gotten worse for sure, the bloating and everything has been accumulating. Huge swollen eyes and other attacks like that and some random rashes, have been gewichtszunahme mirena another addition to the issues. Anyways, nothing seems to be helping and I am almost constantly bleeding or having a period it feels like every other week. I have had 2 days this year where I felt normal. After the 2nd child, about 3 years ago, my periods have gotten worse than they were before my 1st. I just had to go on iron supplements…most likely due to my heavy periods. Lara, I am 42 and have had heavy, painful periods for over 15 years since I came off of the pill. I have tried most all. I also have a thickened endometrium. Curious if there were supplements to take to counteract some of the problems with the Mirena. Like B vitamins or others. Thanks for all you do. You could also consider progesterone as a treatment. My go-to prescription these days for the heavy menstrual bleeding of perimenopause is: 1 dairy-free diet, 2 turmeric, 3 natural progesterone as a capsule like Prometrium luteal phase only. But please speak to your doctor. I have recently had the mirena inserted, as I bleed very heavily always have and periods last up to 9 days plus had a 5cm pollop removed from my uterus. It haa been two months and gewichtszunahme mirena migraines are shorter, but not gone. I take vitex and magnesium daily. Over the last 3-4 years I have had off and on bleeding many pelvic ultra sounds, biopsies and other test to show that I have uterine fibroids and ovarian cysts. Oh and did mention my mother died of uterine cancer at the age of 61. Another reason for not having a hysterectomy. Just confused as to what on earth to do. Need some suggestions or answers please. However i was unable to find any concrete evidence that herbs for hormonal health can be used alongside the Mirena Consulting your blog was my next choice and gewichtszunahme mirena stumbled across this article. Could you please shed some light on this. Have you had any experience with this or is there an additional perspective that you can offer. Again, the article addressed a few concerns some of which were contemplated and others just slight curiosities and health questions. I fear for the perforation and expulsion. However, I have never become pregnant nor have ever breast fed. And I feel a little more comfortable with the idea of getting this form of contraceptive. I really like your distinction between pill bleeds and ovulation. I am mostly looking to reduce the flow of my periods, and the contraceptive portion seems to be a beneficial side effect. I have the Merina and it will be 5 yrs in 2017. I had it implanted because after having my second child 29yrs old my period had become a very heavy 7 day period compared to my light 3 day period of the past. By that time things had settled down to mostly no period so I have kept it. I know when I have my cycle and get a very small amount of bleeding sometimes, some minor cramping like right now and normal hormonal grumpiness. All I use is the double layered pantyliner. All in all it fixed my heavy bleeding with no real noticeable side effects. Hi Lara I have been recommended to have the Mirena coil by my gynaecologist to thin the lining of the uterus. I am 47 years old. Do you know of a more natural but effective way of doing this. I had been on it for about 6 months all was good, spotting had stopped I was a happy girl. Till one day when I got a cramp that literally dropped me to my knees. I went to the hospital Because the pain would come and go randomly. I had blood tests done, had an internal ultrasound and still no answers. Finally after 2 months of pain, sometimes putting me on ass I decided to have my Iud removed. Also, it is very expensive. And how long does it take to be accurate. Does it need to be used to gather data for a while first or. I had the mirena fitted 2 weeks ago my body rejected it over a few days it was like so painful and uncomfortable was still very sore for a couple days after then on the 3rd day I had 2 use maternity pads that were the thickest and still had 2 change every 10 min until my partner called am ambulance my baby girl was 26 weeks around 6mnths i would never recommend the mirena far from it i would honestly remind my family what i went through with it and try 2 suggest anything but x So glad I stumbled upon this post by chance. I have been considering the Mirena as two of my closest friends got it a few months ago and they love it. I, however, had an abortion around the same time. I had used cycle awareness successfully for 6+ years but did not realize the importance of monitoring temperature and I suppose must have made an error somewhere along the way. Ever since the experience I am extremely paranoid of ever becoming pregnant again and so have been considering the Mirena to put myself at ease. I trusted the method but now Gewichtszunahme mirena am second-guessing whether or not it is for me. I have an upcoming appointment with my naturopathic doctor to discuss my options but I am so grateful to have found this post and your website for additional guidance along the way. Thank you for sharing your balanced insight. Dear Lara, i agree with what Katelynn mentioned above: fertility awareness methods are usually accompanied with a lot of anxiety due to the risk associated. Would you say is possible to supplement fertility awareness methods such as tracking your period wiht an app and journaling symptoms to get in tune with your cycles with basal temperature daily measurements by ourselves. Or maybe the question is, what percentage of ovulations are not followed by gewichtszunahme mirena period. Because maybe any individual woman might have some cycles with and some without a bleed. I had Mirena inserted Oct 2012 as soon as I finished breastfeeding. I was 24 and had had 3 pregnancies. Gewichtszunahme mirena my whole life have been super heavy and painful, so I hoped it would stop that part. My mom had one in the 80s and it became embedded and had to be surgically removed. She warned me this might happen to me too, but the doc said it almost never happens. They cut the strings a little too short but assured me that would be fine. My mental health steadily declined to the point I had debilitating panic attacks daily. This could be circumstancial though. Sex was always painful and immediately followed by embarrassing bleeding. Acne persisted the whole time and was painful. Sex drive vanished, and I packed on 50lbs this past year. A few more attempts, still not out. She said they might be tucked up inside, the doc would have to do a special thing with a special tool. So hospital appointment happens, it was confirmed to be both embedded and sideways, strings and all. He got it out using local anaesthetic which never works on me but it hurt like birth, no joke. Worst pain ever because it felt nastier than other gewichtszunahme mirena. I was given the mini-pill to be taking now, I thought it might interfere with my moods less than Mirena did, but after reading your article it looks gewichtszunahme mirena that will not be the case. Thank you for the info on this post. Hi Laura, Thank you so much for posting this. I had my Mirena removed about 2 weeks ago after having it in for a year. I believe that it suppressed ovulation for me altogether, as two of the side effects I experienced were weight gain and depression. I also feel like my lower abdomen was constantly distended with it in. Since having it out, I feel much less bloated, but have been very tired. Hopefully it is just my body adjusting back to normal. I am extremely sensitive to most medicines, and Mirena was not for me. Do you have any recommendations for clearing my system of any leftover synthetic hormones. The only thing which has reduced both the number and size of my endo growths had been the mirena. Have had 9 laps to remove endo and adhesions and scar tissue and had my fourth mirena in four weeks ago. Thank you for such a great article which is balanced. I often see articles slamming it or putting it up on a pedestal. A combined natural and medical approach works for me. I am one of the women who had heavy flooding after 40. I had no idea what women meant when they mentioned flooding, I thought it was a heavy period and I had always had those. Nope Flooding was just that a flood of fluid and big clots, that no tampon, pad, cup, or combination could hold or absorb. No warning, I had to carry a change gewichtszunahme mirena clothes. Added to the flooding was incredibly painful ovulation. The Mirena was the option that works for me. I am pro hormonal solutions, but it is preferable to surgery. Ovulation was no longer painful either. I do have a few more whiskers under my chin, but that comes with age too. I had the Mirena removed last December gewichtszunahme mirena having it for gewichtszunahme mirena. I had a horrible experience. I continued to have very short cycles. I gained weight, had anxiety issues, hormonal imbalance that affected my autoimmune disorder for the worse and I think it also threw my thyroid out of balance. But finally, I have my regular cycle back again. Hi Lara, I got the mirena iud and gewichtszunahme mirena always suffered acne but it got much worse with the mirena and antibiotics which gewichtszunahme mirena worked couldnt even clear my skin and it got worse after i had it removed but minocycline cleared my skin again… then i got pregnant and had a baby and my acne was terrible throughout and is more cystic postpartum. Is it possjble that having a baby 7 weeks ago permanently altered my hormones and ill always suffer cystic acne now. A bit scary to see that Mirena is not recommended while breastfeeding. In retrospect, I think the low progesterone caused by breastfeeding was the source of the discomfort- thinning of vaginal skin etc. The feeling improved after 3 months, but in the 3 years I had it, I had absolutely no libido. Also, I had to take extra progesterone top up pills a few times to control spotting. Never had any issues with milk supply but concerns me now to hear my son may have been getting the drug through my milk. I am an endometriosis sufferer and have had the mirena coil. The mirena coil made me put on over a stone in weight, I had cystic acne and felt depressed. Gewichtszunahme mirena also suffered extreme cramping for over 6 months from time of insertion. gewichtszunahme mirena In summary mirena coil was a definite no for me and I had a removed one year later. I have not had a period for the last 3 years and have gone through menopause without any problems at all. I highly recommend it to anyone. There have been no long-term studies to assess the long-term effects on infants of levonorgestrel in breast milk. First doctor was not able to get it out and I had to go to a university hospital and they too found it difficult to get it out. gewichtszunahme mirena It was caught in the muscle of my uterus and the removal was very, very painful. I bleeded twenty days after the operation. I will never again let anybody put any kind of birth control device inside my uterus. I even talked with gewichtszunahme mirena a bit on email about it and you said to wait and my period would come…that was in january after 3 months following your advice. And I still have no period today. I want to have children with in the next 3-5 years, but not now. Now I just want a natural period. I am 29 may I add. Hope for some advice on this. And thanks for a great book and blog. The topic of natural hormones is slowly appearing here in Denmark, but the public opinion is still very focused on the benefits of pills….
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Also, it is very expensive. After every period it is important for you to check to make sure the threads are still there. Durch das fehlende Östrogen kann es sein, dass deine Periode in den ersten drei bis sechs Monaten nach dem Einsetzen sehr unregelmäßig kommt. Kommt es trotz eingesetzter Spirale zu einer Schwangerschaft, sollte das Pessar entfernt werden, weil es die Risiken für Fehlgeburt und vorzeitige Wehen erhöht. Falls die Schmerzen bereits vor dem Legen bestanden haben, gibt es vermutlich keinen Zusammenhang. Compared to Pills and implants, it delivers a lower dose of the drug.