Pill Qlaira and Myomas
April 24, 2012 | 20,00 EUR | answered by Dr. med. Ralf Berg
Good day!
I am 40 years old and have never used a hormonal contraceptive method before. However, due to a new partner, I have now decided to do so.
My gynecologist prescribed me "Qlaira".
Now I am unsure because for about 2 years I have been regularly going for check-ups due to alleged fibroids (I am not sure if this is just an excuse to bill treatments). I don't actually have any symptoms, just that my period is quite heavy. It doesn't bother me though, as it has always been heavy, even before my 2 pregnancies. I have read that fibroids grow with estrogen and that an estrogen-free pill would be more suitable?
Which pill would you recommend for me? (I do not smoke and do not have any other conditions that would go against taking the pill).
If you are not allowed to recommend a specific product for legal reasons, then I ask at least for a yes or no regarding "Qlaira".
Kind regards,
Hello dear inquirer,
Qlaira is a 2-phase combination pill with both estrogen and progestin components. Gynecologists recommend it preferably for women with heavy menstrual bleeding. Generally, oral contraceptives can also be taken for fibroids. The fibroids should continue to be monitored for growth, as usual. If nothing happens here, everything is okay. Of course, fibroids can be encouraged to grow under estrogen. However, this also applies to your own estrogen production, which should still be quite active at the age of 40.
So my advice: yes, try Qlaira and have your fibroids monitored. If it's true what is specifically attributed to this pill, that it has normalized the intensity of menstrual bleeding, you have even hit two birds with one stone. (Even if you are hardly affected by it). If you have doubts about the fibroids, have them simply shown on the ultrasound image at the next examination. They are also easy to recognize for laypeople when shown. Honestly, if I were a woman and suspected that I was only being ordered for a check-up under false pretenses, I would address it or change doctors.
Regular gynecological check-ups are also advisable for all women without fibroids, as both breast cancer and cervical cancer are among the common tumors in women. I cannot tell you from here to what extent a more frequent monitoring is necessary due to the fibroid, as I lack more detailed information (size, location, risk of rupture, etc.). But I would simply discuss this confidentially with your gynecologist.
I hope I have been able to help you with this information and remain with many greetings, Dr. R. Berg.
