Mirena and Hormone Control

The literature on Mirena has not consistently looked at sexual changes just due to IUDs. It has been reported by some women that they have seen decrease, and others increase in their sexuality. As with other conditions the best first strategy is to get diagnosed, and those that have sex drive changes may have very different physiology from those with problems of orgasm.  If you are having difficulty with orgasms and want to participate in one of our research trials, contact us at 217-356-3736. One reader that wrote that she has a high sex drive and has not noticed a decrease with her Mirena states she’s worried about high androgen levels and wants to take diindolmethane to control this. Again, we have to start each discussion with a caution, that you cannot manage your medical care through a blog. In general, there has not been any studies to back up a “preventative way to hold onto one’s sexual function.” In general, if you are not having a problem with sexuality, any hormonal or herbal way that might change your function could very well decrease your function. We would not diagnose high androgen levels without doing some testing first. Then if testing reveals a treatable condition, we could look specifically at what levels are abnormal and need treatment. Most women with a Mirena will have a normal, not high, range of male hormone levels or androgen levels, so specifically most Mirena patients would not need anti-androgen treatment of any kind. Diindolmethane, also called DIM, is an herbal plant derivative that is not regulated here in the USA so we cannot know what our patients are really getting. It is a product that is derived from broccoli and has been reported to be anti-androgenic. Most women with significant elevations in androgens would need more potent treatment. But in an individual case this may be warranted

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