Iphilisi ibonakala njengesisombululo sokulawula ukubeletha okuphelele: sithathe ngesikhathi esifanayo nsuku zonke futhi ngeke ukhulelwe . Elula, ephephile futhi ephumelelayo-akumangalisi ukuthi abesifazane abangaphezu kuka-26% bathembele kuyo njengendlela yabo yokukhetha i-prophylactic.
Eqinisweni, abesifazane abaningi banolwazi oluncane mayelana nemithi yabo-ngaphandle kokunciphisa amathuba okukhulelwa okungahlelelwe. Ngakho-ke kungenzeka ukuthi awukwazi ngezinzuzo ezengeziwe zephilisi- kuhlanganise nezigumbane ezinesihlungu ezincane kakhulu zokuhamba esikhathini, ukugeleza kokukhanya futhi ngisho nokususa isikhonkwane. Lokhu kungaba impilo yokuguqula abesifazane abahlukunyezwa yi-PMS, i-endometriosis nezinye izinkinga zokuzala.
Ukulawulwa Kokubeletha Ngaphandle kwePilisi
Kunezinhlobo eziningi zephilisi futhi uhlobo ngalunye lungathinta abasebenzisi ngezindlela ezahlukene. Kodwa-ke, cishe abesifazane abangu-20% abanelisekile ngokuphelele ngephilisi futhi abazi ukuthi banezinye izinketho .
Kubalulekile ukuba ufundiswe ngale ndaba, hhayi kuphela ngoba into oyifaka emzimbeni wakho, kodwa ngenxa yalokho okungenzeka uma ungayisebenzisi kahle. (Ngaphandle kokukhulelwa okungalindelekile e-US, 41% yimbangela yokungasebenzisi okungalungile kokukhulelwa.)
Yazi zonke izinketho zakho ngaphambi kokuxazulula ngendlela eyodwa noma (nakakhulu nakakhulu) ukhetha ukuyeka ukukhulelwa ngokweqile.
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1. Kunezinketho ezingaphezulu kunePhilisiAmakhondomu angamadoda angabokuqala engqondweni, kodwa kunezinye izindlela eziningi ezisebenza ngendlela efana nephilisi. Izisu zokubeletha ezingenalo ngomlomo ngokuvamile ziba nezinzuzo ezifanayo njengephilisi kodwa zibe nemiphumela emibi kakhulu noma izinkinga (njengokukhohlwa ukuthatha).
I-Patch
I-beige, uhlangothi lwesibili lwesigcawu sesipulasitiki esinamathele, i-patch ikhipha ama-hormone esikhumbeni futhi isebenza ngesonto ngesikhathi.
Ngemiphumela emibi efanayo kanye nezinzuzo, i-Patch inhle kakhulu kwabesifazane abanenkinga yokukhumbula ukuphuza lelo philisi nsuku zonke. Kulula ukuyisebenzisa, nakuba abanye besifazane bekhalaza kuwela kalula.
Ukufakwa
Ebekwe ngaphansi kwesikhumba sesandla sakho, le mithanguzo isebenzisa i-progestin ukuze igweme ukuvutha. Idivaysi-mayelana nobukhulu be-matchstick-ifakwa futhi isuswe ngumchwepheshe ngokusebenzisa ukuhlinzekwa kwezinzwa zendawo futhi ihlala iminyaka emithathu.
Kunemiphumela emibi ehlanganisa ukuphuma kwegazi okungavamile, ukushintsha kwemizwelo, izintambo, ukuzuza kwesisindo kanye nezinguquko ku-sex drive, kodwa lezi zivame ukwehlisa izinyanga ezimbalwa. Ukufakelwa kunikeza ukuvikelwa okwesikhashana okungajwayelekile ukuthi ucabange ngakho.
The Ring
Le divayisi isayizi nobujamo bezinwele futhi zingeniswa ekhaya. Isebenza emigqeni yenyanga, ihlala emasontweni amasonto amathathu futhi isusiwe yesine.
Abesifazane abanelisekile ngezinye izindlela bavame ukukhetha iNsimbi, ngoba yizinga eliphansi kakhulu lamahomoni futhi linemiphumela emibi embalwa. Iningi labantu alikwazi ukulizwa, kepha lingasuswa ngocansi futhi lihlala liphumelela uma lithathwe endaweni engakapheli amahora angu-24.
The Shot
Esinye isisombululo sesikhathi eside esisebenzisa i-progestin, i-Shot yimijovo ephumelela izinyanga ezintathu. Kulula ukuyisebenzisa, ephephile kwabesifazane abancancisayo futhi inenzuzo eyengeziwe yokungaqondakali ngokuphelele.
Izinguquko zemizwa, ukufisa ukudla nokugeleza kwegazi ngezinye izikhathi zibikwa, kodwa imiphumela emibi ivame ukungena ngaphansi kwezinyanga eziyisithupha.
IUD
Amadivayisi we-intrauterine ayinsimbi ye-hormone noma yama-synthetic progesin ahlinzekwa ngogciwane emtholampilo. Lezi zisebenza phakathi kweminyaka engu-3 no-12 futhi ziphephile ngabokubhema nalabo abanegazi eliphezulu kunezinye izindlela ze-hormonal.
Akusize kwenzeke ukuthi lokhu kungalungile, nakuba ukukhwabanisa, ukubona indawo nokunyuka kwegazi kungaba nemiphumela emibi. Enye ibhonasi, ingasetshenziswa ngenkathi ibeletha.
Amanye amaphilisi
Ipilisi ye-progestin kuphela (i-AKA "i-mini pilill"), inkulu kakhulu kwabesifazane abakwazi ukubekezelela i-estrogen ekulawulweni kwabo kokuzalwa. Ukwengeza, iphilisi (i-estrogen / progesin combo) iphilisi inikezwa ngemikhiqizo ehlukahlukene esebenza ngendlela efanayo, kodwa inezinzuzo ezihlukene nemiphumela emibi yowesifazane ngamunye.
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2. Zama, Zama futhiNgenxa yama-hormone aguqukayo, imizimba yabesifazane ishintshela kusukela ebusheni bayo kuya kuma-20s, 30s, 40s njalonjalo. Imiphumela emibi ingaqala-noma ukuphela-iminyaka kunoma iyiphi irejista enikeziwe.
Ngakho-ke uma uqala ukuthola isisindo ngokuzumayo noma uqaphele isikhumba sakho sichitha iminyaka emva kokuthatha i-YAZ, akuyona indlela eguquliwe; uwena. Ukukhuluphala kuye kwahlanganiswa nokunciphisa kancane ekusebenzeni .
Ungashintsha izindlela zokulawula ukubeletha ngokuhamba kwesikhathi njengoba indlela yakho yokuphila nomzimba iguquka.
- Uma uzama ukuqala umndeni ngonyaka ozayo noma ozayo, i-IUD yakho noma ukufakwa kwakho kungenzeka ukuthi akuyona into engcono kakhulu.
- Abesifazane ababhemayo, abangaphezu kuka-35 noma engozini enkulu yomdlavuza wesifuba bakhuthazwa ukuba bazame ukuvimbela ukuvimbela imithi ngamazinga e-hormone aphansi futhi bathathe amakhefu kusuka ezindleleni zesikhathi eside.
Kungakhathaliseki ukuthi usebenzise indlela efanayo okwesikhashana noma uma unelisekile ngokuphelele , khuluma nodokotela wakho mayelana nezinye izindlela.
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3. Iningi lokulawula ukubeletha linemiphumela emibiUmlando wezokwelapha uyisici esibaluleke kakhulu uma ukhetha izakhi zokuvimbela imithi futhi ungathola ukuthi kungenzeka yini imiphumela emibi.
Iphilisi ayinconywa ngababhemayo. Izisu zokuvimbela izitho zomzimba zingaphephile kangako ukuthatha labo abanomlando we-migraines, isifo sikashukela, isifo sohlangothi noma isifo senhliziyo, njengoba izithako zingandisa ingozi yezindwangu zegazi nomfutho wegazi ophezulu.
Ngisho noma udokotela wakho ekunikeze konke okucacile, iphilisi ingaba nemiphumela emibi engase ikumangaze. Okuvame kakhulu ukuphuma kwegazi, isisindo sokugaya isisu, ukutheleleka kwesisu, ukunciphisa i-libido, ukucindezeleka kwegazi, ikhanda, ukubhuka, ukuzuza kwesisindo nokucindezeleka. Lawa kufanele ahlasele ezinyangeni ezimbalwa.
Imiphumela emibi kakhulu kodwa engavamile yilezi zihlanganisa ama-clots egazi, ukuhlaselwa yinhliziyo, ukushaywa umdlavuza nomdlavuza wesibeletho. Ukwelashwa kwakho kungaphazamisa neminye imithi, ngakho-ke uma uhlangabezana nezinguquko ezingavamile futhi ezingavamile, khuluma nodokotela wakho mayelana nokuzama into entsha.
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4. Usadinga IkhondomuAmakhondomu yiwo kuphela amakhemikhali okuvimbela ukuvimbela ama-STIs. Lokhu kusho ukuthi ngaphandle kokubili wena nomlingani wakho nivivinya mahhala kunoma yikuphi ukutheleleka futhi kukhona ebuhlotsheni obulodwa, kufanele nigqoke ikhondomu ngaso sonke isikhathi.
Njengephilisi, kunezinhlobo eziningi zamakhondomu-i-latex-free, igcobile futhi ayihambisani nalokho ngokuthandayo. Futhi ubukhulu bungabalulekile! Imikhiqizo eminingi inezinsizakalo ezihlukahlukene kanye nokungasebenzi kahle ngokuvamile kubangelwa ukungalingani okungalungile, ngakho-ke kubalulekile ukuthi amakhondomu akho afaneleke kahle .
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5. Awukwazi Ukuyeka UkuyekaUkunganaki nge-oral oralceptive accounts cishe ingxenye yesibili sokukhulelwa okungahlelelwe. Cha, awukwazi ukuphuthelwa "usuku olulodwa noma ezimbili" futhi uqhubeke njengesijwayelekile. Ngisho noma ukulahlekelwa usuku noma ezimbili kungabangeli ingane, ukungahambisani kungaholela ekuguqukeni kwamahomoni enza imiphumela emibi kakhulu.
Noma yini oyenzayo, ungabeki kabili uma ulahlekelwa umthamo! Lokhu kungaba nemiphumela engathà sina embi kakhulu njengokuphuma kwegazi ngokweqile, ikhanda kanye nezinguquko zomzwelo. Uma ukhohlwa iphilisi, qhubeka uphatha njengokujwayelekile futhi uqiniseke ukuthi usebenzisa indlela yesibili yokulawulwa kokuzalwa okungenani ngesonto ngemuva kwalokho.
Qhubeka uzama ukuthola i-Right Control Control
Nakuba konke lokhu kungase kubonakale kunzima kakhulu, kubalulekile ukuba namaqiniso lapho ukhetha okuthile okubalulekile njengokulawulwa kokuzalwa. Ngokujabulisayo, kunezinketho eziningi ezitholakalayo zokusetshenziswa okufishane nesikhathi eside, ngakho-ke uma izindlela ezilodwa (noma ezintathu!) Zingekho kuwe, uqinisekile ukuthi uzothola okunye uma uqhubeka uzama.