5 mau ala hiki ʻole ke kāohi hānau
Anter
Malia paha ʻoe ma ka Pila mai 16 mau makahiki a i ʻole ʻo ʻoe kekahi e mālama mau i kahi condom i kāu pēke inā pono. ʻO nā mea a pau āu e koho ai, ua hilinaʻi ʻoe ʻo ka hoʻohana ʻana ia mea ʻaʻole ʻoe e pāʻani i kahi pēpē pēpē i ka wā e hiki mai ana. A, i kekahi ʻano, hiki iā ʻoe ke hanu maʻalahi: ʻoi aku ka maikaʻi o ka mana hānau o kēia wā. Akā ʻaʻohe mea e hana 100 pakeneka o ka manawa, a ʻoi aku ka nui o nā slipups ma mua o kou manaʻo. Wahi a ka Guttmacher Institute, he 49 pakeneka o nā hāpai ʻana a pau ma ʻAmelika Hui Pū ʻIa me ka manaʻo ʻole-a ʻaʻole nā mea a pau i ʻike iā ia iho i kīkēkē me ka manaʻo ʻole e moe ana ma ka papa sex-ed. I ka ʻoiaʻiʻo, ʻo ka hapalua o nā wahine āpau i hāpai hāpai ʻole e hoʻohana nei i kekahi ʻano o ka kaohi hānau.
No laila he aha ka hewa? Hele mai ka hapa nui i ka hemahema o ka mea hoʻohana, e like me ka hoʻowahāwahā ʻana i ka lawe ʻana i kahi pale oral i kēlā me kēia lā. "Paʻahana a paʻakikī hoʻi ke ola no ka hapanui o ka poʻe, a i kekahi manawa e noʻonoʻo e pili ana i kahi mea hou aʻe he nui loa," i ʻōlelo ʻo Katharine O'Connell White, MD, ke poʻo o ka ʻāpana o nā obstetrics a me nā gynecology ma Baystate Medical Center ma Springfield, MA.
ʻOiaʻiʻo, ʻaʻole maʻalahi ka mālama ʻana i kahi hoʻohui i manaʻo ʻole ʻia i kou ʻohana. Eia ka mea i hewa no ʻelima mau mea heluhelu, a me nā hoʻolālā no ka hoʻokō pono ʻana.
Pilikia Pili
Sarah Kehoe
He mākaʻi ʻo Jennifer Mathewson i ka Air Force i kona wā i ulu ai i kahi maʻi urinary tract. Hāʻawi kāna kauka iā ia i kahi lāʻau antibiotic akā ʻaʻole i ʻōlelo ʻia he hiki ke hoʻopilikia i ka lāʻau ʻaʻai waha āna e lawe nei. I kekahi lā, ʻoiai ʻo ia e kū ana me ka hoʻolohe ʻana i ke kauoha a ka ilamuku i ka lā, maule ihola ʻo ia. ʻOiai ʻo ke poʻo māmā kahi hōʻailona hāpai maʻamau, ʻaʻohe ona manaʻo e manaʻo ana ʻo ia a hiki i kona hōʻea ʻana i ka haukapila a me nā hoʻokolohua koko. "He kāne wau a he 19 wale nō koʻu, no laila makaʻu loa wau," wahi a Mathewson, ʻo 32 ia a ke hana nei ma ke ʻano he mea kākau nūhou ma Idaho. "Akā makemake wau e loaʻa ka pēpē, a mahalo wau ua loaʻa iaʻu."
He aha nā pilikia?
Ke hoʻohana pono ʻia, ʻo ka pila i hoʻohui ʻia (nona ka estrogen a me ka progesterone) a me ka progestin-only minipill he 99.7 pakeneka ka maikaʻi. Akā, hāʻule kēlā helu i ka 91 pakeneka me ka mea i kapa ʻia "hoʻohana maʻamau" - ʻo ia ke ʻano o ka lawe ʻana o ka hapa nui o nā wahine iā lākou. "I kekahi mau hihia, hiki ke kiʻekiʻe i ka 20 pakeneka ka nui o ka hāʻule ʻana no ka mea poina lākou i ka lawe pinepine ʻana a i ʻole ke pau ʻana o nā lāʻau lapaʻau a ʻaʻole loaʻa i ka hoʻopiha hou ʻana," wahi a Andrew M. Kaunitz, MD, ka luna hoʻomalu o ka hui. obstetrics and gynecology ma ke Kulanui o Florida College of Medicine-Jacksonville.
Palekana iā ʻoe iho
1. Manawa kūpono. Maikaʻi ka hoʻopaʻa ʻana i ka Pill i ka manawa like i kēlā me kēia lā, a he mea koʻikoʻi inā ʻoe e lawe ana i ka progestin-only mini version (ʻo nā hormones i loko o ia mea he 24 mau hola wale nō). Inā maʻalahi ʻoe i ka poina, polokalamu i kāu kelepona e kani iā ʻoe, e hoʻāʻo i kahi polokalamu e like me ka Drugs.com Pill Reminder ($ 1; itunes.com), a i ʻole maʻa i ka lawe ʻana me ka ʻaina kakahiaka. Ke paʻakikī nei nō e noho i ka papa kuhikuhi? E noʻonoʻo e hoʻololi i kahi pākuʻi like ʻole a i ʻole apo, pono ʻoe e hoʻololi i kēlā me kēia pule a i kēlā me kēia mahina.
2. E noʻonoʻo i kāu mau lāʻau lapaʻau. I kēlā me kēia manawa e hoʻopiha ai ʻoe i ka palapala kauoha no ka lāʻau hou, e heluhelu i ka mea hoʻokomo a i ʻole e nīnau i kāu kauka a lāʻau lapaʻau paha inā hiki ke hoʻololi i ka pono o ka Pill. Ma muli o ka hoʻopili ʻia ʻana o nā lāʻau lapaʻau waha ma o ke akepaʻa, ʻo nā lāʻau lapaʻau ʻē aʻe i hana ʻia ma kēia ʻano like-me kekahi mau lāʻau antibiotic, anti-fungals, a me nā lāʻau anti-seizure-hiki ke hoʻopilikia iā lākou, wehewehe ʻo Sarah Prager, MD, he kumu loea o ka obstetrics and gynecology. ma ke Kula Nui Lapaʻau o ke Kulanui o Wakinekona. Ke kānalua, e hoʻohana i nā condoms. Pono ka pale hou aku inā loaʻa iā ʻoe ka ʻōpū o ka ʻōpū a me ka luaʻi i loko o ʻelua a ʻekolu mau hola ma hope o ka lawe ʻana i kāu pila (manaʻoʻiʻo a ʻaʻole paha, manaʻo ʻia ʻo ia he mea i hala ʻole).
Nā Pīhoihoi Condom
Sarah Kehoe
I ke kauwela i hala, e moe kolohe ana ʻo Lia Lam me kāna ipo hou i ka wā i loaʻa ai ka manaʻo ua haki ka ʻoka a lākou e hoʻohana nei. "Akā ua manaʻo wau ua paranoid wale nō wau a ʻaʻole i haʻi aku i kekahi mea," wahi a Lam, 31, he mea hana keaka ma Wanekoua, Kanada. Ma hope o kā lākou pau ʻana, huki ʻo ia a hoʻopaʻa ʻia kāna hunch: ʻo ka hapalua o ka condom i loko ona. I ka nānā ʻana, manaʻo ʻo Lam ua hiki mai kēia hanana no ka mea ua maloʻo loa ʻo ia i ka wā o ka hana. "ʻAʻole mākou i haʻalulu, akā ua pili wale mākou i hoʻokahi mahina a me ka hapa a ʻaʻole mākaukau mākou e lilo i mau mākua," i ʻōlelo ʻo ia. No laila ua hele lākou i ka hale kūʻai lāʻau e kūʻai i nā pale kūpikipiki (ka "kakahiaka-ma hope o ka" pill), kahi e pale ai i ka hāpai ʻana ma ka hoʻopanee ʻana i ka ovulation a i ʻole ke kū ʻana i kahi hua manu momona mai ke kanu ʻana i ka pūpū.
He aha nā pilikia?
Ke hoʻohana pono ʻia e like me ka mea i manaʻo ʻia, ʻo nā kondom latex kāne (ke ʻano maʻamau) he 98 pākēneka pono; me ka hoʻohana maʻamau, hāʻule kēlā helu i 82 pakeneka. (ʻO nā ʻano ʻē aʻe, e like me nā mea i hana ʻia mai ka ʻili hipa a me ka polyurethane, ʻaʻole i ʻoi aku ka maikaʻi, akā he mau koho maikaʻi inā ʻoe a i ʻole kāu kāne ke maʻi i ka latex.) ʻO nā kumu nui i hāʻule ʻole ai ka condom: hoʻohana ʻole ka poʻe iā lākou a hoʻokomo paha iā lākou. lohi, a haki paha lākou i ka wā o ka moekolohe.
Palekana iā ʻoe iho
1. E nānā i kāna ʻenehana. Kau kau kāne i kahi condom ma mua o ka loaʻa ʻana o kāna genital ma kahi kokoke i kou moku. Pono ʻo ia e kuʻi i ka condom, e ʻōwili mālie i lalo a pau ka ea i waho a loaʻa kahi wahi e hōʻiliʻili ai i ka hua, a wehe pono ma hope o ka ejaculation (ʻoiai ʻo ia e paʻakikī). ʻO ka hoʻopaʻa ʻana iā ia ma ke kumu o ka penis i kona huki ʻia ʻana e kōkua i ka pale ʻana i ka kahe ʻana.
2. Lube up. E like me kā Lam i aʻo ai, hiki i ka hakakā nui ke hoʻoheheʻe i ka condom. Koho i ka lubricant ma muli o ka wai a i ʻole ke silicone. ʻAʻole ʻaʻole: me ka hoʻohana ʻana i nā huahana i hoʻokumu ʻia i ka aila a i ʻole ka aila, hiki ke hoʻololi i ka pono o ka latex.
3. E hōʻoia i nā lā palena pau. He ola paʻa ko Condoms, pono ʻole e nānā ʻole ʻia. A inā maloʻo a ʻoʻoleʻa paha ka lāʻau i ka wā e lawe ʻia mai ai mai loko mai o ka pūʻolo, e kiola.
4. Loaʻa i kahi hoʻolālā hoʻihoʻi. Inā hāʻule ka condom, e hahai i ke alakaʻi a Lam a kūʻai i ka pale ʻana i ka pilikia pilikia. Aia he ʻekolu mau lama: ella, Next Choice Hoʻokahi Dose, a me Plan B. ʻO kēlā me kēia 15 a ʻoi paha e hiki ke kūʻai i kēia mau mea me ka ʻole o kauka, ʻoiai ʻoe e nīnau i ka kauka no ka mea ua mālama ʻia lākou ma hope o ka pā. Loaʻa iā ʻoe i ʻelima mau lā e lawe iā ella; pono e hoʻohana ʻia nā mea ʻē aʻe i loko o 72 mau hola.
Pilikia Ligation Tubal
Sarah Kehoe
Ma hope o ka hānau ʻana o Crystal Consylman i kāna keiki ʻekolu ma ka makahiki 21, ua hoʻoholo ʻo ia e loaʻa i kahi tubigation ligation (aka e nakinaki ʻia ana kāna mau paipu), kahi hana ʻokiʻoki kahi e ʻoki ai a hoʻopaʻa ʻia ai nā paipu fallopian i mea e pale mau ai i ka hāpai ʻana. ʻEhiku mau makahiki ma hope, i ka 2006, ua pīhoihoi ʻo ia i ka ʻike ʻana ua hāpai ʻo ia. He hapai ectopic ia, ʻo ia hoʻi, ua hoʻokomo ʻia ka embryo ma waho o ka ʻōpū a ʻaʻole hiki ke ola. "Ua nui koʻu kahe ʻana o loko a aneane make," hoʻomanaʻo ʻo Consylman, i kēia manawa 35, e hana ana ma kahi keʻena loio ma Lancaster, PA. I ka wā i hoʻolalelale ʻia ai ʻo ia no ka hōʻoki ʻana i ka pilikia, ua manaʻo ʻo ia ua hoʻoponopono ke kauka lapaʻau i ka ligation tubal i haki ʻia - akā ʻaʻole pēlā. Ma hope o ka loaʻa ʻana o ka ʻōpū ectopic ʻelua ma hope o 18 mau mahina, ua wehe loa ʻia kāna ʻōpū fallopian.
He aha nā pilikia?
He 99.5 pakeneka ka maikaʻi o ka sterilization ʻana o ka wahine, akā ʻike pinepine nā wēlau o nā paipu i ko lākou ala hoʻi pū. I ka hanana luhi e hāpai ʻoe ma hope, aia kahi 33 pakeneka manawa e lilo ai ia i ectopic no ka mea hiki ke hopu ʻia kahi hua manu momona i ka wahi i pohō.
E pale iā ʻoe iho
1. Koho pono i kāu kaukukō. E nānā i kahi gynecologist i hōʻoia ʻia e ka papa nāna i hana i ke kaʻina hana ma ka liʻiliʻi he mau kakini mau manawa.
2. E hahai i nā kaʻina hana post-op. ʻO ka nakinaki ʻana i kāu mau paipu pono e hoʻomaʻemaʻe koke ʻoe, akā makemake paha kāu kauka e hele mai ʻoe no ka hahai ʻana i kekahi mau pule ma hope aku e ʻike inā e ho'ōla pono ana ʻoe. A inā koho ʻoe i kahi ʻokoʻa o ka ligation tubal-e like me Essure, kahi koho hou aʻe e hoʻokomo ʻia ai nā wili liʻiliʻi i loko o nā puʻupuʻu fallopian e ālai iā lākou-pono ʻoe i kahi X-ray kūikawā ʻekolu mahina ma hope e hōʻoia i ka paʻa piha ʻana o nā paipu. I kēia manawa, makemake ʻoe e hoʻohana i ka contraception backup.
Sterilization Snafus
Sarah Kehoe
Ma hope o ka loaʻa ʻana o nā keiki ʻelua, ua hoʻoholo ʻo Lisa Cooper a me kāna kāne ua piha ko lākou ʻohana, no laila ua loaʻa iā ia kahi vasectomy. Akā ʻelima mau makahiki ma hope mai, ua hoʻomaka ka wahine ʻo Shreveport, LA i ka loaʻa ʻana o ke kaupaona no ke kumu kūpono ʻole a me ke kiko ʻana me ka ʻole o ka manawa puhi piha. Ma muli o kona 37, ua chalk ia ia i perimenopause. "I ka manawa aʻu i lawe ai i kahi hōʻike hāpai keiki a hele aku i ke kauka, aia wau he 19 mau pule," wahi a Cooper, i kēia manawa 44. Ua ʻike ʻia ua haʻalele kāna kāne i ka hoʻokolohua ukali, ʻo ia wale nō ke ala e hōʻoia ai i ka ua kūleʻa ke kaha ʻana. Ma hope o ka hoʻokipa ʻana i kā lāua keiki ʻekolu a ʻehā, ua hele ke kāne a Cooper no ka lua o ka vasectomy-a i kēia manawa ua ʻike ʻo ia i kāna kauka ma hope e like me ka mea i ʻōlelo ʻia.
He aha nā pilikia?
He 99.9 pakeneka ka maikaʻi o kahi vasectomy, e hoʻolilo ana iā ia i ke ʻano hana paʻa pono paʻa loa i loaʻa. Akā ma aneʻi, hiki i ka hewa kanaka. I ka wā o ke kaʻina hana, ua ʻoki ʻia a i hoʻopaʻa ʻia paha nā vas deferens, ka paipu e lawe ai i ka sperm i ka ejaculatory duct, wehewehe ʻo Philip Darney, M.D., he polopeka o ka obstetrics, gynecology, and reproductive science ma ke Kulanui o Kaleponi, Kapalakiko. Akā inā i hana hewa ʻia ka snip, ʻaʻole maikaʻi ia. ʻO kekahi pilikia ʻē aʻe: "Hiki ke ulu pū nā ʻāpana i ʻoki ʻia inā ʻaʻole lākou e pālahalaha ʻia."
E pale iā ʻoe iho
1. Koho i kahi ʻōlapa paʻa. E like me ka ligation tubal, koho i kahi mea hoʻolako i hōʻoia ʻia i ka papa a he nui kēia mau kaʻina hana ma lalo o kona kāʻei. Hiki paha i kāu kauka mālama mua ke hāʻawi i kekahi mau ʻōlelo paipai. A maʻalea mau ka nānā ʻana i ka kauka rep; Hiki i ka papa laikini o kou moku'āina ke hāʻawi i ka ʻike e pili ana i nā hoʻopiʻi hewa.
2. E kali i ka hōʻailona maopopo loa. Hōʻike ka moʻolelo a Cooper i ke koʻikoʻi o ka loaʻa ʻana o kāu hoa pili i kahi kānana semen ma kahi o ʻekolu mahina ma hope o ke kaʻina hana; he mea nui ia e hoʻopaʻa pono ʻia ʻo ia. A hiki i kēlā manawa, e hoʻohana i kahi hana pale ʻē aʻe.
Nā pilikia IUD
Nā kiʻi Getty
I ka 2005, ua hoʻoholo ʻo Kristen Brown e kiʻi i kahi IUD (intrauterine device) no ka mea ua lohe ʻo ia he ʻano lapuwale loa ia. ʻEkolu mau keiki a lāua me kāna kāne a ʻaʻole mākaukau no ka mea hou aku. ʻElua makahiki ma hope mai, ua hoʻomaka ʻo Brown i ka ʻeha pelvic a me ke kahe koko. No kona hopohopo he fibroid a i ʻole endometriosis, hele ʻo ia e ʻike i kāna ob-gyn, nāna i haʻi iā ia ua hāpai ʻo ia. Ma muli o ke koko, ua hoʻomaha ʻia ʻo ia ma kahi moe, akā hoʻokahi mahina ma hope mai ua hāʻule ʻo ia. "ʻEhaʻeha loa ka naʻau i ka ʻeha a me ke kino, a ua lilo ka nui o ke koko i mea e pono ai kahi transfusion," hoʻomanaʻo ʻo Brown, 42 a me kahi mea kākau ma Jacksonville, FL. ʻAʻole i kuhi pono nā kauka i ka mea i hewa me ka IUD, akā ua neʻe paha ia mai kāna kūlana mua. Wahi a Brown, "ʻO ka pilikia i uhaʻi i koʻu manaʻo no ka palekana a me ka maikaʻi o ka mana hānau."
He aha nā pilikia?
ʻO ka IUD, kahi mea hana liʻiliʻi "T" i hoʻokomo ʻia i loko o ka kōpū e pale aku ai i ka sperm mai ka hoʻoulu ʻana i kahi hua manu, ʻoi aku ma mua o 99 pākēneka me ka hoʻohana pono a me ka maʻamau. ʻOiai ʻano laha ʻole, ʻo ke kumu maʻamau o nā IUD e holo pono ʻole ai no ka neʻe ʻana i loko o ka cervix. Hiki ke kipaku ʻia kahi IUD mai ka ʻōpū, malia paha ʻaʻole ʻoe e ʻike. (No ka laʻana, hiki iā ʻoe ke holoi i lalo o ka lua.) ʻO ka loaʻa ʻana o nā polyps, fibroids, a i ʻole nā ʻili ʻana o ka ʻōpū ikaika (no ka mea e hōʻeha ai i ka manstrual cramps) hiki ke hoʻonui i ka pilikia o ka paheʻe ʻana i waho.
Palekana iā ʻoe iho
1. Hana i kahi nānā kūlana. Manaʻo nā mea hana i hoʻokahi mahina e hoʻopaʻa pono ʻoe i ke kaula plastik 1 a 2-inihi i hoʻopaʻa ʻia i ka hāmeʻa e kau ana i lalo ma ka pūpū i loko o ka ʻōpū e like me ka mea e pono ai. Inā nalo a i ʻole ʻoi aku ka lōʻihi ma mua o ka maʻamau, e ʻike i kāu kauka (a hoʻohana i ka mana hānau hānau i kēia manawa). Akā ʻaʻole loa e huki i ka pae. "Ua wehe hewa ʻole nā wahine i kā lākou IUDs i kēia ala," i aʻo ai iā Prager.
2. Hoʻomaka ikaika. Inā koho ʻoe i ka ParaGard (keleawe IUD), pono e holo ke loaʻa koke iā ʻoe. Skyla a me Mirena, kahi i loko o kahi progestin liʻiliʻi, maikaʻi pū kekahi inā hoʻokomo ʻia lākou i loko o ʻehiku mau lā ma hope o ka hoʻomaka o kāu manawa. a i ʻole, e hoʻohana i kahi ʻano hoʻihoʻi no hoʻokahi pule. Maikaʻi ʻo Skyla a hiki i ʻekolu makahiki, ʻo Mirena a hiki i ʻelima, a hiki iā ParaGard ke noho i loko a hiki i 10. "Ke kapa nei mākou i nā IUD poina ʻole i ka hānau ʻana," wahi a Kaunitz, "no ka mea ʻaʻole pono ʻoe e hoʻomanaʻo i kekahi mea e mālama ai. "
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