ʻO Estrogen a me Progestin (Contraceptive Vaginal Ring)

Anter

• Ma mua o ka hoʻohana ʻana i ka estrogen a me ka apo o ka vagestin progestin,
• Hiki i ka Estrogen a me ka apo progestin vaginal ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
• Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. ʻAʻole ʻike ʻia nā hōʻailona aʻe, akā inā ʻike ʻoe i kekahi o lākou e kāhea koke i kāu kauka:
• Pākuʻi ʻia paha nā ʻōuli o ka overdose:

Hoʻonui ka puhipaka ʻana i ka uahi i ka hopena o nā hopena koʻikoʻi mai ka estrogen a me ke apo o ke kuamoʻo progestin, e like me ka puʻuwai puʻuwai, ke koko a me nā hahau. ʻOi aku ka kiʻekiʻe o kēia makaʻāinana no nā wahine ma mua o 35 mau makahiki a me nā mea puhipaka kaumaha (15 a ʻoi paha nā uahi i kēlā me kēia lā). Inā ʻoe e hoʻohana i ka estrogen a me ka progestin, ʻaʻole pono ʻoe e puhi.

Hoʻohana ʻia nā pale pale estrogen a me progestin e pale ai i ka hāpai keiki. ʻO Estrogen (ethinyl estradiol) a me progestin (etonogestrel a i ʻole segesterone) ʻelua mau homone wahine. ʻO ka Estrogen a me ka progestin i loko o kahi papa o nā lāʻau i kapa ʻia he contraceptives hormonal hoʻohui (nā lāʻau hoʻomalu hānau). Hana ka hui pū ʻana o ka estrogen a me ka progestin ma ka pale ʻana i ka ovulation (ka hoʻokuʻu ʻana o nā hua manu mai nā ovaries). Hoʻololi lākou i ka uhi o ka uterus (ʻōpū) i mea e pale ai i ka hāpai ʻana a hoʻololi i ka mucus ma ka cervix (wehe ʻana o ka uterus) e pale i ka sperm (male reproductive cells) mai ke komo ʻana. He hana maikaʻi a maikaʻi loa nā apo ʻohe wahine contraceptive o ke kaohi hānau, akā ʻaʻole ia e pale i ka hoʻolaha ʻana o ka maʻi hoʻomaʻemaʻe kanaka (HIV, ka mea hoʻomaʻi e loaʻa ai ka maʻi maʻi maʻi maʻi (AIDS)) a me nā maʻi i hoʻoili kolohe ʻia.

Hiki mai nā mea pale estrogen a me progestin i ke komo lima ma ke ʻano he apo maʻalahi e waiho i ka lua. Hoʻokomo ʻia ka estrogen a me nā progestin vaginal ring contraceptives i ka pelekane a waiho ʻia ma kahi no 3 mau pule. Ma hope o 3 mau pule e hoʻohana ana i ke apo o ka heʻe, hemo i ke apo no kahi hoʻomaha he 1 mau pule. Ma hope o ka hoʻohana ʻana iā Annovera^® ke komo lima no ka pule he 3 mau pule, hoʻomaʻemaʻe me ke kopa maʻalahi a me ka wai mehana, paʻi me ka lole maʻemaʻe a me ka kāwele pepa, a laila waiho i ka hihia i hāʻawi ʻia i ka wā hoʻomaha hebedoma 1. Ma hope o ka hoʻohana ʻana i ka NuvaRing^® ʻele kuekue wahine no 3 mau pule, e hoʻolei ʻoe iā ia a hoʻokomo i ke apo wahine hou ma hope o ka hebedoma 1 hebedoma. E hoʻokomo pono i kāu apo wahine ma ka hopena o ka hoʻomaha he 1 mau pule ma ka lā like a ma ka manawa like e hoʻokomo ai a wehe ai i ke apo i ke apo, ʻoiai inā ʻaʻole ʻoe i hoʻokū i ke kahe. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E hoʻohana pono i ke apo contraceptive e like me ke kuhikuhi.Mai hoʻohana hou i hoʻokahi apo pale i ka manawa a hoʻokomo mau a hemo i ke apo e like me ka papa kuhikuhi a kāu kauka e hāʻawi ai iā ʻoe.

Hele mai nā pēpē pēpē Contraceptive i nā mana like ʻole. Loaʻa nā laikini like ʻole o nā apo contraceptive i nā lāʻau ʻokoʻa a i ʻole nā ​​lāʻau, i hoʻohana ʻia i nā ʻano ʻokoʻa ʻokoʻa, a loaʻa nā pilikia a me nā pōmaikaʻi ʻokoʻa. E ʻike pono i ʻike ʻoe i ka lepili o ke komo lima o ka pili e hoʻohana ana a pololei pehea ʻoe e hoʻohana ai. E noi i kāu kauka a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi a heluhelu pono iā ia.

E haʻi aku kāu kauka iā ʻoe i ka wā e hoʻokomo ai ʻoe i kāu apo mua pili wahine contraceptive. Aia kēia i ka hoʻohana ʻana i kahi ʻano o ka kaohi hānau i ka mahina i hala iho nei, ʻaʻole i hoʻohana i ka kaohi hānau, a i ʻole i hānau ʻia a i ʻole he hāpai keiki a he hānau keiki ʻole paha. I kekahi mau hihia, pono ʻoe e hoʻohana i kahi hana hou o ka kaohi hānau ʻana no nā lā 7 mua e hoʻohana ai i ke apo pale pale. E haʻi aku kāu kauka iā ʻoe inā pono ʻoe e hoʻohana i ka kaohi hānau a e kōkua iā ʻoe e koho i kahi hana, e like me ka condom kāne a me / a i ʻole spermicides. ʻAʻole pono ʻoe e hoʻohana i ka diaphragm, ka pāpale o ka cervix, a i ʻole ka condom wahine i ka wā e paʻa ai kahi apo pale pale.

Inā ʻoe e hoʻohana ana i ka NuvaRing^® ke komo lima, hoʻokomo i ke apo hou ma hope o ka hoʻomaha he 1 mau pule; e hana hou i ka pōʻaiapuni o 3 mau pule o ka hoʻohana me ka hoʻomaha he 1 mau pule, me ka hoʻohana ʻana i ke apo wahine hou no kēlā me kēia pōʻaiapuni.

Inā ʻoe e hoʻohana ana i ka Annovera^® ke komo lima, hoʻokomo hou i ke apo wahine maʻemaʻe ma hope o ka hoʻomaha he 1 mau pule; e hana hou i ka pōʻaiapuni o 3 mau pule o ka hoʻohana me ka hoʻomaha he 1 mau pule no 13 mau pōʻaiapuni.

E noho maʻa mau ke apo pale i loko o kāu ʻōpū a hiki i kou lawe ʻana aku iā ia. E heʻe paha i kekahi manawa ke lawe ʻoe i kahi tampon, i ka wā o ka moekolohe ʻana, a i ʻole ke neʻe ʻana o ka ʻōpū. Kāhea i kāu kauka inā paheʻe pinepine kāu apo kaohi.

Inā kou NuvaRing^® paheʻe i waho ke apo pale, pono ʻoe e holoi iā ia me ka wai anuanu a mehana (ʻaʻole wela) a hoʻāʻo e pani ma waena o 3 mau hola. Eia naʻe, inā kou NuvaRing^® paheʻe i waho ke apo pale a haki, hoʻolei iā ia a hoʻololi iā ia me ke apo wahine hou. Inā hāʻule kou apo a nalowale, pono ʻoe e pani iā ​​ia me kahi apo hou a hemo i ke apo hou i ka manawa like e hoʻonohonoho ʻia ai e wehe i ke apo i nalowale. Inā ʻaʻole ʻoe e pani i kāu NuvaRing^® ke komo lima i loko o ka manawa kūpono, pono ʻoe e hoʻohana i kahi papa hana non-hormonal o ka kaohi hānau (e laʻa me ka condom me ka spermicide) a hiki i kou loaʻa ʻana o ke apo i wahi no 7 mau lā ma ka lālani.

Inā kāu Annovera^® hāʻule i waho ke komo lima o ka wahine holoi, holoi iā ia me ke kopa maʻalahi a me ka wai mehana, holoi a hoʻomaloʻo me kahi kāwele lole maʻemaʻe a pepa paha, a hoʻāʻo e hoʻololi iā ia i loko o 2 mau hola. Inā kū ʻole kāu apo wahine i kahi o 2 mau hola ma luna o ka pōʻaiapuni o 3 mau pule e hoʻokomo ʻia ai ke apo wahine (e laʻa, mai ka hāʻule ʻana i hoʻokahi manawa a i kekahi mau manawa), pono ʻoe e hoʻohana i kahi non-hormonal hana papaʻa o ka kaohi hānau (e laʻa me ka condom me ka spermicide) a hiki i kou loaʻa ʻana o ke apo i wahi no 7 mau lā ma ka lālani.

Nānā pinepine no ke kū ʻana o ke apo apo ma ka lua ma mua a ma hope o ka moekolohe.

E hana wale nā ​​apo peʻa Contraceptive ke hoʻohana mau ʻia ia. Mai hoʻōki i ka hoʻohana ʻana i nā apo wahine pili wahine me ke kamaʻilio ʻole ʻana me kāu kauka.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka hoʻohana ʻana i ka estrogen a me ka apo o ka vagestin progestin,

• e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka etonogestrel, segesterone, ethinyl estradiol, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka estrogen a me ke apo o ka vagestin progestin. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui i ka estrogen a me ke apo o ka vagestin.
• E haʻi i kāu kauka inā ʻoe e lawe nei i ka hui o ombitasvir, paritaprevir, a me ritonavir (Technivie) me ka ʻole dasabuvir (i Viekira Pak). E haʻi paha kāu kauka iā ʻoe ʻaʻole e hoʻohana i ka estrogen a me ka progestin vaginal ring inā ʻoe e lawe i hoʻokahi a ʻoi paha o kēia mau lāʻau.
• e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā huaora, a me nā mea hoʻopono pono ʻē aʻe āu e lawe nei. E ʻōlelo pono i kekahi o kēia mau mea: acetaminophen (Tylenol, nā mea ʻē aʻe); nā antifungals e like me fluconazole (Diflucan), griseofulvin (Gris-Peg), itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), miconazole (Oravig), a me voriconazole (Vfend); aprepitant (Emend); ascorbic acid (wikamina C); atorvastatin (Lipitor); barbiturates; boceprevir (Victrelis; ʻaʻole loaʻa hou ma U.S.); bosentan (Tracleer); waikawa clofibric; cyclosporine (Gengraf, Neoral, Sandimmune); nā lāʻau no ka maʻi HIV a me ka AIDS e like me atazanavir (Reyataz), darunavir (Prezista) me ritonavir (Norvir), delavirdine (Rescriptor), efavirenz (Sustiva), etravirine (Intelence), indinavir (Crixivan), lopinavir (Kaletra), nelfinavir (Viracept ), nevirapine (Viramune), ritonavir (Norvir), saquinavir (Invirase), a me tipranavir (Aptivus); morphine (Astramorph, Kadian, nā mea ʻē aʻe); prednisolone (Orapred); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane), rufinamide (Banzel); nā lāʻau no ka hopu ʻana e like me carbamazepine (Tegretol, Teril, a me nā mea ʻē aʻe), felbamate (Felbatol), lamotrigine (Lamictal), oxcarbazepine (Trileptal), phenobarbital, phenytoin (Dilantin, Phenytek), a me topiramate (Topamax); telaprevir (Incivek; ʻaʻole loaʻa hou ma U.S); temazepam (Restoril); theophylline (Elixophyllin, Theo-24, kekahi); thyroid hōmona; a me tizanidine (Zanaflex). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Pono paha ʻoe e hoʻohana i kahi hana keu o ka kaohi hānau inā ʻoe e lawe i kekahi o kēia mau lāʻau i kou wā e hoʻohana nei i ke apo pale pale.
• e haʻi i kāu kauka i nā huahana lāʻau āu e lawe nei, keu hoʻi nā huahana i loaʻa iā St. John's wort.
• e haʻi i kāu kauka inā loaʻa ʻoe i ka maʻi ʻaʻai umauma a i ʻole nā ​​maʻi maʻi ʻē aʻe. maʻi cerebrovascular (clogging a nāwaliwali paha o nā kīʻaha koko ma loko o ka lolo a i ʻole e alakaʻi ana i ka lolo); kahi hahau a i ʻole pā liʻiliʻi; maʻi coronary artery (nā kīʻaha koko clogged e alakaʻi ana i ka puʻuwai); ʻeha ka umauma; he puʻuwai puʻuwai; kahe koko i kou mau wāwae a i ʻole nā ​​māmā; kiʻekiʻe kolesterol a i ʻole triglycerides; ke koko kiʻekiʻe; atrial fibrillation; he kuʻi puʻuwai kūpono ʻole; nā kūlana e pili ana i nā valves o kou puʻuwai (nā pale o nā kiko i hāmama a kokoke e kaohi i ke kahe o ke koko i ka puʻuwai); diabetes a ʻoi aku ma mua o 35 mau makahiki; ka maʻi diabetes me ke koko kiʻekiʻe a i ʻole nā ​​pilikia me kou puʻupaʻa, nā kīʻaha koko, nā maka, a me nā aʻa. ka maʻi kō no 20 mau makahiki a ʻoi paha; ka maʻi diabetes i hoʻopilikia i kou holo ʻana; ʻeha ke poʻo i hele mai me nā ʻōuli ʻē aʻe e like me ka loli o ka hihiʻo, nāwaliwali, a me ka puʻupuʻu. migraines (inā ʻoi aku ʻoe ma mua o 35 mau makahiki); puʻupuʻu ate a i ʻole nā ​​maʻi ate; ka pilikia e kahe ana ke kahe a me ke kahe ʻana o ke koko; kahe ʻole o ke kahe o ke kahe; a i ʻole he hepatitis a i ʻole nā ​​ʻano ʻano maʻi ʻē aʻe. E haʻi paha kāu kauka iā ʻoe ʻaʻole e hoʻohana i kahi estrogen a me nā apo o ka wahine.
• e haʻi i kāu kauka inā he pēpē kāu, he hānau hānau ʻole, a he hāpai keiki paha. Eia kekahi, e haʻi i kāu kauka inā loaʻa iā ʻoe a i loaʻa paha iā ʻoe i ka jaundice (melemele o ka ʻili a i ʻole nā ​​maka); nā pilikia o ka umauma e like me ka mammogram ʻole a i ʻole ka x-ray umauma, nā nodule umauma, ka maʻi umauma fibrocystic; kahi moʻolelo ʻohana o ka maʻi ʻaʻai umauma; ka hopu ʻana; kaumaha; melasma (nā paʻi ʻeleʻele i ka maka); ʻōpū, uterus a i ʻole ke kolopa i hāʻule a huʻu paha i loko o ka ʻōpū; nā kūlana e hoʻonāukiuki paha i kāu ʻōpū; maʻi kūpilikiʻi hoʻowawahia (maʻi bacteria); hoʻoilina angioedema (ke ʻano hoʻoilina e hana i nā ʻāpana o ka pehu ma nā lima, nā wāwae, ke alo, ke ala ea, a me nā ʻōpū); a i ʻole ka hakuʻala, thyroid, a i ʻole maʻi maʻi gallbladder.
• e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. Inā hāpai ʻoe i ka hoʻohana ʻana i ka estrogen a me ka apo o ka progestin, e kelepona koke i kāu kauka. Pono ʻoe e manaʻo he hāpai ʻoe a kāhea aku i kāu kauka inā ua hoʻohana pololei ʻoe i ke komo lima pale a hala ʻoe i ʻelua mau manawa i ka lālani, a i ʻole inā ʻaʻole ʻoe i hoʻohana i ke apo pale e like me nā kuhikuhi a hala ʻoe i hoʻokahi manawa. ʻAʻole pono ʻoe e hānai i ka umauma ʻoiai ʻoe e hoʻohana ana i ke apo pale pale.
• inā ke hana ʻia ʻoe i kahi ʻoki, e haʻi i ke kauka ke hoʻohana nei ʻoe i kahi estrogen a me ke kani o ka wahine. E noi paha kāu kauka iā ʻoe e hōʻoki i ka hoʻohana ʻana i ke apo wahine ma kahi o 4 mau pule ma mua a no 2 mau pule ma hope o kekahi mau ʻoki.

E kamaʻilio me kāu kauka e pili ana i ka inu ʻana i ka wai momona ma ka hoʻohana ʻana i kēia lāʻau.

ʻO kēlā me kēia inoa o ke apo wahine pili lima he kuhikuhi kikoʻī e ukali ai i ka wā e hemo a / a i ʻole e hoʻokomo i ke apo pale pale. E heluhelu pono i nā ʻōkuhi i ka ʻike o ka mea hana no ka mea maʻi i hele mai me kāu apo pale. Inā ʻaʻole ʻoe e hoʻokomo i ke apo o ka wili e like me ke kuhikuhi a hala ʻole paha i kahi lāʻau, pono ʻoe e hoʻohana i kahi hana hoʻihoʻi o ka kaohi hānau. Mai hoʻohana ma mua o hoʻokahi apo o ka wahine ma ka manawa. Inā he mau nīnau kāu, e kāhea i kāu kauka a kauka paha.

Hiki i ka Estrogen a me ka apo progestin vaginal ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• pehu, ʻulaʻula, hoʻonāukiuki, puhi ʻana, ʻimi ʻana, a i ʻole maʻi maʻi paha o ka ʻōpū
• hoʻokuʻu keʻokeʻo a melemele paha
• ke kahe ʻana o ka ʻōpū a i ʻole ke kiko ʻana ke hiki ʻole ka manawa no kāu kau
• palupalu ʻole o ka umauma
• ʻeha poʻo
• nausea
• ka luaʻi
• pāhoehoe
• loaʻa kaupaona a pohō paha
• ʻeha o ka umauma, palupalu, a ʻoluʻolu ʻole
• hōʻoluʻolu ʻole o ka maʻi a i ʻole ke ʻano o ke kino haole
• ʻeha ka ʻōpū
• huehue
• nā hoʻololi i ka makemake moekolohe

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. ʻAʻole ʻike ʻia nā hōʻailona aʻe, akā inā ʻike ʻoe i kekahi o lākou e kāhea koke i kāu kauka:

• ʻeha ma ka hope o ka wāwae lalo
• ʻeha, hōʻeha, a ʻehaʻeha paha i ka ʻeha o ka umauma
• kaumaha i ka umauma
• hā pōkole o ka hanu
• ʻehaʻeha kūpikipiki loa, luaʻi, puʻupuʻu, a maʻule paha
• pilikia pilikia me ka walaʻau
• nāwaliwali a i ʻole ka helu ʻana o ka lima a me ka wāwae
• ʻike lua, ʻike hihi, a i ʻole nā ​​hoʻololi ʻē aʻe i ka hihiʻo
• ʻeleʻele ʻili o ka ʻili ma ka lae, papalina, lehelehe luna, a me / a i ʻole ka auwae
• melemele o ka ʻili a i ʻole nā ​​maka; lilo o ka makemake ʻole; mimi ʻeleʻele; luhi loa; nāwaliwali; a i ʻole nā ​​ʻōniʻoniʻo ʻōpū māmā
• ke kuni kiʻekiʻe, ka luaʻi, ka pehu, maʻule a poni paha ke kū ʻana i luna, ʻeha, ʻeha nā mākala, a poni paha.
• kaumaha; paʻakikī i ka hiamoe a i ʻole ka hiamoe ʻana; lilo o ka ikehu; a i ʻole nā ​​hoʻololi ʻano ʻē aʻe
• ʻehu; ka pehu ʻana o nā lima, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo; hives; a ʻōwili paha

Hiki i ka Estrogen a me ka apo progestin vaginal ke hoʻonui i ka manawa kūpono e hoʻomohala ʻoe i nā tumors ate. ʻAʻole kēia ʻano ʻōpū i ke ʻano o ka maʻi ʻaʻai, akā hiki iā lākou ke haki a hana i ke kahe nui i loko o ke kino. E kamaʻilio me kāu kauka e pili ana i nā makaʻu o ka hoʻohana ʻana i ke apo pale.

Hiki i ka Estrogen a me ka progestin vaginal ring ke hana i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka hoʻohana ʻana i kēia lāʻau.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela a mamao aku mai ka lā pololei, ka wela a me ka momona (ʻaʻole i loko o ka lua. Mai hoʻomaʻalili a paʻa hau paha. E hoʻolei i ka NuvaRing^® ma hope o ka lā pau inā ʻaʻole hoʻohana ʻia i ka sachet i hāʻawi ʻia (ʻeke ʻeke) a laila i loko o kahi ʻōpala. Mai pīpī i ke apo o ka lua i ka lua.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

• kahe ana ke koko
• nausea
• ka luaʻi

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E hāhai i nā kuhikuhi a kāu kauka no ka nānā ʻana i kou umauma; e hōʻike koke i nā puʻupuʻu.

Ma mua o ka loaʻa ʻana o kahi hoʻokolohua hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua āu e hoʻohana nei i ka estrogen a me ka apo progestin.

Mai hoʻohana i ka aila (a me ke kumu o ka silikone) lubricants a me ka Annovera^® apo kikino.

Mai ʻae i kekahi e hoʻohana i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

• Annovera^® (i loaʻa ʻo Ethinyl Estradiol, Segesterone)
• NuvaRing^® (i loaʻa ʻo Ethinyl Estradiol, Etonogestrel)

• apo pā pale pale