ʻO ka Minipill a me nā koho Estrogen-Free Birth Control

Anter

• He aha ka minipill?
• Pehea e hana ai ka minipill?
• ʻO wai ka moho maikaʻi no ka minipill?
• Pehea e hoʻomaka ai i ka lawe i ka minipill
• Aia kekahi hopena a me ka minipill?
• He aha nā mea maikaʻi a maikaʻi ʻole?
• ʻO Minipill pros
• ʻO Minipill cons
• ʻO nā koho palena hānau progestin-only
• ʻO ka pana progestin
• Pana ʻo Progestin i nā pros
• Kūkala pū ʻia ʻo Progestin
• ʻO ka implant progestin
• Hoʻokomo ʻo Progestin i nā pros
• ʻO Progestin implant cons
• ʻO ka progestin IUD
• ʻO Progestin IUD pros
• ʻO Progestin IUD cons
• Nā koho pale hānau hānau ʻaʻohe Hormone
• Ke laina lalo

ʻ, no kahi hana hoʻomalu hānau hoʻokahi wale nō i maʻalahi e hoʻohana a manuahi ka hopena ʻaoʻao.Akā ʻaʻole i hoʻokō ka ʻepekema i kēlā mea.

A hiki i ka hana ʻana, inā ʻo ʻoe kekahi o nā wahine he nui i hiki ʻole ke hoʻohana i nā ʻano hana hānau hānau i loaʻa ka estrogen, he nui nā koho ʻē aʻe āu.

ʻO ka hapa nui o nā koho hānau hānau ʻole estrogen e loaʻa ai ka progestin, kahi mana i hana ʻia e ke kanaka o ka hormone progesterone.

Ma kēia ʻatikala, e nānā pono aku:

• nā koho progestin-wale i loaʻa
• pehea lākou e hana ai
• nā pōmaikaʻi a me nā hōʻino no kēlā me kēia

He aha ka minipill?

ʻO ka minipill kahi ʻano contraceptive waha i loaʻa nā pila i loaʻa wale ka progestin.

ʻAʻohe o nā pila i ka pack i loaʻa kekahi estrogen. ʻOkoʻa ka mahele lāʻau o ka progestin a kaukaʻi ʻia i ka formulate i hoʻohana ʻia i ka pila hānau hānau.

Loaʻa i kahi pūʻulu minipill he 28 mau pila, aia i loko o lākou āpau ka progestin hormone. ʻAʻole i loaʻa iā ia nā pila placebo.

I mea e hoʻonui ai i ka pono o ka minipill, pono ʻoe e lawe i ka pila ma ka manawa like i kēlā me kēia lā.

Inā ʻoe e nalo i kahi mahele lāʻau - ʻoiai ma kahi o 3 mau hola - pono ʻoe e hoʻohana i kahi hana papaʻa o ka kaohi hānau ʻana no 2 mau lā ma ka ʻaoʻao palekana.

Aia kekahi pil progestin-wale wale i apono ʻia e FDA i kapa ʻia ʻo Slynd. Hiki ke lawe ʻia i loko o 24 mau hola a ʻaʻole nō naʻe i manaʻo ʻia he "mahele lāʻau i hala," ʻaʻole like me ka pill progestin-only o kēia wā.

No ka mea he hou loa kēia pila, aia paha i kēia manawa ka palena o ka ʻike a me ke komo. E aʻo hou aʻe e pili ana iā Slynd, e kamaʻilio me kāu kauka.

Pehea e hana ai ka minipill?

Ma ʻAmelika Hui Pū ʻIa, ʻo ka progestin-only oral contraceptive ka mea i ʻike ʻia ʻo norethindrone. Wahi a ka Mayo Clinic, hana ʻo norethindrone e:

• ka mānoanoa o ka mucus i kou cervix a lahilahi i ka uhi o kou kōpū, e paʻakikī ana i ka sperm a me ka hua e hui ai.
• ke pale nei i kāu mau ovaries mai ka hoʻokuʻu ʻana i nā hua

He mea nui e hoʻomaopopo i ka progestin-wale minipill ʻaʻole paha e kāohi mau i kāu ovulation.

Ke kuhi nei ke Kulanui ʻAmelika o nā Obstetricians a me nā Gynecologists (ACOG) aia ma kahi o 40 pākēneka o nā wahine e noho ovulate ʻoiai e lawe ana iā norethindrone.

ʻO wai ka moho maikaʻi no ka minipill?

Wahi a ACOG, he koho maikaʻi ka minipill no nā wahine i hiki ʻole ke lawe i nā lāʻau kaohi i loaʻa ka estrogen.

Hoʻopili kēia i nā wahine i loaʻa ka mōʻaukala o:

• kahe koko kiʻekiʻe
• thrombosis hohonu loa (DVT)
• maʻi maʻi maʻi

Akā, ʻo ka pale pono progestin-wale nō ke koho maikaʻi loa no nā mea āpau. Makemake paha ʻoe e hōʻalo i ka minipill inā:

• ua loaʻa ʻoe i ka maʻi ʻaʻai umauma
• ua loaʻa ka lupus iā ʻoe
• pilikia ʻoe i ka hoʻomanaʻo ʻana e lawe i nā lāʻau i ka manawa kūpono

ʻO kekahi mau lāʻau lapaʻau anti-seizure e wāwahi i nā homone i loko o kou kino, ʻo ia hoʻi ʻaʻole maikaʻi paha kahi pill progestin-only inā ʻai ʻoe i ka lāʻau anti-seizure.

Inā ua loaʻa ʻoe i kahi ʻoki bariatric, e kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i ka mea pale oral.

Hiki i ke kahakaha Bariatric ke hoʻopili i ke ala o kēia mau mea i kāu ʻōnaehana a hoʻoliʻiliʻi paha iā lākou.

Pehea e hoʻomaka ai i ka lawe i ka minipill

Ma mua o ka hoʻomaka ʻana o ka minipill, e kamaʻilio me kāu kauka no ka lā e hoʻomaka ai.

Hiki iā ʻoe ke hoʻomaka i ka hoʻohana ʻana i kēia pila i kēlā me kēia lā o kou pōʻai menstrual, akā ke kaukaʻi ʻia ma hea ʻoe i kāu pōʻaiapuni, pono paha ʻoe e hoʻohana i ke kaohi o ka hānau hānau papa no kekahi mau lā.

Inā hoʻomaka ʻoe i ka lawe ʻana i ka minipill i nā lā 5 mua o kou wā, pono e pale piha ʻia ʻoe, a ʻaʻole ʻoe e pono i kahi pale aʻe.

Inā ʻoe e hoʻomaka i kekahi lā ʻē aʻe, pono ʻoe e hoʻohana i kahi ʻano keu o ka pale ʻana no 2 mau lā.

Inā he pōkole kāu manawa, pono ʻoe e hoʻohana i ka kaohi hānau hou a hiki i kou hele ʻana i ka minipill no 2 mau lā.

Aia kekahi hopena a me ka minipill?

Loaʻa nā hopena āpau i nā pale āpau āpau, a ʻokoʻa lākou i ka ikaika mai kēlā me kēia kanaka.

Hōʻike ka Cleveland Clinic i kēia mau hopena ʻaoʻao mai ka progestin-only minipill:

• kaumaha
• haki ʻili
• umauma palupalu
• nā hoʻololi i kou kaupaona
• hoʻololi i ka lauoho o ke kino
• nausea
• ʻeha poʻo

He aha nā mea maikaʻi a maikaʻi ʻole?

ʻO Minipill pros

• ʻAʻole pono ʻoe e hōʻoki i ka moekolohe e mālama i ka kaohi hānau.
• Hiki iā ʻoe ke lawe i kēia pila inā ʻaʻole koi ʻia ka estrogen no ʻoe ma muli o ke kiʻekiʻe o ke koko, thrombosis o ka aa hohonu, a i ʻole nā ​​maʻi maʻi maʻi maʻi.
• E māmā paha kāu mau wā a me nā kuʻi.
• Hiki iā ʻoe ke hoʻohana i kēia hana inā hānai waiū ʻoe.

ʻO Minipill cons

• Pono ʻoe e makaʻala a kikoʻī hoʻi i ka wā e lawe ai i ka lāʻau.
• E ʻike paha ʻoe i ke kiko ʻana ma waena o nā kau.
• E hōʻemi paha kāu kalaiwa wahine.
• E ulu ʻokoʻa paha ka lauoho o kou kino.

ʻO nā koho palena hānau progestin-only

Inā makemake ʻoe i ka kaohi hānau hormonal me ka ʻole o ka estrogen, hoʻokahi wale nō koho a ka minipill. Nui a hewahewa nā koho hānau ʻōnaehana progestin ʻē aʻe wale nō. Hana ʻokoʻa kēlā me kēia a loaʻa nā ʻaoʻao ʻokoʻa a me nā pōpilikia.

Eia kahi wikiwiki o kāu mau koho.

ʻO ka pana progestin

ʻO Depo-Provera kahi injection. Hana like ia e like me ka pill progestin-only. Mānoanoa ia i ka huhū a puni kou cervix e pale ai i ka sperm mai kahi hua manu. Hoʻopili, pani ia i kāu mau ovaries mai ka hoʻokuʻu ʻana i nā hua.

ʻO kēlā me kēia kuʻina mau ma kahi o 3 mau mahina.

Pana ʻo Progestin i nā pros

• ʻAʻole pono ʻoe e noʻonoʻo e pili ana i ka lawe ʻana i ka lāʻau kaohi hānau i kēlā me kēia lā.
• Manaʻo ka poʻe he nui i kahi inikua ma mua o ka hoʻohana ʻana i kahi IUD.
• Inā loaʻa ʻoe i nā kī kī i nā wā i ʻōlelo ʻia, ʻoi aku ma mua o 99 pakeneka i ka pale ʻana i ka hāpai keiki.

Kūkala pū ʻia ʻo Progestin

• Hoʻomaʻamaʻa ka FDA i ka hoʻohana ʻana iā Depo-Provera i hiki ke hoʻonui i kou makaʻu no:
  • maʻi ʻaʻai umauma
  • hāpai keiki ectopic (hāpai ma waho o kou kōpū)
  • loaʻa kaupaona
  • nalo o ka iwi iwi
  • hāpau ke koko i kou mau lima, nā wāwae, a me nā akemāmā
  • nā pilikia ate
  • ʻeha poʻo migraine
  • kaumaha
  • ka hopu ʻana

ʻO ka implant progestin

I ka United States, kūʻai ʻia nā implant progestin ma lalo o ka inoa Nexplanon. ʻO ka implant me kahi koʻokoʻo wīwī, maʻalahi i hoʻokomo ʻia e kāu kauka ma lalo o ka ʻili ma kou lima luna.

E like me ka minipill a me ka progestin injection, hoʻokuʻu kahi implant i nā liʻiliʻi o nā progestin i loko o kāu ʻōnaehana.

ʻO kēia ke kumu:

• ka uhi o kou kōpū a lahilahi
• kou mānoanoa o ka cervius e mānoanoa
• kou mau ovaries e hoʻōki i ka hoʻokuʻu ʻana i nā hua

I ka manawa ma kahi, maikaʻi loa ka implant. Wahi a ka, implant has a fail rate of just 0.01 pakeneka a hiki i 3 mau makahiki.

Hoʻokomo ʻo Progestin i nā pros

• ʻAʻole pono ʻoe e noʻonoʻo e pili ana i ka kaohi hānau i kēlā me kēia lā.
• ʻAʻole pono ʻoe e hōʻoki i ka moekolohe e mālama i ka kaohi hānau.
• He maikaʻi loa.
• Hiki ke hoʻohana koke ʻia ma hope o ka hānau ʻana a i ʻole ka hāpai keiki.
• He palekana ke hoʻohana ʻoiai ʻoe e hānai waiū ana.
• Hiki ke hoʻohuli ʻia. Hiki i kāu kauka ke wehe iā ia inā makemake ʻoe e hāpai.

ʻO Progestin implant cons

• Pono kahi kauka e hoʻokomo i ka implant.
• Aia paha he kumukūʻai kiʻekiʻe kiʻekiʻe inā ʻaʻole uhi ʻia kēia ʻano hana pale e ka ʻinikua.
• E lilo paha kāu mau kau i paʻakikī e wānana. Hiki iā lākou ke lilo i ke kaumaha a i ʻole ka māmā, a i ʻole hiki iā lākou ke hele pū loa.
• Hiki iā ʻoe ke ʻike i ka hoʻokahe koko.
• Hiki iā ʻoe ke ʻike i nā hopena ʻē aʻe e like me headache, breakouts ʻili, hoʻololi i ke kaumaha, a i ʻole nā ​​umauma palupalu.
• Hiki i ka implant ke neʻe, a i ʻole he paʻakikī paha e hemo ke hiki i ka manawa no ka hemo ʻana. Inā kū aʻe kekahi kūlana, pono paha i kekahi mau mea maʻi i nā hoʻokolohua kiʻi a, i nā manawa maʻamau, ʻoki e wehe i ka implant.

ʻO ka progestin IUD

ʻO kahi koho ʻē aʻe kahi polokalamu intrauterine (IUD) i hoʻokomo ʻia e kāu kauka i loko o kou kōpū. Hana ʻia i ka plastic, hoʻokuʻu kēia mea liʻiliʻi, ʻano t-ʻano i nā progestin liʻiliʻi, e pale ana i ka hāpai ʻana a hiki i 5 mau makahiki.

Wahi a ACOG, ʻaʻole hoʻopau ʻo IUD i ka hāpai keiki. Pale ia.

ʻO Progestin IUD pros

• ʻAʻole pono ʻoe e noʻonoʻo e pili ana i ka kaohi hānau hānau pinepine.
• He 99 pakeneka ka maikaʻi i ka pale ʻana i ka hāpai keiki.
• E māmā paha kāu mau kau. E ʻoi aku paha ka maikaʻi o ka ʻōpala.
• Hiki ke hoʻohuli ʻia kahi IUD a ʻaʻole e hoʻopili i kāu momona a i ʻole e paʻakikī e hāpai i ka wā e hiki mai ana.

ʻO Progestin IUD cons

• Hiki ke hōʻoluʻolu ke hoʻokomo ʻia ka IUD.
• E paʻakikī paha kāu mau manawa e wānana.
• Hiki iā ʻoe ke ʻike i ke kiko ʻana a i ʻole ka holomua ʻana o ke kahe, keu hoʻi i ka hoʻomaka.
• Hiki i kāu IUD ke puka i waho.
• I nā hihia kakaikahi, hiki i kou ʻōpū ke hoʻopā ʻia i ka wā e hoʻokomo ʻia ai ka hāmeʻa.
• I nā hihia maʻamau, ʻike paha ʻoe i kahi hāpai hāpai ectopic.

Nā koho pale hānau hānau ʻaʻohe Hormone

Inā makemake ʻoe e hoʻohana i nā ʻano hana hānau nonhormonal, e kamaʻilio i kāu kauka a i ʻole mea lawelawe olakino e pili ana i kēia mau koho.

• condom kāne kāne a wahine paha
• ʻōpala
• pāpale hoʻokoe
• diaphragms
• keleawe IUDs
• spermicides

ʻO ka hapa nui o kēia mau ʻano hana ka emi o ka maikaʻi ma ka pale ʻana i ka hāpai keiki ma mua o nā hana e pili ana i nā hormones.

ʻO Spermicide, no ka laʻana, hāʻule ma kahi o 28 ka pākēneka o ka manawa, no laila he mea nui e hoʻomaopopo i nā pilikia ke kaupaona ʻoe i kāu mau koho.

Inā makemake ʻoe i kahi ʻano paʻa mau o ka kaohi hānau, e kamaʻilio me kāu kauka e pili ana i ka tubal ligation a i ʻole ka vasectomy.

Ke laina lalo

ʻO ka progipin-minipill wale nō kekahi o nā hana kaohi hānau ʻaʻole i loaʻa ka estrogen.

Hana ka minipill i ka kaohi ʻana i ka ovulation a me ka hoʻololi ʻana i kou kōpū a me ka cervix e hiki ʻole ai i ka sperm ke hoʻoulu i kahi hua manu.

Inā makemake ʻoe e hoʻohana i ka kaohi hānau hormonal me ka ʻole o estrogen, hiki iā ʻoe ke hoʻāʻo i nā kiʻi progestin-only, implants, a IUDs paha.

Inā makemake ʻoe e hoʻohana i kahi ʻano hana hānau hānau ʻole hormone, hiki iā ʻoe ke mākaʻikaʻi i nā koho e like me ka condom, ka diaphragm, nā pāpale o ka maʻi, he IUD keleawe, mau ʻenemi, ligation tubal, a i ʻole vasectomy.

Ma muli o ka loaʻa ʻana o nā hopena ʻaoʻao āpau i nā ʻano hana kaohi hānau, e kamaʻilio me kāu kauka e pili ana i ke ʻano o ka pale keiki e kūpono loa nāu.

E pono e haʻi aku i kāu kauka e pili ana i nā kūlana olakino āu, a me nā mea hoʻopihapiha a me nā lāʻau āu e lawe ai, no ka mea hiki iā lākou ke hōʻemi i ka hopena o kāu kaola pale.