'Ōlelo nā Manaʻo Hou * Pono e loaʻa ka hoʻomalu hānau ʻana o ka Hormonal ma luna o ka counter.

Anter

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Ke hoʻomau nei ka hakakā e hana i ka hānau hānau hormonal i hiki ke ākea ākea.

Ma ka puke o ʻOkakopa o Nā Obstetrics & Gynecology, ke 'ōlelo nei ka American College of Obstetricians and Gynecologists (ACOG). pau loa nā ʻano o ka pale ʻana i ka hormonal — e laʻa me ka paila, ke komo lima, ka pale contraceptive, a me nā depot medroxyprogesterone acetate (DMPA) i palekana no ke kiʻi ʻana i ka over-the-counter me ka ʻole o nā makahiki, e like me ka hōʻike nūhou i hoʻopuka ʻia e ke kōmike. (Pono e hana ʻia nā IUD ma ke keʻena o kāu ob-gyn; ʻoi aku ka nui ma lalo.) He kūlana hou kēia a ʻoi aku ka ikaika ma mua o nā ʻōlelo paipai mua mai 2012, ʻo ia ka mea i manaʻo ʻia e loaʻa wale ma ka hale kūʻai. ʻO ka mea nui, eia nō naʻe, ʻōlelo pū ka ACOG i kāna hoʻolaha paʻi e paipai mau ʻia ka nānā ʻana i nā makahiki makahiki ob-gyn, me ka nānā ʻole i ke komo ʻana i ka kaohi hānau.

"ʻO ka pono e loaʻa mau i kahi palapala kuhikuhi, loaʻa i ka ʻae ʻana i ka hoʻopiha hou ʻana, a i ʻole ka hoʻonohonoho ʻana i kahi manawa e alakaʻi i ka hoʻohana like ʻole ʻana o kahi ʻano hana mana hānau i makemake ʻia," ʻo Michelle Isley, MD, MPH, nāna i kākau i ka manaʻo o ka ACOG, i ʻōlelo ʻia ma ka nūpepa. hoʻokuʻu Ma ka hoʻolako ʻana i nā ʻano ʻano contraception hormonal ma luna o ka counter, hiki i nā wahine ke komo i nā koho like ʻole me ka ʻole o kēia mau pilikia maʻamau, wehewehe ʻo ia.

I ka hanana i nā hana a pau ka hānau hānau hormonal hana hiki ke loaʻa ma luna o ka hale kūʻai i kekahi manawa, ʻaʻole pono ia ma ka lilo o ka affordability, wahi a ka lālā o ke komite ACOG, Rebecca H. Allen, M.D., M.P.H., i loko o ka hoʻolaha o ke komite. ʻO ia hoʻi, ʻaʻole pono e piʻi ke kumukūʻai o kēia mau lāʻau lapaʻau no ka mea e maʻalahi ke loaʻa. "E pili mau ka uhi ʻinikua a me nā kākoʻo kālā ʻē aʻe no ka pale keiki," wahi a Dr. Allen. (Pili: 7 He mau kaao no ka hanau hānau maʻamau, i hoʻopaʻa ʻia e kahi loea)

I ka ʻoiaʻiʻo, he mea nui ia ke kamaʻilio ʻia ke kumukūʻai o ka kaohi hānau ke noʻonoʻo ʻana i kēia mau ʻōlelo aʻoaʻo, ʻo Luu ʻIlani, MD, M.P.H., FACOG, he polopeka kōkua o nā kaukaʻi a me nā kākāʻōlelo a me ka puʻukū o ka ACOG mahele ʻo Massachusetts. Kinohi. "I kēia manawa, ua uhi ʻia ka contraception hormonal i ka mea maʻi ma lalo o ke Affordable Care Act," wehewehe ʻo Dr. Ireland. "Pono e mālama i kēia pale pale ʻana. ʻAʻole hiki iā mākou ke kūʻai aku i hoʻokahi pale (pono no ke kuhikuhi ʻana) no kekahi (nā uku o waho o ka ʻeke)."

No laila, no ke aha e hoʻokikina ai no ka kaohi hānau ʻana over-the-counter? Heluhelu a ʻepekema hoʻi, he mea maʻalahi wale ia, wahi a Kauka ʻIlani.

"ʻAneʻane hapalua o nā hāpai ʻana a pau ma ʻAmelika Hui Pū ʻIa i hoʻolālā ʻole ʻia, a pono i nā wahine ke maʻalahi i nā ala kūpono e pale ai i ka hāpai ʻana," wehewehe ʻo ia. ʻO ka manaʻolana ʻoi aku ka maʻalahi o nā koho kaohi hānau ʻana ma muli o ka liʻiliʻi o nā hāpai ʻana i makemake ʻole ʻia. (Eia hoʻi, mai poina kākou i ka hoʻohana pinepine ʻia ʻana o ka mana hānau e mālama i nā kūlana olakino o nā wahine e like me ka polycystic ovary syndrome.)

ʻO ka ʻoiaʻiʻo, ke kālaiʻāina kālaiʻāina e pili ana i ke kaohi ʻana o ka hiki ke loaʻa — e hoʻomāmā iki. Ua hoʻonohonoho mua ʻo Pelekikena Trump i nā maka i ka hoʻohaʻahaʻa Placed Parenthood, ka mea hāʻawi nui o nā lawelawe olakino wahine a me nā hānau hānau ma ka US. Eia kekahi, ua koi pinepine ka Senate Republicans i ke kānāwai e kaupalena ʻia ka hiki i ka Planned Parenthood ke hāʻawi i nā lawelawe e like me ke kino, ka nānā ʻana i ka maʻi kanesa, a me ka mālama contraceptive. ʻO kēia mau mea āpau e lilo ai ka kaohi hānau ʻana i mea nui aʻe.

ʻAʻohe ʻepekema hoʻi e koi ana he pono e kipa i kahi ob-gyn e kiʻi i ka kaohi hānau, hoʻohui ʻo Kauka ʻIlani. Akā, ʻo nā kipa a ke kauka a me ka pono no kahi kuhikuhi e "hōʻike pinepine i nā pale no nā wahine i ke kiʻi ʻana i ka pale keiki a lākou e makemake ai," wehewehe ʻo ia. ʻO kēia mau pale e pili ana i nā kauka ʻaʻole maopopo i ka hana ʻana o kekahi mau contraceptives, manaʻo kuhihewa e pili ana i ka lāʻau lapaʻau, a me nā hopohopo nui e pili ana i ka palekana, e like me ka manaʻo 2015 i paʻi ʻia e ka ACOG.

Akā no ka pono ʻole loaʻa e hele i ka ob-gyn e kiʻi i ka mana hānau hormonal, ʻaʻole ia he manaʻo ʻaʻole pono ʻoe e ʻike iā lākou. Pono mau ke kipa makahiki ʻana a me nā loiloi no ka mālama pono ʻana i ka mālama mālama (noʻonoʻo: pap smear, kānana no nā maʻi i loaʻa i ka moekolohe a me nā maʻi, nā pale ʻana, ka umauma, a me nā hoʻokolohua pelvic, a pēlā aku), wahi a Kauka ʻIlani. Hāʻawi nā kipa kauka iā ʻoe i kahi manawa e kūkākūkā ai i nā hopohopo āu e pili ana i kāu menstrual cycle, ka hana moekolohe, a i ʻole ke olakino vaginal ma ke ʻano nui, hoʻohui ʻo ia. Kaha: ʻO ka poʻe makemake i kahi IUD a i ʻole implant implant e pono nō e hana i kahi manawa me kā lākou kauka no ka hoʻokomo mua ʻana i ka hāmeʻa, wehewehe ʻo Kauka ʻIlani. (Related: He mea hoʻomanaʻo ʻo Lena Dunham's Op-Ed e ʻoi aku ka nui o ka mālama ʻana ma mua o ka pale ʻana i ka hāpai ʻana)

No ka poʻe e ʻimi ana paha e hoʻāʻo i ka kaohi hānau no ka manawa mua, e noho mau kahi ob-gyn i waiwai waiwai nui i ke kōkua ʻana iā ʻoe e koho i ke ʻano kūpono no kou kino, wahi a Kauka ʻIlani. Akā ʻo FWIW, he mau "noiʻi noiʻi noiʻi kiʻekiʻe" i hōʻike ʻia ua hiki i nā wahine ke nānā pono iā lākou iho a hoʻoholo inā ʻaʻole lākou he moho no ka hānau hānau hormonal. Hoʻohui, inā kaohi hānau ua e lilo i loaʻa ma kahi kūʻai aku, lilo ka lepili ʻana o ka lāʻau i alakaʻi hou no ka hoʻohana ʻana, a me ka hāʻawi ʻana i nā ʻōlelo aʻoaʻo / hopohopo e ʻike ai nā mea hoʻohana, wehewehe ʻo ia.

Inā maikaʻi ʻole ka manaʻo o ka ka hānau hānau over-the-counter i ka ʻoiaʻiʻo, no ka mea, e like me kēia manawa, ʻo ia. (E ʻike: He aha ke ʻano o ke koho balota ʻana o Donald Trump no ka wā e hiki mai ana o ke olakino wahine)

Ke laina lalo: mai hōʻole i kāu koho ob-gyn i kēia manawa. ʻO kēia mau ʻōlelo mai ka ACOG, i kēia manawa, nā ʻōlelo aʻoaʻo maʻamau. ʻAʻole i loli nā kulekele, a hiki wale i ka kaohi hānau hormonal ke kiʻi wale ʻia me kahi kauka i United States.

"ʻAʻole e hiki koke kēia mau hoʻololi," wahi a Kauka ʻIlani. "Aia kahi hana e pono ai ma o ka US Food and Drug Administration (FDA) [ma mua o] ke kūlana over-the-counter i hiki ke hoʻokō ʻia."

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