Ngaba isebenza kangakanani le ndlela yokuTsala, Ngokwenene?

Umxholo

• Yeyiphi indlela yokuTsala?
• Isebenza Kangakanani Indlela Yokutsalela Ngaphandle?
• Isebenza njani indlela yokuTsala xa usenziwa Ngokugqibeleleyo?
• Ngaba le ndlela yokuKhuphela ithelekiswa njani nezinye iiNkqubo zokuLawulwa kokuzalwa?
• Isikhumbuzo: Indlela yokukhupha ayisebenzi ngokuchasene nee-STI
• Uyenza njani indlela yokukhupha ukuba isebenze ngakumbi
• Umgca osezantsi kwindlela yokukhupha
• Uphengululo lwe

Ngamanye amaxesha xa abantu ababini bethandana kakhulu (okanye bobabini bekunene-batshintshana) ...

Kulungile, uyayifumana. Olu luguqulelo oluluqilima lweNtetho yezoSondo lwenzelwe ukuzisa into encinci ethandabuzekayo eyenziwa ngabantu abadala kwigumbi lokulala: usebenzisa indlela yokukhupha.

Kuxhomekeka kumava akho obuqu, ungafunga ngawo - okanye ufunge ukuba ungaze uphinde uyenze kwakhona. Kodwa isebenza kangakanani indlela yokukhupha, ngokutsho kweengcali kunye nesayensi? Nantsi i-scoop.

Yeyiphi indlela yokuTsala?

Ukuhlaziya okuncinci: Indlela yokukhupha kuxa, ngexesha lokwabelana ngesondo kwilungu lobufazi, umntu onelungu lobufazi ekhupha kwilungu lobufazi ngaphambi kokuba aphume.

"Oogqirha badla ngokubhekisa kule ndlela yokuthintela inzala njenge 'coitus interruptus' okanye 'indlela yokurhoxa,'" utshilo uMary Jacobson, MD, umlawuli wezonyango kwiAlpha Medical, inkonzo yezempilo egxile kukhathalelo lwempilo lwabasetyhini. Ithiyori yeyokuba ukukhupha phambi kokuphuma kuthintela inkunzi ekubeni ~ipollina~~ kwimazi, ngaloo ndlela kuthintelwa ukukhulelwa.

Kuyavela ukuba yinto eqhelekileyo: "Ipesenti yabasetyhini abakhe basebenzisa indlela yokurhoxa ijikeleze iipesenti ezingama-65," utshilo uGqirha Jacobson.

Kutheni abantu abaninzi besebenzisa indlela yokukhupha? Ukuba uyinxalenye yaloo 65 pesenti, mhlawumbi sele uyazi. “Mhlawumbi elinye iqabane okanye omabini akafuni ukusebenzisa ikhondom okanye abe nombono wokuba iphazamisana nolonwabo, okanye mhlawumbi isibini sinobudlelwane bomntu omnye kwaye senze olo khetho,” uqikelela oko uGqr. Jacobson. Okanye, kunokuthi kube ngenxa yokuba "kubonakala kukulungele kwaye / okanye kufumaneka ngokulula kunezinye iindlela zokuthintela." (Isikhumbuzi esinobuhlobo: Ukuba ukhathazekile ngokuhlawulela izinto zokuthintela ukukhulelwa, ungandwendwela iziko lezempilo laseKhaya eliCwangcisiweyo ukuze ufumane iikhondom kunye namadama amazinyo simahla.)

Kodwa ngenxa yokuba ~wonke umntu uyayenza ~ ayithethi ukuba ngumbono olungileyo.

Isebenza Kangakanani Indlela Yokutsalela Ngaphandle?

Makhe siye ngqo kumanani: "Inkqubo yokukhupha iipesenti ezingama-70 ukuya kuma-80 esebenzayo," utshilo u-Adeeti Gupta, MD, umsunguli we-Walk In GYN Care kwisiXeko saseNew York. AmaZiko oLawulo lweZifo aphinda achaze ukuba indlela yokukhupha isantya sokungaphumeleli malunga neepesenti ezingama-22. Inkqubo yokuphumelela yenqanaba leepesenti ezingama-78 izandi phezulu kakhulu - kodwa gcinani engqondweni, oko kuthetha ukuba malunga nabantu abangama-22 kwabali-100 bayakumitha besebenzisa indlela yokukhupha njengokuphela kwendlela yabo yothintelo.

Isandi sihle? Yi. Ngelixa ukhupha izandi zangaphambi kokufaka imali ngokulula ngokwaneleyo, ifuna isuntswana lefinesse. "Ifuna ulawulo kunye nexesha; ukuba iqabane lakho liyabanjwa ngalo mzuzu, abanakukwazi ukuphuma ngexesha," utshilo u-Anna Klepchukova, MD, igosa lezenzululwazi eliyintloko kunye neFlo Health, uqikelelo lokukhulelwa kwidijithali kwabasetyhini.

"Anecdotally, ndiyakwazi ukukuxelela ukuba amanye amadoda ayazi ngokwenene xa sele eza kuthambisa, kwaye amanye, hayi kangako," utshilo uJen Gunter, MD, osoloko ebizwa ngokuba ngumhlali we-Twitter ob-gyn. "Kwaye aboyenza Yazi ukuba ungaphulukana nobobuchule ukuba bayagityiselwa ngamatye okanye basele into ezimbini okanye ezimbini. "Inqaku elilungileyo.

Kwaye nokuba umntu ulungile ngokwenene kwindlela yakhe yokukhupha, kuthatha kuphela ukurhoxiswa okucothayo okunokubangela ukukhulelwa. Ukuze ukhulelwe, udinga isidoda esinye esisempilweni nesinokusebenza ukuze ulinde ityhubhu (edibanisa isibeleko ne-ovary) xa kusenzeka i-ovulation, ngokwe-American Pregnancy Association. Ngenxa yokuba ixesha le-ovulation linokwahluka (lingenzeka naphi na phakathi komhla we-11 kunye nomhla wama-21 wokuya exesheni kwakho) kwaye ngenxa yokuba isidoda sinokuphila ubuninzi beentsuku ezintlanu kwindlela yokuzala yabasetyhini, ngokutsho kwe-APA, oku kuthetha ukuba kukho ifestile enkulu kakhulu. ukuze ukukhawulwa kwenzeke. Oko kuthetha ukuba ngothando kunye nendlela yokukhupha ngexesha le-ovulation kuyingozi ngakumbi, ukusuka kwindawo yokukhulelwa. (Kananjalo, ubusazi ukuba amathuba akho okuba ukhulelwe aphezulu kunye neqabane elitsha?)

Isebenza njani indlela yokuTsala xa usenziwa Ngokugqibeleleyo?

Nokuba indlela yokukhupha yenziwa ngokugqibeleleyo ngalo lonke ixesha, ngokukaGqirha Gunter, inqanaba lempumelelo lwendlela yokukhupha isekhona malunga neepesenti ezingama-96, oko kukuthi, kusekho ithuba leepesenti ezi-4 zokukhulelwa.

Kungenxa yokuba, nokuba iqabane likhupha indlela ngaphambi kokuba likhuphe, kukho into encinci ebizwa ngokuba yi-pre-cum (aka pre-ejaculate), ekhutshwa ngaphambi kokuba i-ejaculation esemthethweni, ichaza uDkt Gupta. "Uphononongo lubonisa ukuba, ngelixa inani lesidoda kwi-pre-cum lisezantsi kune-ejaculate, isidoda sisekho-oku kuthetha ukuba unako khulelwa, utshilo.

Nangona kunjalo, uphando malunga nalo mbandela alukho, ngoko asazi kakuhle ukuba "inamandla" kangakanani i-pre-cum. Okwangoku, akukho ndlela yakuxela ukuba izibini ezikhulelweyo kwindlela yokukhupha zikhulelwe kwi-pre-cum ngokwayo okanye kwimpazamo yomntu (aka ukulibazisa ukurhoxa). Nokuba siyintoni na esona sizathu, nangona kunjalo, ukukhulelwa kukukhulelwa.

Ngaba le ndlela yokuKhuphela ithelekiswa njani nezinye iiNkqubo zokuLawulwa kokuzalwa?

"Uninzi lwabantu abatshatileyo (kunye noogqirha babo) bayamangaliswa yindlela esebenza ngayo le ndlela yokukhupha," utshilo uRob Huizenga, MD, ugqirha wodumo kunye nombhaliUkwabelana ngesondo, Ubuxoki kunye nee-STD. "Kodwa ngaba ilungile? Hayi. Kwaye nakwizibini ezingakunqweneli ukukhulelwa, amathuba okuba ayigcine engqondweni."

Ingakumbi ukususela, ngaphandlekonke Olunye ukhetho lolawulo lokuzalwa uluhlu lwabazali olucwangcisiweyo njengeendlela ezinokubakho zokucwangcisa (i-18 iyonke), indlela yokukhupha ibekwe njengeyokugqibela. UGqr. Jacobson uthi: “Ayisebenzi kangako kunezinye iindlela ezidumileyo zokuthintela inzala. Ngokomxholo:

"Kukho iipesenti ezili-18 zokungaphumeleli kwiikhondom, iipesenti ezili-9 zepilisi, i-patch, kunye ne-ring, kwaye ingaphantsi kwe-1 yepesenti ye-IUD, ukufakelwa, ukuhlanganiswa kwamabhubhu omabini, kunye ne-vasectomy."

Mary Jacobson, M.D., umalathisi wezonyango we-Alpha Medical

Icala ngecala, ukuthelekisa inqanaba lokusilela kwekhondom ngokuchasene nenqanaba lokungaphumeleli kunokubangela ukuba ufune ukujikisa irubbers- kodwa gcina engqondweni ukuba, xa isetyenziswe ngokuchanekileyo kwaye ngalo lonke ixesha, iikhondom zisebenza kakhulu (iipesenti ezingama-98). (Ngaba usebenzisa iikhondom ngokuchanekileyo? Jonga ezimpazamo zecondom onokuzenza.)

Isikhumbuzo: Indlela yokukhupha ayisebenzi ngokuchasene nee-STI

Nokuba ulungile ngendlela esebenzayo yokukhupha ukukhusela ukukhulelwa, kukho ezinye izinto onokukhathazeka ngazo, nazo. Ngokufanelekileyo, "indlela yokukhupha ayikhuseli kwizifo ezosulela ngokwabelana ngesondo," utshilo uGqirha Jacobson. "Ii-STIs (ezifana ne-HIV, i-chlamydia, i-gonorrhea, kunye ne-syphilis) zinokosulela ngolwelo lwe-pre-ejaculate." (Inxulumene: Ngaba Ungazinika I-STI?)

Ukongeza, ukudibana ngokuthe ngqo kwesikhumba ukuya eluswini (nokuba akukho kungena) kunokusasaza ezinye iintsholongwane ezifana ne-herpes yangasese, i-HPV, kunye ne-pubic lice, utsho. (Ukuba usebenzisa into yokuthintela inzala engeyiyo ikhondom efana ne-IUD okanye iipilisi zokulawula ukuzalwa khumbula ukuba usenokuzifumana ezi zifo, kanti ke.)

"Kukho kaninzi utyekelo lokuba abantu bangawuthathi lula umngcipheko wokosulelwa zizifo ezingumvuka wokwabelana ngesondo kwaye babe nembono engeyonyani yokungoyiswa xa kufikwa kumngcipheko wokuba sesichengeni sosulelo," utshilo uNesochi Okeke-Igbokwe, MD, MS, eNew York Ugqirha osekwe kwisixeko kunye nengcali yezempilo yabasetyhini.

Kungenxa yoko le nto kubalulekile ukuba omabini la maqela akwiphepha elinye ngokubhekisele kwindoda enye kunye nobume bempilo. "Nxibelelana kwaye uvavanywe ngaphambi kokuzama indlela yokukhupha ukuze omabini amaqela avumelane nale meko kwaye akukho nto imangalisayo," kusho uGqr Gupta. Ngaphandle koko, kuya kufuneka wenze inkuthalo yakho kwaye usebenzise umqobo okhuselayo ngexesha lokwabelana ngesondo. (Idibeneyo: Nantsi indlela yokuthetha neqabane lakho malunga nokuvavanywa)

Uyenza njani indlela yokukhupha ukuba isebenze ngakumbi

Nangona izinga lokungaphumeleli le-22 ekhulwini lingafanelekanga, indlela yokukhupha ayisebenzi ngokupheleleyo. Ngeso sizathu, uGqr. Gunter uthi abantu abaninzi banokusebenzisa indlela yokukhuphadibanisa ezinye iindlela zolawulo lokuzalwa ukuqhubela phambili ukunciphisa amathuba okukhulelwa.

Ngapha koko, kuqikelelwa ukuba iipesenti ezingama-24 zabasetyhini basebenzisa indlela yokukhupha ecaleni kwekhondom okanye yehomoni okanye yolawulo lokuzalwa oluhlala ixesha elide, ngokophando oluthile olupapashwe kwiphephancwadi.Ukuthintela ukukhulelwa. Nangona oku kukuhle kumbono wokuthintela ukukhulelwa, kusabalulekile ukukhumbula ukuba indlela yokukhupha, i-hormonal, kunye nezinye iindlela zokulawula ukuzalwa ezihlala ixesha elide azikhuseli kwii-STIs, utsho uGqr Gunter. (Isidoda sinokuphosa i-pH yakho yelungu lobufazi, ke indlela yokukhupha inokuba kufanelekile ukukhusela izinto ezinje ngosulelo lwegwele kunye ne-bacterial vaginosis- nefuthe lotshintsho kwimeko yakho yelungu lobufazi-ngokunjalo.)

"Siphinde sibone abantu abaninzi bedibanisa indlela yokukhupha kunye nokulawulwa kokuzalwa kwexesha, okanye indlela yokutshatha," kusho uDkt Gunter. Ngokusisiseko, oko kubandakanya ukusebenzisa ixesha lokulandela umkhondo, ikhalenda yamaphepha, ubuhlalu beebhayisikile, okanye usetyenziso lweeMijikelezo yeNdalo ukulandelela umjikelo wakho kunye nomngcipheko wokukhulelwa. I-ICYDK, ungoyena uchume kakhulu embindini womjikelo wakho, xa utyhafisa. (Oku kunokwahluka ngokuxhomekeka kwindlela oqhelekileyo okanye ongaqhelekanga ngayo umjikelo wakho.) Ngendlela yokutshatha, unokwenza isigqibo sokuba ungabi nesondo esingena ngaphakathi malunga nelo xesha lenyanga (hey, ezinye izinto ezifana nezandla okanye isondo somlomo etafileni! ), okanye ukusebenzisa iikhondom ukongeza kwindlela yokukhupha ukunceda ukukhusela ukukhulelwa. Elinye icala eliphambili lenkqubo yokutshata kukuba ayisiyonyani: "Ixhomekeke ekuyekeni ngamaxesha athile ukuze isebenze, abanokuthi abantu bangathandi ukuyenza, utshilo uGqirha Gunter. "Kwaye ezinye zeziapps zinokungachaneki kwaye zifuna inqanaba eliphezulu lokukhuthala kwabantu." Inyaniso - nangona iipilisi zokulawula ukuzalwa zifuna inkuthalo ukuba isebenze ngokunjalo. (Idibeneyo: Kutheni le nto wonke umntu ehamba noLawulo lokuzalwa kwe-RN?)

Kwisihloko seendlela ezimbini zolawulo lokuzalwa: UGqr.Gunter ucebisa ukuba ukuba iqabane lakho likhuphe kade kwaye awuzami ukukhulelwa, unokucinga ngokuthatha uthintelo olungxamisekileyo. "Kodwa ukuba uza kuthatha u-Ella okanye ucwangcise uB kanye ngenyanga, ungacinga ukuba ingaba le yeyona ndlela ifanelekileyo yolawulo lokuzalwa kwakho." Kwaye kukho inyani yokuba izinto zokucwangcisa ezingxamisekileyoakunjalo ikhulu lepesenti elisebenzayo nokuba. (Inxulumene: Ngaba kubi kangakanani ukuthatha iSicwangciso B njengeNdlela esiQhelekileyo yokuThintela ukukhulelwa?)

Umgca osezantsi kwindlela yokukhupha

Ke kusebenza njani ukuphuma? Konke kubuyela kwinqanaba lokuphumelela kwinqanaba lokuphumelela kunye nenqanaba lokungaphumeleli: Isebenza malunga neepesenti ezingama-78 zexesha, kodwa kusekho malunga neepesenti ezingama-22 zokuba ukhulelwe.

Ngokubanzi, ayithembekanga kakhulu kwaye ayiyi kukukhusela kwi-STIs, kodwa ukuba awufuni ukukhulelwa, kungcono kunanto, "kusho uDkt Klepchukova. "Nangona kunjalo, ndingacela abantu ukuba baqwalasele enye indlela ethembekileyo."

Kwaye kufanelekile ukuba ukhankanye ngokucacileyo: Ngenxa yokuba ixhomekeke kwiqabane kunye ne-penis ukukhupha ngexesha, omnye umntu unolawulo olungenanto malunga nokuba ngaba iqabane labo lihoxisa ngexesha-elibi kakhulu zonke iingcali zigxininise ngokuphindaphindiweyo. (#umzimbawakho ukhetho)

Ukuba ufuna ukufunda okungakumbi malunga nezinye iindlela zokuthintela ukukhawula, jonga esi sikhokelo kwii-IUDs kunye nale info ekufumaneni eyona ndlela yolawulo lokuzalwa kwakho.

Uphengululo lwe