Kutheni le nto wonke umntu ezithiyile iipilisi zolawulo lokuzalwa ngoku?

Umxholo

• IiPerks zePilisi
• Ii-(Legit) ezingalunganga
• Ukuphelisa ubudlelwane
• Uphengululo lwe

Ngaphezulu kweminyaka engama-50, iPilisi ibibhiyozelwa-kwaye iginywe ngamakhulu ezigidi zabasetyhini kwihlabathi liphela. Ukusukela ukubetha imarike ngo-1960, le pilisi iye yanconywa njengendlela yokunika abasetyhini amandla okucwangcisa ukukhulelwa kwabo-kwaye, ngokungathi kunjalo, nobomi babo.

Kodwa kwiminyaka yakutshanje, ukuzalwa kolawulo lokuzalwa bekusenziwa. Kwilizwe lentlalontle elixabisa yonke into yendalo-ukusuka ekutyeni ukuya kukhathalelo lwesikhumba-iPilisi kunye neehomoni zayo zangaphandle ziye zaba ngaphantsi kwe-godsend kunye nobubi obuyimfuneko, ukuba ayilotshaba olucacileyo.

Kwi-Instagram nakwi-intanethi, “abaphembeleli” bezempilo kunye neengcali zempilo ngokufanayo zichaza izinto ezintle zokuyeka iPilisi. Iingxaki ezibonakalayo ngePilisi zibandakanya imiba efana ne-libido ephantsi, imiba ye-thyroid, ukukhathala kwe-adrenal, imiba yezempilo yegulane, uxinzelelo lokutya, ukukhubazeka kwezondlo, ukuguquka kwemizwelo kunye nokunye. (Apha: Olona lawulo luqhelekileyo lokuLawulwa kokuzalwa)

Nditsho neewebhusayithi eziphambili ziyazibandakanya nezihloko ezinje "Kutheni Ndonwabile, ndisempilweni, kwaye Ndisukelana Nolawulo Lokuzalwa Kwehomoni." .

Ngequbuliso, ukuya ngaphandle kwePilisi (njengokungatyalwa yigluteni okanye ungenaswekile) kuye kwaba yeyona ndlela ishushu yezempilo. Kwanele ukwenza umntu ofana nam, obehleli kwiPilisi iminyaka eli-15, uzibuze ukuba ingaba bendizilimaza ngandlela thile ngokuginya la pilisi incinci yonke imihla. Ngaba kufuneka ndiwuyeke, njengomkhwa ombi?

Kuyabonakala ukuba, ayindim ndedwa ozibuzayo. Ngaphezu kwesiqingatha (ipesenti ezingama-55) zabasetyhini baseMelika ababelana ngesondo ngoku abasebenzisi ndlela yokulawula ukuzala, kwaye kwabo bayenzayo, iipesenti ezingama-36 bathi banokukhetha indlela engeyiyo eyehomoni, ngokutsho kophando olwenziwe yi-Harris Poll ye-Evofem Biosciences. , Inc. (inkampani ye-biopharmaceuticals enikezelwe kwimpilo yabasetyhini). Ukongeza, aI-Cosmopolitan Uphando lufumene i-70 yepesenti eyothusayo yabasetyhini abathathe iPilisi baxela ukuba bayekile ukuyithatha, okanye bacinge ngokuyiyeka kule minyaka mithathu idlulileyo. Ke, ngaba amayeza ebekade ebhiyozelwa abe yinto yexesha elidlulileyo?

"Yinto enomdla," utshilo uNavya Mysore, MD, ugqirha wezonyango olugqala impilo yabasetyhini kwi-One Medical, ye-Pill backlash. "Andicingi ukuba yinto engalunganga kuba inyanzela abantu ukuba bajonge isondlo sabo, indlela yabo yokuphila, kunye noxinzelelo lwamaqondo." Inokunxulunyaniswa nenyaniso yokuba baninzi ngakumbi abantu basetyhini abakhetha i-IUD engenazimpembelelo, uyaphawula.

Kodwa, ukwenziwa ngokubanzi kunye neziqubulo malunga neziphumo "ezimbi" ze-BC azichanekanga kumntu wonke. Ulawulo lokuzalwa kufuneka lube sisihloko esingathathi hlangothi, utshilo. "Kufuneka ibe lukhetho lomntu - hayi into elungileyo okanye embi."

Njengayo nayiphi na into ejikelezayo kwi-intanethi, kufuneka silumke ngento evakala ilunge kakhulu ukuba ingayinyani. Uninzi lwezo zithuba ezikhuthaza ukulawulwa kwenkululeko zinokuvakala zithembisa, kodwa kunokubakho iinjongo ezifihlakeleyo, utsho uMegan Lawley, M.D., ucwangciso-ntsapho kwiSebe leYunivesithi yase-Emory ye-Gynecology and Obstetrics.

"Ngokufuthi unokufumanisa ukuba abo bantu bathi ukuthintela inzala kwenza into engalunganga ngaphezu kokulungileyo bakhuthaza abantu ukuba bachithe imali kunyango okanye kwimveliso engenazibonelelo zingacacanga," utshilo, "ke qiniseka ukuba ukhetha imithombo elungileyo yokufundisa ngokwakho. " Ngamanye amazwi, musa ukukholelwa yonke into oyifundayo kwi-'gram!

IiPerks zePilisi

Okokuqala, ipilisi ikho, kuzo zonke iinjongo kunye neenjongo, ikhuselekile kwaye esebenzayo. Yenza umsebenzi obalaseleyo wokuphila ngokuvisisana nesithembiso sayo esiyintloko sokuthintela ukukhulelwa. Iipesenti ezingama-99 zisebenza kwithiyori, ngokweCwangciso loMzali, nangona elo nani lihla laya kwiipesenti ezingama-91 emva kokubalwa kwempazamo yomsebenzisi.

Kwaye iPilisi inikezela ngezibonelelo zempilo. "I-Hormonal contraception inokunceda abafazi abanemiba enjengexesha elinzima kunye / okanye ixesha elibuhlungu, ukukhusela i-migraines yokuya esikhathini, kunye nokunyanga i-acne okanye i-hirsutism (ukukhula kweenwele ezigqithisileyo)," kusho uDkt Lawley. Kwakhona kubonakaliswe ukunciphisa umngcipheko we-ovarian kunye ne-endometrial cancers kwaye inceda abasetyhini abaneemeko ezinjenge-polycystic ovarian syndrome, i-endometriosis, kunye ne-adenomyosis.

Ngokubhekiselele kumabango akhokelela kwiziphumo ebezingalindelekanga, ukusuka ekutyebeni kwesisindo ukuya kutshintsho lweemvakalelo kukungachumi? Uninzi alugcini manzi. "Kubafazi abangatshayiyo abasempilweni, iPilisi ayinazo iziphumo ebezingalindelekanga zexesha elide," utshilo uSherry A. Ross, M.D., ingcali yezempilo yabasetyhini kunye nombhali wencwadi I-She-ology: IsiKhokelo esiSingqinisiso kwiMpilo eNgcono yabasetyhini. Ixesha.

Nantsi le nto: Iziphumo ebezingalindelekanga njengokufumana ubunzima okanye ukutshintsha kwemozulu unako zenzeka, kodwa zinokuncitshiswa ngokulinga kwiinguqulelo ezahlukeneyo zepilisi. (Nantsi indlela yokukufumanela olona lawulo luhle.) Kwaye, kwakhona, umzimba womntu ngamnye uya kusabela ngendlela eyahlukileyo. "Ezi ziphumo ebezingalindelekanga zihlala zisesokwexeshana," ucacisa watsho uGqirha Ross. "Ukuba abayi kude kwiinyanga ezimbini ukuya kwezintathu, thetha nogqirha wakho malunga nokutshintshela kolunye uhlobo lwePilisi, kuba zininzi iintlobo ezahlukeneyo kunye nokudityaniswa kwe-estrogen kunye neprogesterone kuxhomekeke kwiziphumo ebezingalindelekanga kunye nohlobo lomzimba." Kwaye gcinani engqondweni: "Ayizizo zonke 'izinto zendalo' ezikhuselekileyo ezikhuselekileyo, nokuba, utshilo uGqirha Mysore. "Banesabelo sabo seziphumo ebezingalindelekanga ngokunjalo."

Ngokuphathelele amahum-hum okuba xa usela iPilisi kungakwenza ube lidlolo? "Akukho nyani kwaphela kuloo nto," utshilo uGqirha Mysore. Ukuba umntu unokuchuma okunempilo, ukubakho kwiPilisi akunakukuthintela ekukhulelweni. Kwaye ngokungothusiyo, kukho zero uphando lwezenzululwazi olubonisa ukutsiba iPilisi kuya konyusa ukuzithemba kwakho okanye izakhono zentlalo. (Jonga ezi ezinye iintsomi zolawulo lokuzalwa.)

Ii-(Legit) ezingalunganga

Konke okuthethileyo, kukho izizathu ezithile zokudlula kwipilisi. Okokuqala, ayinguye wonke umntu olungeleyo ukukhulelwa: akufuneki athathe uthintelo lomlomo, utshilo uGqirha Ross.Kwaye, ipilisi yolawulo lokuzalwa ngokuhamba kwexesha inokuba nomngcipheko okhulayo womhlaza wamabele, nangona "umngcipheko umncinci kakhulu", utshilo.

Esinye isizathu esilungileyo sokuyeka iPilisi kukuba uthatha isigqibo sokuba i-IUD lolona khetho lungcono kuwe. I-IUD ifumana amanqaku aphezulu phakathi kwe-ob-gyns njengeyona ndlela isebenzayo nekhuselekileyo yolawulo lokuzalwa kwaye iye yacetyiswa "njengomgca wokuqala" ukhetho lokuthintela ukukhulelwa kubo bonke abantu basetyhini abakwiminyaka yokuzala yiAmerican College of Obstetricians and Gynecologists. U-Gqirha Ross uthi: I-IUD yobhedu ayinazo iihomoni kwaye ii-IUD ezikhupha iprogesterone zinexabiso elincinci leprogesterone xa zithelekiswa nezicwangcisi ngomlomo.

Ukuphelisa ubudlelwane

Ewe kunjalo, ukuba uyaphuma kwi-contraceptive turkey ebandayo, usengozini yokukhulelwa okungacetywanga. Uninzi lwezi mpembelelo zempilo eziza kuhamba ngePilisi zithi ziya kusebenzisa ii -apps zokulandela umkhondo wokuzala okanye indlela yesingqino ukukhusela ukukhulelwa. Usenokuba ukhe wazibona izithuba ezixhaswayo ze-Natural Cycles app, enephulo lokuthengisa elinamandla.

Ngelixa lukhetho olungenakho ipilisi, kufanelekile ukuba uqaphele ukuba le ndlela inobungozi, utshilo uGqirha Mysore. Kuba kufuneka urekhode ngesandla ubushushu bakho rhoqo kusasa ngexesha elifanayo, kunokwenza umahluko omkhulu ekufundeni ukuba unemizuzu embalwa uphumile. Oko kwathiwa, ukusebenza kwayo ngokuthelekiswa nepilisi, kunikwe ukuba bobabini basemngciphekweni wempazamo yomsebenzisi. Kwisifundo esenziwe yimijikelezo yeNdalo eyayilandela abafazi abangama-22,785 kwiminyaka emibini yokuya exesheni, iapp yafunyanwa inezinga eliqhelekileyo lokusebenzisa iipesenti ezingama-93 (oko kuthetha ukuba yayinempazamo yomsebenzisi kunye nezinye izinto ngokuchasene nokuba ulandele indlela ngokugqibeleleyo ), ehambelana neepilisi zehomoni zokulawula ukuzala. I-Arhente yeeMveliso zoNyango yaseSweden ikwaqinisekisile la manqanaba okusebenza afanelekileyo kwingxelo ka-2018. Kwaye, ngo-Agasti 2018, i-FDA ivume iMijikelezo yeNdalo njengeyona ndlela yokuqala yonyango yeselula enokusetyenziswa njengendlela yokukhulelwa ukukhusela ukukhulelwa. Ke ukuba uyaphuma epilisi kwaye ujonge ukuhamba ngendlela yendalo, ukusebenzisa usetyenziso olunje ngeMijikelo yeNdalo kusebenza ngakumbi kuneendlela zokulandela umkhondo wokuchuma, ezimalunga nama-76 ukuya kuma-88 ekhulwini kuphela osebenzayo kunyaka wokuqala wokusetyenziswa kwesiqhelo, ngokutsho kweKholeji yaseMelika yeeObstetricians kunye neGynecologists.

Ukuba unomdla nje wokubona indlela umzimba wakho ophendula ngayo xa usiya ePilisi, uGqirha Mysore uyalixhasa uluvo lokuthatha "iholide yolawulo lokuzalwa" qho kwiminyaka emithathu ukuya kwemihlanu ukuqinisekisa ukuba imijikelo yakho ihlala ihleli. "Yihla kwiinyanga ezimbalwa ukuze ubone ukuba ixesha lakho libukeka njani: Ukuba liqhelekileyo, unokubuyela kulo ukuze uqhubeke nokukhusela ukukhulelwa," utsho. Qiniseka nje ukuba usebenzisa indlela yokugcina, njengeekhondom, ngexesha lekhefu. (Iintloko eziphezulu: Nazi ezinye zeziphumo ebezingalindelekanga onokuzilindela xa usiya kwiipilisi zolawulo lokuzalwa.)

Ngaphezulu kwako konke, khumbula ukuba ukuhlala okanye ukucima ipilisi lukhetho lomntu ngamnye. "Zininzi izizathu zokuba kuthintelwe ukukhulelwa, nanjengoko kukho izizathu zokuba abantu basetyhini bakhethe ukungabikho kuthintelo lokucwangcisa," utshilo uGqirha Lawley, kwaye nasiphi na isigqibo kufuneka siqale ngengxoxo nomnikezeli wakho wezonyango malunga nezinto eziphambili ngokubaluleka kwezempilo.

Uphengululo lwe