Content
- 1 Modern methods of contraception for women
- 2 Rules of selection of contraceptive method
-
3 types of contraception
- 3.1 hormonal contraceptives
- 3.2 The mechanism of action of hormonal contraceptives
- 3.3 Side effects of hormonal contraceptives
- 3.4 Hormonal contraceptives new generation
- 3.5 List of hormonal contraceptives
- 3.6 barrier contraception
- 3.7 chemical contraceptives
- 3.8 mechanical contraception
- 3.9 Local contraceptives for women
- 3.10 Occasional contraceptives
- 3.11 Surgical methods of contraception
- 4 How to protect themselves without pills and spirals
-
5 What better contraceptives
- 5.1 The most reliable contraceptives
- 6 Reviews of hormonal contraceptives
- 7 The best contraceptive according to gynecologists
- 8 conclusion
Prevention of unwanted pregnancy among the most important issue of maintaining female reproductive health. It is no secret that the consequences of abortion do more harm to the body than rationally selected hormonal methods of contraception. Today, every patient is able to find the best way to prevent pregnancy, supported therapeutic effect when necessary.
Modern methods of contraception for women
Currently, there is a huge number of ways to prevent conception. Each method alone has its advantages and disadvantages. When choosing the safest contraceptive for the prevention of unwanted pregnancy the patient should receive the following information:
- effectiveness of the method, the probability of pregnancy;
- rules on the use of contraception;
- mechanism of action, side reactions;
- possible health risks;
- the degree of protection methods against STIs;
- symptoms requiring access to medical care;
- restore fertility if desired.
Despite the many myths to modern contraception include hormonal methods of delivery in different variations of the basic substance. Hormone pills last generations, in addition to the main effect of preventing unwanted pregnancies, passing have a number of positive actions: to improve the skin, reduce the amount of bleeding and pain during menstruation, eliminate PMS. Some contraceptive composition further include folic acid as a precursor to future patient body nurturing.
Rules of selection of contraceptive method
On the advisory reception at the gynecologist after careful examination and further examination is carried out to select the most suitable method of contraception individually. Correctly chosen method of contraception for women has the necessary result with the least the number of adverse effects, and the patient should be ready to use the selected method for a long time.
Special rules for selecting metol contraception does not exist. On examination, the woman informed about all the possible protection options, it is advised to choose the most reliable modern products.
Some resent the patient that the doctor did not appoint hormonal examination before prescribing COCs. Recommendations and WHO studies show that successful selection of a method of hormonal contraception healthy young woman is not required to conduct an analysis on the sex steroids.
Attention! In routine practice, contraceptives for women up to 30 years selected by careful survey, inspection and measurement in the absence of serious diseases pressure data.
types of contraception
Distinguish biological barrier, hormonal and surgical methods of contraception. The first two find it relatively outdated, ineffective. The degree of protection of the method depends on the rules of use and subjective feelings, that does not always guarantee a good result. The advantage of these funds is security. Other methods relate to the modern, efficient methods for regulating conception. Disadvantages of such contraception - contraindications exist, the development of adverse reactions. To avoid serious injury, always carried out medical consultations with the explanation of all the possible risks.
Important! Only condoms (male and female) can protect a woman from sexually transmitted infections.
hormonal contraceptives
The most common method of hormonal contraception is considered in the world. Classification of contraceptive hormones shares for combined and progestin-only. Combined means comprises a part of the estrogen and progesterone components. Depending on the concentration of different substances in a medication: monophasic, two- and three-phase contraception.
Hormonal contraceptives provide protection against conception. Hormones can come in a woman's body in many ways:
- orally;
- injection;
- implanted under the skin;
- applied as a patch to the body surface;
- is introduced into the uterus with spiral.
Most women use an oral method of administration of the active substance. However, this contraceptive technique requires systematic patients. Tablets should be used daily, preferably at the same time of day. Distortion violation reception circuit, vomiting or diarrhea lead to a decrease of the protective action.
The mechanism of action of hormonal contraceptives
The basic principle of protection of these drugs from conception - preventing ovulation. The absence of the monthly release of the egg makes the fertilization impossible phenomenon that provides reliable contraception. In addition to blocking ovulation method contributes to change in the properties of cervical mucus, which leads to death impedes the progress of sperm into the vagina. Drugs reduce contractility of the fallopian tubes and prevent thickening of the endometrium before anticipated implantation.
Regular intake hormone contraception COCs supports at the proper level, reducing substance concentration leads to a loss of efficiency. Therefore, if you choose this method of contraception is important to take pills every day.
Appointment of hormonal contraceptives is only carried out by experts, which is associated with a wide variety of products with different ancillary effects:
- regulation of cycle times, the ability to remove offensive monthly;
- reduction of lost blood;
- elimination of PMS;
- It has a therapeutic effect in endometriosis, androgenitalnom syndrome.
Such drugs can simultaneously have a therapeutic effect and prevent conception, so KOC relates to a method of contraception number one worldwide.
Side effects of hormonal contraceptives
When using contraceptives may develop following adverse reactions are more likely to develop in the first few months of the use of drugs in connection with the restructuring of the endocrine regulation:
- headache;
- intermenstrual vaginal bleeding;
- mood swings, apathy;
- violation of well-being and health;
- breast tenderness;
- swelling;
- increased blood pressure.
Important! Hormonal contraception is contraindicated in venous thrombosis, arterial hypertension, severe, after 40 years with a long smoking history, migraine with aura, obesity 3-4 stage cancer.
Hormonal contraceptives new generation
Thanks to long-term studies, and the achievements of molecular chemistry, managed to minimize the doses of hormones in the medication while maintaining contraceptive effect. Today, the treatment of choice is considered low-dose contraceptives, have a minimum number of adverse reactions. Each tablet contains such an agent to 35 ug estrogen component.
Progestins, in turn, are divided into 3 generations. New progestins have no negative impact on carbohydrate and fat metabolism and blood clotting. As a result of modern methods of hormonal contraception is much safer than their predecessors.
List of hormonal contraceptives
Young women who are concerned about weight control, prefer using contraception:
- Lindinet 20;
- Logest;
- Novinet;
- Mersilon.
Rating contraceptives for women, helping to eliminate hormonal imbalance:
- Diana -35;
- Janine;
- Modell Pro;
- rigevidon;
- Yasmin;
- Klayra;
- Jess;
- Femoden;
- Silhouette.
During the period of lactation young mothers use the following methods of protection:
- Charozetta;
- Laktinet;
- Mikrolyut.
barrier contraception
Barrier methods of preventing conception is considered preferable for the non-permanent sexual contracts, uncertainty in partner. The condom is considered the only form of contraception that protects against most STIs. The remaining female contraceptives devoid of this property. Barrier methods are still one of the main tools used by teenagers.
Important! It is necessary to the proper use of a condom from start to finish intercourse. The use of funds just before ejaculation significantly reduce the contraceptive effect.
chemical contraceptives
Spermicides are available in different forms: creams, suppositories, gels, spray, sponge, tablets for topical application. Due to the special composition of contraception, there is inactivation of the sperm. The effectiveness of the method is extremely dependent on compliance with the rules of use of the drug. Failure to comply with the instructions of contraception contraceptive effect can be completely leveled. Plus, a significant drawback is that such contraception is felt by both partners, sometimes it causes a burning sensation.
mechanical contraception
Cervical caps, diaphragms, condoms for women serve as a mechanical barrier fertilization. The effectiveness of the methods depend on the accuracy and correctness of the installation of protective education.
Local contraceptives for women
IUD is a fairly simple and reliable modern method of contraception. On average, the device provides protection against pregnancy for 5 years, it does not need every time to worry about taking the drug or condom reliability. Method of contraception say during breastfeeding, and is recommended to all women who have given birth.
Occasional contraceptives
As an urgent way to protect against pregnancy applicable emergency contraceptives for women. This concept involves the use of special methods after sexual intercourse to reduce the probability of conception. This method of contraception is allowed to receive during violent sexual acts, in violation of the integrity of barrier contraceptives. The method is not intended for permanent use. The most effective postcoital contraceptives show when using the tablets within the first 72 hours after intercourse.
Important! The medicaments single action using high concentrations of hormones. For continuous application partners should choose another reliable way to prevent pregnancy.
Surgical methods of contraception
Apart from abstinence, the most effective means of contraception is considered sterilization. The effectiveness of contraceptive methods is close to 100%, but even in that case there is a slight risk of conception. The downside of this contraception is irreversible. In most cases, sterilization is used by women who are absolutely contraindicated gestation. Another option the use of surgical tubal ligation consider cases where a woman has given birth to a desired number children (usually 3) and no longer needs the progeny or acquired disease exacerbated during gestation.
Important! If a married couple, for various reasons decided to have children after sterilization, the independent pregnancy is impossible. To conceive need to resort to assisted reproductive technologies.
How to protect themselves without pills and spirals
In addition to the basic methods of preventing unwanted pregnancy, there are techniques, which protects more than 30% of the female population. These include the so-called methods of fertility control. Physiological contraceptive methods include the use of an interrupted sexual intercourse, dangerous days of counting and determining the day of ovulation.
Unfortunately, these methods of contraception is considered the least reliable. There is no certainty about the proper use of the method: a sexual partner can not always help it at the right time, in the grease a small amount of sperm. The calendar method of contraception is based on the measurement of basal body temperature, controlling feelings and determine the time of release of the egg, which is not always correct. As a result, the calculation is broken, the effectiveness of the contraceptive method falls.
Important! say 9 -19 hours during a 28-day cycle, ovulation period in clarifying potentially dangerous. During this period, the woman must be protected from conception in another way, or not to have sex.
What better contraceptives
The safest contraceptive - abstinence. In reproductive age the most reliable method to prevent conception consider the use of hormonal contraception. Birth control pills are the most effective means. Allowed the use of COCs among young people, in patients 6 months after giving birth on a background of breastfeeding in the absence of contraindications. Mini-pill (progestogen-friendly) is used in cases where the estrogen component is contraindicated.
However, due to the extensive list of contraindications, not every patient can use oral hormonal contraceptives. In such embodiments, administration is considered another method of contraception: spiral ring, a patch, an injection.
Important! IUD is preferably installed after delivery for lengthening the periods between pregnancies.
The most reliable contraceptives
If we take into account the number of pregnancies that occurred in patients receiving a specific control method pregnancy (Pearl Index), the list of the most effective to the least effective methods of contraception looks So:
- Sterilization.
- IUD (intrauterine device).
- COC (combined oral contraceptives).
- Hormone patches and injections.
- Mini-pill.
- Extra single tablet.
- Mechanical methods (condoms, diaphragm).
- Coitus interruptus.
- Calendar method of determining ovulation.
- Spermicides.
Reviews of hormonal contraceptives
Makarova Alina G., 28 years old, was Kazan
Among the many hormonal contraception chosen protection method. On the recommendation of the attending physician has acquired Jess +. Drew manufacturer, which is known for high-quality products, which, unfortunately, is reflected in a higher price. This method of contraception use has been 7 years. During this time, never had a series of failures, PMS completely gone, menstruation itself has become less painful, left small rashes and skin greasiness. The disadvantages of this method can include periodic mood swings and headaches. Now noted a decreased libido. I want to stop taking, I'll get pregnant.
Kempel Catherine M., aged 36, was Tolyatti
After birth, I decided to start COCs, not to get pregnant again. Lactation amenorrhea is not a panacea, but once the second just not physically pull. At the reception gynecologist contraindications to the use of hormonal contraception was not found. The doctor said to choose any low-dose preparation suitable for the price. I bought a Diana-35. To my regret, after the start of use appeared pimples on the face, began to swell and fill the chest. Now I try Moddel trend, if not approach, and the contraceptive, I will try another method of protection.
The best contraceptive according to gynecologists
Doctors say that there is no list of the best contraceptive. conception prevention method chosen by each woman individually. After talking with a patient knowing contraindications to certain remedies gynecologist recommend a preferred method, the necessary preparations call group.
No less important role when choosing a method of contraception is cost. In practice, the experts give the patient a choice of several means of analog, a woman chose an appropriate drug.
conclusion
Women used are not the most reliable methods of contraception for various reasons: contraindications the use of hormonal methods, fear of addiction, loss of libido, infertility in the future development tumors. The world's a huge amount of research proving the effectiveness of hormonal contraception compared with other methods of protection. However, this method is not the most secure, there is a risk of serious complications, which can be avoided with honest communication with your doctor and surveys if necessary. The choice of method of protection is a woman.
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