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Lwm Yaj - 02 Tus yus tsis tau yeej khuv xim
Daim Duab: Lwm Yaj - 02 Tus yus tsis tau yeej khuv xim

Zoo Siab

Tej zaum koj tau nyob rau hauv Pill txij thaum koj muaj 16 xyoo. Los yog tej zaum koj yog ib tug neeg uas ib txwm khaws ib lub hnab looj hauv koj lub hnab nyiaj-tsuas yog hauv rooj plaub. Xijpeem koj cov tshuaj tiv thaiv kev xaiv, koj ntseeg siab tias siv nws txhais tau tias koj yuav tsis ntaus pob ncaws pob rau menyuam yaus yav tom ntej. Thiab, rau qee qhov, koj yuav tsum muaj peev xwm nqus tau yooj yim: Kev tswj hwm kev yug menyuam niaj hnub no muaj txiaj ntsig zoo. Tab sis tsis muaj dab tsi ua haujlwm 100 feem pua ​​ntawm lub sijhawm, thiab kev poob qis tshwm sim ntau dua li qhov koj xav. Raws li lub koom haum Guttmacher, ib qho 49 feem pua ​​​​ntawm tag nrho cov cev xeeb tub hauv Tebchaws Meskas yog tsis txhob txwm-thiab tsis yog txhua tus neeg uas pom nws tus kheej poob nthav tau poob los ntawm kev pw tsaug zog-ed chav kawm. Qhov tseeb, ib nrab ntawm txhua tus poj niam uas tau cev xeeb tub tau siv qee yam kev tswj yug me nyuam.

Yog li yuav ua li cas? Feem ntau nws los rau cov neeg siv yuam kev, xws li tsis quav ntsej noj cov tshuaj tiv thaiv qhov ncauj txhua hnub. Katharine O'Connell White, MD hais tias "Lub neej tsis khoom thiab nyuaj rau tib neeg feem ntau, thiab qee zaum yuav tsum xav txog ib yam ntxiv ntau dhau lawm."


Tau kawg, kev saib xyuas ntawm qhov tsis xav tau ntxiv rau koj tsev neeg tsis yog ib qho yooj yim feat. Nov yog qhov ua tsis raug rau tsib tus neeg nyeem, ntxiv rau cov tswv yim kom ua kom raug.

Cov teeb meem tshuaj

Sarah Kehoe

Jennifer Mathewson yog tub ceev xwm hauv Tub Rog Tub Rog thaum nws tsim muaj kab mob urinary. Nws tus kws kho mob muab nws rau tshuaj tua kab mob tab sis yeej tsis tau hais tias nws tuaj yeem cuam tshuam nrog kev tiv thaiv qhov ncauj uas nws tau noj. Muaj ib hnub, raws li nws tau sawv ntawm mloog thiab mloog tus tub ceev xwm muab hnub txiav txim, nws poob siab. Txawm hais tias lub teeb pom kev yog qhov tshwm sim ntawm cev xeeb tub, nws tsis muaj lub tswv yim nws xav kom txog thaum nws mus txog tom tsev kho mob thiab tau kuaj ntshav. Mathewson, uas tam sim no muaj 32 xyoos thiab ua hauj lwm ua ib tug neeg sau xov xwm hauv Idaho hais tias "Kuv nyob ib leeg thiab tsuas yog 19 xyoo xwb, yog li kuv ntshai heev," "Tab sis kuv xav tau tus menyuam, thiab kuv zoo siab kuv tau ua."


Qhov txawv yog dab tsi?

Thaum siv zoo kawg nkaus, cov ntsiav tshuaj ua ke (uas muaj cov tshuaj estrogen thiab progesterone) thiab cov tshuaj progestin nkaus xwb yog 99.7 feem pua. Tab sis tus lej ntawd poob mus rau 91 feem pua ​​nrog qhov hu ua "kev siv"-txhais tau tias txoj kev uas poj niam feem ntau coj lawv. "Qee qhov xwm txheej, qhov ua tsis tiav tuaj yeem siab txog 20 feem pua ​​vim tias lawv tsis hnov ​​qab noj nws tas li lossis lawv tsis siv tshuaj thiab tsis tau txais nyiaj ntxiv tam sim ntawd," sau Andrew M. Kaunitz, MD, tus thawj coj koom nrog ntawm obstetrics thiab gynecology ntawm University of Florida College of Medicine-Jacksonville.

Tiv Thaiv Koj Tus Kheej

1. Sijhawm yog lawm. Popping Pill tib lub sijhawm txhua hnub yog qhov ntse, thiab nws yog qhov tseem ceeb yog tias koj tab tom noj cov tshuaj progestin nkaus xwb (cov tshuaj hormones hauv nws tsuas yog ua haujlwm rau 24 teev). Yog tias koj nquag tsis nco qab, teeb tsa koj lub xov tooj kom nrov nrov rau koj, sim ib qho app zoo li Drugs.com Pill Reminder ($ 1; itunes.com), lossis coj tus cwj pwm coj nws nrog noj tshais. Tseem nyuaj rau nyob twj ywm raws sijhawm? Txiav txim siab hloov mus rau thaj ua rau thaj zoo lossis lub nplhaib, uas koj tsuas yog yuav tsum tau hloov lub lis piam lossis hli.


2. Nco koj cov tshuaj. Thaum twg los xij koj sau daim ntawv xaj tshuaj tshiab, nyeem daim ntawv ntxig lossis nug koj tus kws kho mob lossis tus kws muag tshuaj yog tias nws tuaj yeem cuam tshuam Pill qhov ua tau zoo. Vim hais tias cov tshuaj tiv thaiv qhov ncauj yog metabolized los ntawm lub siab, lwm cov tshuaj uas tau ua tiav tib txoj kev no-xws li qee cov tshuaj tua kab mob, tshuaj tiv thaiv kab mob, thiab tshuaj tiv thaiv qaug dab peg-yuav cuam tshuam rau lawv, piav qhia Sarah Prager, MD, tus kws tshaj lij ntawm obstetrics thiab gynecology. ntawm University of Washington Tsev Kawm Ntawv Kho Mob. Thaum tsis paub tseeb, siv hnab yas looj. Kev tiv thaiv ntxiv kuj tseem nyob rau hauv kev txiav txim yog tias koj muaj kab mob plab thiab ntuav li ntawm ob lossis peb teev tom qab noj koj cov tshuaj (ntseeg nws los tsis yog, qhov no yog suav tias yog tshuaj tsis tau).

Condom Complications

Sarah Kehoe

Lub caij ntuj sov dhau los, Lia Lam tau sib deev nrog tus hluas nraug tshiab thaum nws tau hnov ​​lub hnab looj tes uas lawv siv tau tawg lawm. "Tab sis kuv xav tias kuv tsuas yog ua neeg vwm thiab tsis hais dab tsi," hais tias Lam, 31, tus ua yeeb yam hauv Vancouver, Canada. Tom qab lawv ua tiav, nws rub tawm thiab nws lub suab tau lees paub: Lub hauv qab ib nrab ntawm cov hnab looj tes tseem nyob hauv nws. Hauv kev xav, Lam xav tias qhov xwm txheej tshwm sim vim tias nws qhuav me ntsis thaum ua. Nws tau hais tias "Peb tsis poob siab, tab sis peb tsuas tau sib tham ib hlis thiab ib nrab thiab tsis tshua npaj ua niam txiv," Yog li ntawd lawv tau mus rau lub khw muag tshuaj mus yuav tshuaj tiv thaiv thaum muaj xwm ceev (cov tshuaj "tag kis-tom qab"), uas tiv thaiv kev xeeb tub los ntawm kev ncua ovulation los yog txwv tsis pub lub qe fertilized los ntawm cog rau hauv lub tsev menyuam.

Dab tsi yog qhov txawv?

Thaum siv raws li qhov xav tau, cov txiv neej looj hnab looj tes (hom zoo tshaj plaws) yog 98 feem pua ​​muaj txiaj ntsig zoo; Nrog rau kev siv ib txwm, tus lej ntawd poob rau 82 feem pua. (Lwm hom, xws li cov khoom ua los ntawm lambskin thiab polyurethane, tej zaum yuav tsis zoo me ntsis, tab sis lawv yog cov kev xaiv zoo yog tias koj lossis koj tus txiv neej tsis haum rau cov yas.) lig dhau lawm, lossis lawv tawg thaum sib deev.

Tiv Thaiv Koj Tus Kheej

1. Saib nws cov txheej txheem. Koj tus txiv neej yuav tsum hnav lub hnab looj tes ua ntej nws qhov chaw mos tau nyob txhua qhov chaw ze koj cheeb tsam chaw mos. Nws yuav tsum rub lub hnab looj tes, dov nws maj mam kom tag nrho cov huab cua tawm thiab muaj qhov chaw khaws cov phev, thiab tshem tawm tam sim tom qab ejaculation (thaum nws tseem nyuaj). Tuav nws ntawm lub hauv paus ntawm qhov chaw mos thaum nws rho tawm yuav pab tiv thaiv kom tsis txhob nchuav.

2. Lube nce. Raws li Lam tau kawm, kev sib txhuam ntau dhau tuaj yeem ua rau lub hnab looj kua muag los kua muag. Xaiv rau cov dej- lossis silicone-raws roj nplua nyeem. Qhov tseeb tsis muaj-tsis muaj: siv roj- lossis roj-raws li cov khoom lag luam, uas tuaj yeem cuam tshuam kev ncaj ncees ntawm latex.

3. Txheeb xyuas cov hnub tas sij hawm. Cov hnab looj tes muaj lub neej txee, uas yuav tsum tsis txhob quav ntsej. Thiab yog tias cov roj hmab zoo li qhuav lossis txhav thaum nws raug tshem tawm ntawm pob, pov nws.

4. Muaj ib txoj kev npaj thaub qab. Yog tias lub hnab looj tsis ua haujlwm, ua raws Lam tus thawj coj thiab yuav cov tshuaj tiv thaiv xwm txheej ceev. Muaj peb lub npe: ella, Xaiv Tom Ntej Ib Dose, thiab Npaj B. Txhua tus neeg hnub nyoog 15 xyoos lossis laus dua tuaj yeem yuav cov no yam tsis muaj ntawv yuav tshuaj, txawm hais tias koj yuav tau nug tus kws muag tshuaj vim tias lawv nyob tom qab lub txee. Koj muaj txog li tsib hnub los coj ella; lwm qhov yuav tsum siv tsis pub dhau 72 teev.

Tubal Ligation Teeb meem

Sarah Kev

Tom qab Crystal Consylman yug nws tus menyuam thib peb thaum muaj hnub nyoog 21 xyoos, nws txiav txim siab kom muaj tubal ligation (aka muab nws lub raj khi), txheej txheem phais mob uas cov hlab ntuag ntuag raug txiav lossis thaiv kom tsis txhob muaj menyuam tas mus li. Xya xyoo tom qab, xyoo 2006, nws xav tsis thoob vim nws cev xeeb tub. Nws yog ectopic cev xeeb tub, txhais tau tias lub embryo tau cog rau sab nraum lub tsev menyuam thiab tsis muaj peev xwm ua tau. "Kuv tau los ntshav loj heev hauv lub cev thiab yuav luag tuag," nco txog Consylman, tam sim no 35, uas ua haujlwm ntawm lub tuam txhab kev cai lij choj hauv Lancaster, PA. Thaum nws tau maj nrawm rau kev phais mob xwm txheej ceev, nws xav tias tus kws phais tau kho qhov botched tubal ligation-tab sis qhov ntawd tsis yog li ntawd. Tom qab muaj lub cev xeeb tub thib ob 18 lub hlis tom qab, nws cov hlab ntsha tau raug tshem tawm tag nrho.

Qhov txawv yog dab tsi?

Poj niam ua kom tsis muaj menyuam yog 99.5 feem pua ​​muaj txiaj ntsig, tab sis qhov kawg ntawm cov raj ua qee zaum pom lawv txoj kev rov qab los ua ke. Hauv qhov tsis tshua muaj tshwm sim uas koj cev xeeb tub tom qab, muaj 33 feem pua ​​ntawm nws yog ectopic vim tias lub qe fertilized tuaj yeem raug ntes hauv thaj chaw puas.

Tiv Thaiv Koj Tus Kheej

1. Xaiv koj tus kws phais kom zoo. Saib rau pawg thawj coj saib xyuas kev noj qab haus huv uas tau ua tus txheej txheem tsawg kawg ob peb zaug.

2. Ua raws cov txheej txheem tom qab-op. Muaj koj cov hlua khi yuav tsum ua kom koj tsis muaj menyuam sai sai, tab sis koj tus kws kho mob yuav xav kom koj tuaj ntsib tom qab ob peb lub lis piam tom qab saib seb koj puas kho tau zoo. Thiab yog tias koj xaiv tubal ligation lwm-xws li Essure, qhov kev xaiv tshiab uas cov coils me me tau muab tso rau hauv cov hlab ntaws los thaiv lawv-koj yuav xav tau X-ray tshwj xeeb peb lub hlis tom qab kom paub tseeb tias cov hlab raug kaw tag nrho. Lub caij no, koj yuav xav siv thaub qab thaub qab.

Snafus Sterilization

Sarah Kehoe

Tom qab muaj ob tug menyuam, Lisa Cooper thiab nws tus txiv txiav txim siab tias lawv tsev neeg tiav, yog li nws tau siv lub vasectomy. Tab sis tsib xyoos tom qab, tus kws ua lag luam Shreveport, LA tau pib hnyav dua vim tsis muaj laj thawj pom thiab pom yam tsis muaj lub sij hawm cua tshuab. Vim tias nws muaj 37 xyoos, nws tau sau nws mus txog rau lub sijhawm tsis muaj menyuam. Cooper hais tias, "Thaum lub sijhawm kuv kuaj cev xeeb tub thiab mus ntsib kws kho mob, kuv muaj 19 lub lis piam nrog," Tam sim no nws tus txiv tau hla qhov kev tshuaj xyuas tom qab, uas yog tib txoj hauv kev kom paub tseeb tias kev phais tau ua tiav. Tom qab tos txais lawv cov menyuam thib peb thiab thib plaub, Cooper tus txiv tau mus rau qhov phais thib ob-thiab lub sijhawm no nws tau ntsib nws tus kws kho mob tom qab ntawv pom zoo.

Dab tsi yog Qhov Tseeb?

Kev siv tshuaj vasectomy yog 99.9 feem pua ​​ua tau zoo, ua rau nws muaj kev ntseeg tau tshaj plaws txoj hauv kev tswj kev yug menyuam. Tab sis txawm nyob ntawm no, tib neeg ua yuam kev tuaj yeem tshwm sim. Thaum lub sijhawm txheej txheem, vas deferens, lub raj uas nqa cov phev mus rau lub cev tso dej tawm, tau muab txiav los yog banded, piav qhia Philip Darney, MD, tus xibfwb qhia txog kev phais cev, poj niam txiv neej, thiab kev tshawb fawb txog menyuam hauv University of California, San Francisco. Tab sis yog qhov snip tau ua hauv qhov chaw tsis raug, nws yuav tsis ua haujlwm. Lwm qhov tsis txaus ntseeg muaj peev xwm: "Qhov kawg uas tau tawg tuaj yeem loj hlob tuaj ua ke yog tias lawv tsis sib nrug deb txaus."

Tiv Thaiv Koj Tus Kheej

1. Xaiv ib tus kws phais neeg tawv. Raws li nrog tubal ligation, xaiv tus kws kho mob uas tau ntawv pov thawj pom zoo thiab muaj cov txheej txheem ntau hauv qab nws txoj siv. Koj tus kws kho mob thawj zaug tuaj yeem muab ntau cov lus pom zoo. Thiab nws ib txwm ua tib zoo tshuaj xyuas tus kws kho mob; koj lub xeev daim ntawv tso cai daim ntawv tso cai tuaj yeem muab cov ntaub ntawv hais txog kev ua tsis ncaj ncees.

2. Tos rau lub cim qhia meej. Cooper zaj dab neeg qhia txog qhov tseem ceeb ntawm koj tus khub kom tau tshuaj phev txog peb lub hlis tom qab tus txheej txheem; Nws yog ib qho tseem ceeb kom paub meej tias nws tsis muaj menyuam. Txog thaum ntawd, siv lwm txoj hauv kev tiv thaiv kab mob.

IUD Teeb Meem

Cov duab Getty

Xyoo 2005, Kristen Brown txiav txim siab kom tau IUD (cov cuab yeej siv hauv tsev) vim tias nws tau hnov ​​nws zoo li tsis muaj dab tsi. Nws thiab nws tus txiv twb muaj peb tus menyuam thiab tsis tau npaj ntau ntxiv. Ob xyoos tom qab, Brown pib muaj mob plab heev thiab los ntshav hnyav. Kev txhawj xeeb nws yuav muaj fibroids lossis endometriosis, nws tau mus ntsib nws ob-gyn, uas qhia nws tias nws xeeb tub. Vim yog los ntshav, nws tau muab tso rau hauv txaj, tab sis ib hlis tom qab nws nchuav menyuam. "Qhov kev paub tau mob siab heev thiab mob lub cev, thiab kuv poob ntau ntau cov ntshav-ntau heev uas kuv yuav luag xav tau kev hloov ntshav," nco txog Brown, tam sim no 42 thiab tus kws sau ntawv hauv Jacksonville, FL. Cov kws kho mob yeej tsis paub meej tias qhov ua tsis zoo ntawm IUD, tab sis tej zaum nws yuav txav los ntawm nws txoj haujlwm qub. Hais tias Brown, "Kev nyuaj siab ua rau kuv lub siab xav tsis meej txog kev nyab xeeb thiab ua tau zoo ntawm kev tiv thaiv kev yug menyuam."

Dab tsi yog Qhov Tseeb?

IUD, cov cuab yeej me me "T" tso rau hauv lub tsev menyuam txhawm rau tiv thaiv cov phev los ntawm fertilizing qe, ntau dua 99 feem pua ​​ua tau zoo nrog kev siv tau zoo thiab siv tau. Txawm hais tias tsawg heev, feem ntau yog vim li cas IUDs tsis ua haujlwm yog vim lawv hloov mus rau hauv tsev menyuam. Ib qho IUD tseem tuaj yeem raug ntiab tawm ntawm lub tsev menyuam, tej zaum koj tsis paub nws. (Piv txwv li, koj tuaj yeem yaug nws mus tso quav tso quav.) Muaj polyps, fibroids, lossis muaj menyuam hauv plab (uas ua rau lub cev ntas tsis zoo) tuaj yeem ua rau muaj kev pheej hmoo ntawm nws ntog tawm.

Tiv Thaiv Koj Tus Kheej

1. Ua ib qho kev kuaj xyuas. Cov neeg tsim khoom tawm tswv yim tias ib hlis ib zaug koj ua kom ntseeg tau tias 1- rau 2-nti txoj hlua yas txuas rau lub cuab yeej tau dai ntawm lub ncauj tsev menyuam mus rau hauv qhov chaw mos li nws yuav tsum tau ua. Yog tias nws ploj lossis nws zoo li ntev dua li ib txwm, mus ntsib koj tus kws kho mob (thiab siv thaub qab tswj kev yug menyuam lub sijhawm no). Tab sis tsis txhob rub lub xov. "Cov poj niam tau yuam kev tshem lawv cov IUDs li no," ceeb toom Prager.

2. Pib muaj zog. Yog tias koj xaiv rau ParaGard (tooj liab IUD), nws yuav tsum ua haujlwm sai li sai tau thaum koj tau txais nws. Skyla thiab Mirena, uas muaj cov tshuaj progestin me me, kuj tseem siv tau tam sim ntawd yog tias lawv tau tso rau hauv xya hnub tom qab pib koj lub sijhawm; txwv tsis pub, siv txoj hauv kev thaub qab rau ib lub lim tiam. Skyla yog qhov zoo txog peb xyoos, Mirena kav ntev txog tsib xyoos, thiab ParaGard tuaj yeem nyob ntev txog 10. "Peb hu IUDs tsis nco qab txog kev tiv thaiv menyuam," hais tias Kaunitz, "vim tias koj tsis tas yuav nco dab tsi los tiv thaiv. "

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