Cov Lus Pom Zoo Tshiab Hais * Txhua * Hormonal Birth Control Yuav Tsum Muaj Nyob Hauv Lub Tuam Txhab

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Kev sib ntaus los ua kom hormonal tswj kev yug me nyuam tau dav siv txuas ntxiv mus.

Hauv tsab ntawv Kaum Hli ntawm Obstetrics & Gynecology, American College of Obstetricians and Gynecologists (ACOG) qhia tias tag nrho Cov tshuaj hormonal contraceptives - nrog rau cov ntsiav tshuaj, lub nplhaib ntawm qhov chaw mos, tshuaj tiv thaiv kab mob, thiab depot medroxyprogesterone acetate (DMPA) txhaj tshuaj - muaj kev nyab xeeb txaus rau kev nkag mus rau hauv khw muag khoom yam tsis muaj hnub nyoog txwv, raws li tsab ntawv tshaj tawm los ntawm pawg neeg. (IUDs tseem yuav tsum tau ua tiav ntawm koj ob-gyn lub chaw haujlwm; ntau ntxiv rau hauv qab no.) Qhov no yog qhov hloov kho tshiab, muaj zog dua li qhov tau txais yav dhau los los ntawm 2012, uas tau qhia tias tsuas yog kev tiv thaiv qhov ncauj yuav tsum muaj nyob tom khw. Qhov tseem ceeb, txawm li cas los xij, ACOG kuj tau hais hauv nws tsab ntawv tshaj tawm tias kev kuaj ob-gyn txhua xyoo tseem pom zoo, tsis hais txog kev nkag mus rau kev tswj hwm kev yug menyuam.

"Qhov xav tau kom tau txais daim ntawv xaj tsis tu ncua, tau txais kev pom zoo ntxiv, lossis teem sijhawm teem sijhawm tuaj yeem ua rau kev siv tsis sib xws ntawm txoj kev tswj hwm kev yug menyuam," Michelle Isley, MD, MPH, uas tau sau ntawv ACOG lub tswv yim, tau hais hauv xovxwm. tso tawm. Los ntawm kev ua txhua hom tshuaj tiv thaiv hormonal muaj nyob hauv khw muag khoom, cov poj niam yuav nkag mus rau ntau yam kev xaiv yam tsis muaj kev cuam tshuam ntau, nws piav qhia.

Nyob rau hauv cov kev tshwm sim uas tag nrho cov hormonal txoj kev tswj kev yug me nyuam ua dhau los muaj nyob tom khw ntawm qee lub sijhawm, nws yuav tsum tsis txhob them tus nqi pheej yig, ntxiv rau ACOG pawg neeg koom tes, Rebecca H. Allen, MD, MPH, hauv pawg neeg tshaj tawm. Hauv lwm lo lus, tus nqi ntawm cov tshuaj no yuav tsum tsis txhob nce vim tias lawv yuav yooj yim dua. Dr. Allen tau hais tias "Kev pov hwm kev pov hwm thiab lwm yam kev txhawb nqa nyiaj txiag rau kev xeeb tub yuav tsum tseem siv tau," Dr. (Muaj feem xyuam: 7 Cov Lus Qhia Txog Kev Yug Menyuam Yaus, Busted Los Ntawm Tus Kws Tshaj Lij)

Qhov tseeb, nws yog ib qho tseem ceeb uas tus nqi tswj kev yug me nyuam yog hais txog thaum xav txog cov lus pom zoo no, Luu Ireland, MD, M.P.H., FACOG, tus pab xibfwb ntawm obstetrics thiab gynecology thiab tus kws kho tsiaj ntawm ACOG's Massachusetts Section, qhia. Cov duab. "Tam sim no, hormonal contraceptives yog them rau tus neeg mob tsis muaj nqi raws li Txoj Cai Saib Xyuas Nqis," piav qhia Dr. Ireland. "Cov kev tiv thaiv tus nqi no yuav tsum nyob hauv qhov chaw. Peb tsis tuaj yeem ua lag luam hauv ib qho teeb meem (xav tau daim ntawv yuav tshuaj) rau lwm tus (cov nqi hauv hnab tshos)."

Yog li, yog vim li cas thiaj li thawb rau kev tiv thaiv kab mob ntau dhau? Raws li kev txheeb cais thiab kev tshawb fawb, nws tsuas ua rau muaj kev nkag siab ntau dua, hais tias Dr. Ireland.

"Yuav luag ib nrab ntawm txhua qhov kev xeeb tub hauv Tebchaws Meskas tsis tau npaj tseg, thiab cov poj niam tsim nyog nkag tau yooj yim rau txoj hauv kev zoo los tiv thaiv kev xeeb tub," nws piav qhia. Kev cia siab yog tias kev xaiv tswj kev yug me nyuam tuaj yeem siv tau ntau dua yuav txhais tau tias kev xeeb tub tsawg dua, nws hais. (Ntxiv rau, tsis txhob hnov ​​​​qab tias kev tiv thaiv kev yug me nyuam feem ntau siv los kho cov poj niam txoj kev noj qab haus huv zoo li polycystic zes qe menyuam syndrome.)

Yog lawm, tsis ntev los no kev nom kev tswv nyob ib puag ncig tswj kev yug menyuam tau -ua kom nws maj mam -nruj. Thawj Tswj Hwm Trump yav dhau los tau teeb tsa kev pom zoo rau kev tiv thaiv Planned Parenthood, qhov chaw pabcuam loj tshaj plaws ntawm cov poj niam kev noj qab haus huv thiab kev ua menyuam yaus hauv Asmeskas. Ntxiv rau, Senate Republicans tau rov hais dua rau txoj cai lij choj uas yuav txwv tsis pub Planned Parenthood lub peev xwm los muab kev pabcuam xws li lub cev, kuaj mob qog noj ntshav, thiab kev saib xyuas menyuam yaus. Tag nrho cov no ua rau kev tswj yug menyuam tseem ceeb dua.

Kuj tsis muaj kev tshawb fawb qhia tias nws yog ib qho yuav tsum tau mus ntsib ob-gyn kom tau txais kev tswj hwm kev yug me nyuam, ntxiv Dr. Ireland. Hloov chaw, tus kws kho mob mus ntsib thiab xav tau daim ntawv tshuaj feem ntau "tam sim no muaj kev cuam tshuam tiag tiag rau cov poj niam hauv kev nkag mus rau cov tshuaj tiv thaiv lawv xav tau," nws piav qhia. Cov teeb meem no suav nrog cov kws kho mob tsis nkag siab yuav ua li cas qee yam tshuaj tiv thaiv kab mob ua haujlwm, kev nkag siab yuam kev txog cov tshuaj, thiab hais txog kev txhawj xeeb ntau ntxiv txog kev nyab xeeb, raws li tsab ntawv pom zoo xyoo 2015 luam tawm los ntawm ACOG.

Tab sis tsuas yog vim koj yuav tsum tsis txhob muaj mus rau ob-gyn kom tau hormonal tswj, tsis tau txhais hais tias koj yuav tsum tsis txhob pom lawv kiag li. Kev mus ntsib ib xyoos ib zaug thiab kev tshuaj xyuas tseem tseem tsim nyog rau kev tiv thaiv kev noj qab haus huv (xav tias: pap smears, tshuaj xyuas kab mob sib kis thiab kis kab mob, txhaj tshuaj tiv thaiv kab mob, lub mis, thiab kuaj lub plab, thiab lwm yam), hais tias Dr. Ireland. Kev mus ntsib kws kho mob kuj tseem muab sijhawm rau koj los tham txog txhua yam kev txhawj xeeb uas koj yuav muaj txog koj lub voj voog kev coj khaub ncaws, kev ua haujlwm ntawm kev sib deev, lossis kev noj qab haus huv ntawm qhov chaw mos, nws hais ntxiv. Lus Cim: Cov neeg uas xav tau IUD lossis cov tshuaj tiv thaiv kab mob tseem yuav tau teem sijhawm nrog lawv tus kws kho mob kom pib tso lub cuab yeej, piav qhia Dr. Ireland. (Muaj feem cuam tshuam: Lena Dunham's Op-Ed Yog Kev Ceeb Toom tias Kev Tiv Thaiv Yug Menyuam Muaj Ntau Tshaj Li Tiv Thaiv Kev Tiv Thaiv Menyuam Yaus)

Raws li rau cov neeg uas yuav tab tom nrhiav kev sim tswj kev yug menyuam thawj zaug, ob-gyn tseem yuav yog qhov tseem ceeb hauv kev pab koj xaiv txoj kev twg yog qhov zoo rau koj lub cev, hais tias Dr. Ireland. Tab sis FWIW, ntau qhov "kev tshawb fawb kev tshawb fawb zoo" tau pom tias cov poj niam muaj peev xwm kuaj xyuas tus kheej thiab txiav txim siab seb lawv puas yog cov neeg sib tw rau kev tswj hwm hormonal, nws hais ntxiv. Ntxiv rau, yog kev yug menyuam yog kom muaj nyob rau hauv lub khw muag khoom, cov tshuaj daim ntawv lo yuav ua ib qho kev qhia ntxiv txog kev siv nws, nrog rau muab cov lus ceeb toom / kev txhawj xeeb rau cov neeg siv yuav tsum paub txog, nws piav qhia.

Yog hais tias lub tswv yim ntawm kev tswj kev yug me nyuam hauv khw muag khoom zoo dhau los ua qhov tseeb, qhov ntawd yog vim tam sim no, nws yog. (Saib: Qhov Kev Xaiv Tsa ntawm Donald Trump tuaj yeem txhais li cas rau yav tom ntej ntawm Poj Niam Kev Noj Qab Haus Huv)

Cov kab hauv qab: Tsis txhob tso tseg koj qhov kev teem caij ob-gyn tam sim no. Cov lus hais los ntawm ACOG yog, tam sim no, cov lus pom zoo dav dav. Txoj cai tsis tau hloov pauv, thiab kev tswj cov tshuaj hormonal tseem tuaj yeem siv tau nrog daim ntawv xaj tshuaj hauv Tebchaws Meskas.

"Cov kev hloov no yuav tsis tshwm sim tam sim ntawd," hais tias Dr. Ireland. "Muaj cov txheej txheem uas yuav tsum tau ua dhau los ntawm US Food and Drug Administration (FDA) [ua ntej] cov xwm txheej dhau ntawm lub khw tuaj yeem ua tiav."

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