Ka Huahale Hōʻalo Haʻahaʻa: Nā ʻAno, Ka Hoʻoponopono ʻana i ka Lapaʻau, a me ka Palekana

ʻO wai nā pila hōʻalo i loaʻa ka estrogen haʻahaʻa?

Maʻa mau ka loaʻa o nā pila hui haʻahaʻa o ka estrogen he 35 micrograms (mcg) a i ʻole ka liʻiliʻi o ka ethinyl estradiol. Eia kekahi laʻana o nā hoʻoponopono me 20-35 mcg o ka ethinyl estradiol i hui pū ʻia me nā progestins e like me ka levonorgestrel, norgestimate, a i ʻole drospirenone, a me nā koho ultra low e like me Lo Loestrin Fe (10 mcg). ʻAʻohe mea o ka progestin wale nō nā pila o ka estrogen.

Maikaʻi paha ka huahale hōʻalo me ka estrogen haʻahaʻa no nā hopena ʻaoʻao?

ʻOi aku ka liʻiliʻi o nā hopena ʻaoʻao pili i ka estrogen (nausea, ʻeha poʻo, naʻau ʻeha o ka umauma, pilikia me nā hōʻiliʻili) no nā kānaka he nui nā pila me ka estrogen haʻahaʻa, ʻoiai kekahi poʻe e ʻoi aku ka nui o ke koko ma waena o nā manawa. ʻAʻole loaʻa ka estrogen i nā koho progestin wale nō, hiki ke kōkua inā he maʻalahi ʻoe a i ʻole ka pilikia nui no nā pilikia pili i ka estrogen.

Hoʻohui ʻia vs. Progestin Wale Nō: Ka Hoʻomaopopo ʻana i nā ʻAno ʻElua Nui

Ke kamaʻilio mākou e pili ana i nā pila hōʻalo, maʻa mau lākou e mahele ʻia i ʻelua mau ʻāpana nui. ʻO ka hoʻomaopopo ʻana i ka ʻokoʻa ka ʻanuʻu mua i ke koho ʻana i ke ala kūpono nāu.

Nā Pila Hoʻohui: Ka Duo Paʻa

E like me ko lākou inoa, aia nā pila hoʻohui i ʻelua ʻano o nā hormone: he ʻano hana kanaka o ka estrogen (maʻa mau ka ethinyl estradiol) a me kahi progestin. Pū lāua, maʻa mau lākou e pale i ka ovulation—ka hoʻokuʻu ʻia ʻana o ka hua manu mai kou mau ʻōpū. Hoʻonui pū lākou i kou mucus cervical e paʻakikikī ai i ka sperm ke komo i ka hua manu a hoʻonui i ka uhi o kou ʻōpū [source].

Ke lohe ʻoe i ka "low-dose," maʻa mau ia e pili ana i kēia mau pila. Eia kahi hoʻokaʻawale wikiwiki o nā pae estrogen:

• Ka Laulā Haʻahaʻa: Loaʻa he 35 micrograms (mcg) o ka estrogen a i ʻole ka liʻiliʻi.
• Ka Laulā Ultra Haʻahaʻa: Loaʻa he 20 mcg o ka estrogen a i ʻole ka liʻiliʻi.

Aia kekahi ʻano hou me kahi nui loa o ka estrogen, e lilo ai ia i koho kaulana no ka poʻe maʻalahi i nā hormones.

Nā Pila Progestin Wale Nō (POPs a i ʻole ka "Mini Pill")

Inā he mea nui ka estrogen iā ʻoe, e hui me ka mini pill. Loaʻa i nā pila progestin wale nō (POPs), ʻo kāu ʻike, progestin wale nō a ʻaʻohe mea o ka estrogen. ʻOi aku ka ʻokoʻa o kā lākou hana ma mua o nā pila hoʻohui. Ma kahi o ka hoʻōki ʻana i ka ovulation (ʻoiai ua hana lākou i kekahi manawa), ʻo kā lākou hana nui ka hoʻonui ʻana i ka mucus cervical, e hana ana i pale ʻaʻole hiki i ka sperm ke komo.

Hana kēia i ka huahale hōʻalo me ka ʻole o ka estrogen i koho maikaʻi loa no nā mea ʻaʻole hiki a makemake ʻole paha e lawe i ka estrogen no nā kumu olakino e like me ka mōʻaukala o nā hōʻiliʻili koko, kekahi ʻano migraines, a i ʻole no ka mea hānai lākou.

Ka Nānā ʻana i kāu mau Koho: Nā Hana Hōʻalo Haʻahaʻa o ka Estrogen

Hiki ke hoʻonui ka hele ʻana ma ka papa lāʻau. No ke kōkua ʻana, ua hoʻokaʻawale mākou i kekahi o nā pila haʻahaʻa haʻahaʻa loa e ka ʻano no laila ʻike ʻoe i nā inoa e nānā ai.

Pila Hoʻohui Ultra-Haʻahaʻa (10 mcg)

No ka poʻe e ʻimi ana i ka pae haʻahaʻa loa o ka estrogen i loko o ka pila hoʻohui, ʻo kēia ka koho alakaʻi.

• Lo Loestrin Fe: ʻO kēia ka mea wale nō ka 10 mcg estrogen pill ma ka mākeke. ʻO ka Lo Loestrin Fe he hoʻoponopono kūʻokoʻa i hoʻolālā ʻia e hāʻawi i ka pale ʻana i ka hānau ʻana me ka nui o ka estrogen, hiki ke kōkua i ka hoʻemi ʻana i nā hopena ʻaoʻao pili i ka hormone. ʻO ka "Fe" e hōʻike ana ʻo nā pila hope loa i loko o ka pūʻolo he mau mea hoʻopihapiha hao e kōkua ai i ka pale ʻana i ka anemia, ma kahi o nā pila placebo.

Nā Pila Hoʻohui Haʻahaʻa (20-35 mcg)

ʻO kēia ka ʻano maʻa mau loa o nā pila hōʻalo i kuhikuhi ʻia i kēia lā. Hāʻawi lākou i kahi kaulike maikaʻi o ka pono a me nā hopena ʻaoʻao hiki ke hoʻokele no nā mea hoʻohana he nui.

• Yaz a me Yasmin: Loaʻa i nā mea ʻelua Yaz / Yasmin nā ʻano hormone like, akā ʻoi aku ka haʻahaʻa o ka estrogen o Yaz (20 mcg) ma mua o Yasmin (30 mcg). Hoʻohana lākou i kahi progestin i kapa ʻia ʻo drospirenone, ʻike pū ʻia no ke kōkua ʻana me ka acne a me ka premenstrual dysphoric disorder (PMDD) [source].
• Apri, Aviane, Levora, Ortho Novum: ʻO kēia mau mea āpau ka mea paʻa paʻa i komo i ka ʻano low dose combination pills, maʻa mau me 20 a 35 mcg o ka estrogen.

Nā Pila Progestin Wale Nō ("Mini-Pills")

No ka pale ʻana i ka hānau ʻana me ka ʻole o ka estrogen, ʻo kēia kāu mau koho.

• Camila, Errin, Heather, Nora-BE: ʻO kēia mau mea āpau nā inoa inoa maʻa mau no ka mini pill. Loaʻa iā lākou ka progestin norethindrone a lawe ʻia i kēlā me kēia lā me ka ʻole o ka pule placebo.
• Opill: He mea hoʻololi pāʻani i ka pale ʻana i ka hānau ʻana, ʻo ka Opill birth control ka pila mua loa o ka lā i ʻae ʻia e ka FDA no ke kūʻai aku ʻole ʻia ma luna o ke kumu kūʻai (OTC) ma ʻAmelika Hui Pū ʻIa [source]. He pila progestin wale nō ia, e lilo ai ka pale ʻana i ka hānau ʻana i ka hormone i mea maʻalahi ma mua o ka wā ma mua. ʻO ka loaʻa ʻana o ka Opill birth control he ʻanuʻu nui i mua no ke olakino reproductive.

Ka Nānā ʻana i nā Pōmaikaʻi: Ka Wehe ʻana i nā Pōmaikaʻi o ka Huahale Hōʻalo Haʻahaʻa o ka Estrogen

No ke aha e hoʻololi ai nā poʻe he nui? ʻOi aku ka nui o nā pōmaikaʻi o ka huahale hōʻalo haʻahaʻa o ka estrogen, ma mua o ka pale ʻana i ka hānau ʻana.

• Ka Pale ʻana i ka Hānau ʻana i ka Hānau ʻana: E hoʻomaka kākou me ka pahuhopu nui. Ke hoʻohana pono ʻia, ʻoi aku ma mua o 99% ka pono o nā pila haʻahaʻa haʻahaʻa a me nā pila progestin wale nō i ka pale ʻana i ka hānau ʻana [source].
• Nā Hopena ʻaoʻao Pili i ka Estrogen Liʻiliʻi: No kekahi poʻe, hiki i nā pae kiʻekiʻe o ka estrogen ke hoʻoulu i ka nausea, ka ʻeha ʻana o ka umauma, a me ka ʻōpū. ʻO ka hoʻemi ʻana i ka nui hiki ke hoʻemi nui i kēia mau pilikia.
• Nā Manawa Māmā, ʻOi aku ka Maʻa Mau: Hiki i nā pila hoʻohui he nui ke hoʻomāmā, hoʻomāmā, a maʻalahi hoʻi kāu mau manawa. Hoʻohana pinepine ʻia lākou e hoʻokele i nā maʻi e like me ka endometriosis a me ka polycystic ovary syndrome (PCOS).
• Nā Pilikia Olakino Liʻiliʻi: Ua hōʻike ʻia ka hoʻohana mau ʻana o nā pila hoʻohui i ka hoʻemi ʻana i kou pilikia o ka ulu ʻana o ka maʻi ʻaʻai o ka ʻōpū a me ka ʻōpū, nā ʻōpū o ka ʻōpū, a me ka maʻi ʻōpū ʻōpū (PID) [source].
• Palekana no ka Lauaoa ʻOi aku (POPs): No ka mea ʻaʻohe mea o ka estrogen, ʻo nā pila progestin wale nō ka koho palekana no ka poʻe hānai, loaʻa ka mōʻaukala o nā hōʻiliʻili koko, he kiʻekiʻe ke koko, a ʻike paha i nā migraines me aura. He koho maʻa mau lākou no ka huahale hōʻalo no ka perimenopause.

Ka ʻAoʻao ʻAoʻao: Nā Hopena ʻaoʻao a me nā Pilikia e Noʻonoʻo ai

ʻOiaʻiʻo, ʻaʻohe lāʻau lapaʻau i kūpono. He mea nui e ʻike i nā hopena ʻaoʻao o ka huahale hōʻalo haʻahaʻa o ka estrogen a me nā pilikia ma mua o ka hoʻomaka ʻana i kekahi pila hou.

• Koko Ma Vaena o nā Manawa (Spotting): ʻO kēia ka hopena ʻaoʻao maʻa mau, ʻoi aku hoʻi me ka ultra low dose birth control a me nā pila progestin wale nō. Pono paha kou kino i kekahi mau mahina e hoʻoponopono ai, i kēia wā e ʻike paha ʻoe i ke koko a i ʻole ka spotting ma waena o nā manawa.
• Nā Hopena ʻaoʻao Maʻa Mau: ʻO nā hopena ʻaoʻao ʻē aʻe e like me ka ʻeha poʻo, ka nausea, ka hoʻololi ʻana o ke ʻano, a me ka hoʻololi ʻana i ke kaupaona. Hoʻopau pinepine kēia ma hope o nā mahina mua 2-3 ʻoiai e hoʻoponopono ana kou kino.
• Nā Pilikia Koʻikoʻi o nā Pila Hoʻohui: ʻO kēia ka mea nui loa e noʻonoʻo ai. ʻOi aku ka nui o ka estrogen haʻahaʻa e hoʻonui i ka pilikia o ka ulu ʻana o nā hōʻiliʻili koko, hiki ke alakaʻi i ka hōʻiliʻili koko hohonu (DVT), ka pulmonary embolism, ka hahau, a i ʻole ka maʻi puʻuwai. ʻOiai he liʻiliʻi ka pilikia maoli no ka poʻe olakino, he mea nui ia e kūkākūkā me kāu kauka.
• Ka Rula Manawa o ka Pila Progestin Wale Nō: ʻAʻole kala ʻia ka mini pill ma mua o nā pila hoʻohui. Pono ia e lawe ʻia i loko o ka puka ʻekolu hola like i kēlā me kēia lā e pono ai. Inā lohi ʻoe, pono ʻoe e hoʻohana i kahi ala pale ʻē aʻe.

Maikaʻi paha ka Huahale Hōʻalo Haʻahaʻa o ka Estrogen Nāu?

No laila, ʻo wai ka mea maikaʻi loa? A ʻoi aku ka mea nui, ʻo wai ka mea pono e noho mamao?

Hiki i ka ultra low dose birth control pill e like me ka 10 mcg estrogen pill ke lilo i koho maikaʻi loa inā ʻoe he maʻalahi i nā hopena o ka estrogen. Pēlā nō, inā ʻoe e ʻimi ana i ka huahale hōʻalo no ka perimenopause e kōkua ai i ka hoʻoponopono ʻana i kāu mau pōʻai, hiki ke kuhikuhi ʻia kahi koho haʻahaʻa haʻahaʻa e kāu kauka.

Eia naʻe, aia nā mea hoʻopaʻapaʻa maopopo no kekahi pila i loaʻa ka estrogen. ʻAʻole pono ʻoe e hoʻohana i nā pila hoʻohui haʻahaʻa haʻahaʻa inā ʻoe:

• Ma luna o 35 a puhi paka.
• Loaʻa ka mōʻaukala o nā hōʻiliʻili koko, ka hahau, a i ʻole ka maʻi puʻuwai.
• He kiʻekiʻe ke koko i hoʻopaʻa ʻole ʻia.
• Loaʻa ka mōʻaukala o kekahi mau maʻi ʻaʻai, e like me ka maʻi ʻaʻai o ka umauma.
• ʻIke paha i nā migraines me aura.

Inā pili kekahi o kēia iā ʻoe, ʻoi aku ka palekana o ke koho ʻana i kahi ala progestin wale nō a i ʻole kahi koho ʻaʻole ʻo ka hormone.

Mai Poina i nā Koho ʻē aʻe me ka ʻole o ka Hormone

ʻOiai ke nānā aku nei kēia alakaʻi i ka huahale hōʻalo haʻahaʻa o ka estrogen, he mea nui e ʻike he mau koho maikaʻi ʻole hoʻi kāu me ka ʻole o ka hormone.

• Copper IUD (ParaGard): Hoʻokomo ʻia kēia mea liʻiliʻi, me ke ʻano T i loko o kou ʻōpū e kekahi mea mālama ola a hiki ke pale i ka hānau ʻana no 10 mau makahiki. ʻAʻohe mea o ka hormone.
• Nā Ala Hōʻailona: ʻO nā condom, nā diaphragm, a me nā pāpale ʻōpū, he mau ala pono, ma ke noi, ʻaʻole loaʻa nā hormone. Eia kekahi, ʻo nā condom ka mea wale nō e pale pū ai i nā maʻi i loaʻa ma ka moekolohe (STIs).

Ka Hoʻopau ʻana: Kāhea aku i kāu Kauka

ʻO ka mea nui e lawe ʻia ʻo kēia: ʻo ka "maikaʻi" ka huahale hōʻalo ʻo ia ka mea e kūpono a palekana hoʻi i loko o kou ola. ʻO ka hoʻomaopopo ʻana i nā pōmaikaʻi o ka huahale hōʻalo haʻahaʻa o ka estrogen a me nā hopena ʻaoʻao o ka huahale hōʻalo haʻahaʻa o ka estrogen ka ʻanuʻu mua āu.

ʻO kāu ʻanuʻu aʻe, ka mea nui loa, ʻo ka hoʻonohonoho ʻana i kahi manawa me kahi kauka a OB/GYN paha. Hiki iā lākou ke nānā i kāu moʻolelo olakino pilikino, kūkākūkā i kāu ʻano ola a me kāu mau makemake, a kōkua iā ʻoe ke koho i kahi ala hoʻohua e manaʻo ai ʻoe i ka palekana, ka ʻoluʻolu, a me ka mana.