He aha ka Levonorgestrel a me Ethinyl Estradiol: Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

ʻO ka Levonorgestrel a me ka ethinyl estradiol he lāʻau lapaʻau hoʻomalu hānau hui pū e loaʻa ana i ʻelua ʻano hormones. Hoʻohui kēia lāʻau lapaʻau i kahi progestin synthetic (levonorgestrel) me kahi estrogen synthetic (ethinyl estradiol) e pale pono ai i ka hāpai ʻana. Hiki paha iā ʻoe ke ʻike i kēia hui pū ʻana ma nā inoa inoa e like me Seasonique, Aviane, a i ʻole Alesse, a ʻo ia kekahi o nā ʻano i kauoha pinepine ʻia o ka contraception hormonal ma ka honua holoʻokoʻa.

He aha ka Levonorgestrel a me Ethinyl Estradiol?

ʻO kēia lāʻau lapaʻau he lāʻau lapaʻau waha hui pū e hoʻohana ana i ʻelua hormones synthetic e pale ai i ka hāpai ʻana. ʻO Levonorgestrel kahi mana synthetic o ka progesterone, ʻoiai ʻo ethinyl estradiol he ʻano synthetic o ka estrogen. Hui pū, hana kēia mau hormones e like me ka hui e pale i kou kino mai ka hoʻokuʻu ʻana i nā hua a e paʻakikī ai i ka sperm ke hiki i kekahi hua i hoʻokuʻu ʻia.

Hele mai ka lāʻau lapaʻau i ke ʻano o ka pila a lawe ʻia i kēlā me kēia lā i ka manawa like i kēlā me kēia lā. Loaʻa i ka hapa nui o nā formulations he 21 mau pila hormone ikaika a ukali ʻia e 7 mau pila hana ʻole, ʻoiai hāʻawi kekahi mau mana hou i nā hormones ikaika no nā manawa lōʻihi. Hana kēia i kahi pōʻai mahina e hoʻohālike i kāu ʻano menstrual maoli i ka wā e hāʻawi ana i ka contraception hilinaʻi.

No ke aha e hoʻohana ʻia ai ka Levonorgestrel a me Ethinyl Estradiol?

ʻO ka hoʻohana mua ʻana o kēia hui pū ʻana ʻo ka pale ʻana i ka hāpai ʻana i nā wahine e hana ana i ka moekolohe. ʻOi aku ia ma mua o 99% ka maikaʻi ke lawe pololei ʻia, e lilo ia i kekahi o nā ʻano hilinaʻi loa o ka contraception hiki ke hoʻohuli ʻia. Nui nā wahine e koho i kēia ʻano hana no ka mea he mea kūpono, hiki ke hoʻohuli ʻia, a ʻaʻole pono e hana i kekahi hana ma mua o ka hana moekolohe.

Ma waho aʻe o ka pale ʻana i ka hāpai ʻana, hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau e kōkua i ka mālama ʻana i kekahi mau pilikia menstrual. Hiki iā ia ke hoʻoponopono i nā wā maʻamau ʻole, hoʻemi i ke kahe nui ʻana o ka menstrual, a hoʻemi i ka ʻeha ʻana. Manaʻo kekahi mau wahine he mea kōkua nō hoʻi ia no ka mālama ʻana i nā hōʻailona o ka maʻi premenstrual syndrome (PMS) a i ʻole premenstrual dysphoric disorder (PMDD).

Eia kekahi, hiki i kēia hui ʻana ke kōkua i ka ʻāʻī hormonal i kekahi mau wahine. Hiki i ka mea estrogen ke hoʻemi i ka hana ʻana o nā androgens (hormones kāne) e kōkua ana i ka ʻāʻī. Eia naʻe, ʻoi aku ka lōʻihi o kekahi mau mahina e ʻike ʻia ai kēia pōmaikaʻi, a ʻaʻole e ʻike nā mea a pau i ka hoʻomaikaʻi ʻana i ko lākou ʻili.

Pehea e hana ai ʻo Levonorgestrel a me Ethinyl Estradiol?

Hana kēia lāʻau lapaʻau ma o nā ʻano hana nui ʻekolu e pale pono ai i ka hāpai ʻana. ʻO ka mea mua, hoʻōki ia i kou mau ovaries mai ka hoʻokuʻu ʻana i nā hua i kēlā me kēia mahina, ʻo ia hoʻi, ʻaʻohe hua i loaʻa no ka sperm e hoʻomomona. ʻO kēia ke ala nui e pale ai ka pila i ka hāpai ʻana, a he mea maikaʻi loa ia ke lawe mau ʻia ka lāʻau lapaʻau.

ʻO ka lua, hana nā hormones i ka mucus cervical mānoanoa a paʻa. Hoʻokumu kēia i kahi pale e paʻakikī ai ka sperm e ʻau i kou cervix a hiki i kou mau paipu fallopian. E noʻonoʻo e like me ka hoʻololi ʻana i ke kūlike o kahi ala mai ka wai i ka meli - neʻe nā mea a pau me ka lohi a me ka paʻakikī.

ʻO ke kolu, hoʻololi ka lāʻau lapaʻau i ka laina o kou ʻōpū (endometrium) e lilo ia i mea kūpono ʻole no ka hua i hoʻomomona ʻia e kanu. Manaʻo ʻia kēia he ʻano hana kākoʻo, no ka mea, ʻo ka pahuhopu nui ka pale ʻana i ka ovulation a me ka fertilization mai ka hana ʻana i ka wahi mua.

Manaʻo ʻia kēia hui ʻana he mea pale hormonal ikaika. He ikaika ia e pono ai akā hoʻohana i nā pae hormone e ʻae maikaʻi ai ka hapa nui o nā wahine. Hoʻohālikelike ʻia nā ʻano maʻamau e hāʻawi i ka maikaʻi loa me ka hōʻemi ʻana i nā hopena ʻaoʻao.

Pehea e lawe ai au i ka Levonorgestrel a me ka Ethinyl Estradiol?

Pono ʻoe e lawe i kēia lāʻau i ka manawa like i kēlā me kēia lā e mālama i nā pae hormone paʻa i loko o kou kino. ʻO ka hapa nui o nā kānaka e ʻike i ka maʻalahi o ka lawe ʻana i kā lākou pila me kā lākou hana kakahiaka a i ʻole ma mua pono o ka moe. Hiki i ka hoʻonohonoho ʻana i kahi alarm i kēlā me kēia lā ma kāu kelepona ke kōkua iā ʻoe e hoʻomanaʻo, ʻoiai ke hoʻomaka mua ʻoe.

Hiki iā ʻoe ke lawe i kēia lāʻau me ka ʻole o ka meaʻai, akā ʻo ka lawe ʻana me ka meaʻai e kōkua paha i ka hōʻemi ʻana i ka nausea inā loaʻa iā ʻoe kēlā hopena ʻaoʻao. Inā maʻa ʻoe i ka ʻōpū, e hoʻāʻo e lawe i kāu pila me kahi meaʻai māmā a i ʻole ka ʻai. ʻO ka inu ʻana i ke aniani wai piha me kāu pila hiki ke kōkua i ka absorption a hōʻemi i nā pilikia o ka ʻōpū.

ʻO ka hapa nui o nā pūʻolo pila he 28 mau pila - 21 mau pila hana i loaʻa nā hormones a me 7 mau pila hoʻomanaʻo hana ʻole. Lawe ʻoe i hoʻokahi pila hana i kēlā me kēia lā no 21 mau lā, a laila lawe i nā pila hana ʻole no 7 mau lā kahi e loaʻa ai kāu manawa. Loaʻa i kekahi mau formulations nā papa manawa like ʻole, e like me 24 mau pila hana a me 4 mau pila hana ʻole, no laila e hahai mau i nā ʻōlelo kikoʻī no kāu brand.

Inā ʻoe e hoʻomaka ana i kēia lāʻau no ka manawa mua, e ʻōlelo paha kāu kauka e hoʻomaka i ka lā mua o kou manawa a i ʻole ka Lāpule mua ma hope o ka hoʻomaka ʻana o kou manawa. Kōkua kēia i ka hōʻoia ʻana ua pale ʻia ʻoe mai ka hāpai ʻana i ka manawa koke. Inā hoʻomaka ʻoe i nā manawa ʻē aʻe, pono paha ʻoe e hoʻohana i ka contraception backup e like me nā condoms no nā lā ʻehiku mua.

Pehea ka lōʻihi e lawe ai au i ka Levonorgestrel a me ka Ethinyl Estradiol?

Hiki iā ʻoe ke lawe palekana i kēia lāʻau no ka lōʻihi e pono ai ʻoe i ka contraception a ʻaʻohe ou pilikia olakino e palekana ʻole ai. Nui nā wahine e lawe i nā pila hoʻomalu hānau hui no nā makahiki a i ʻole nā ​​makahiki he nui me ka ʻole o nā pilikia. ʻAʻole like me kekahi mau lāʻau, ʻaʻohe pono e lawe i nā wā hoʻomaha mai ka contraception hormonal inā e hana maikaʻi ana ia iā ʻoe.

Makemake kāu kauka e ʻike iā ʻoe i nā manawa maʻamau - maʻamau i kēlā me kēia 6 a 12 mahina - e nānā i kou olakino a e hōʻoia i ka pono o ka lāʻau lapaʻau iā ʻoe. I loko o kēia mau kipa ʻana, e nānā lākou i kou koko, e kūkākūkā i nā hopena ʻaoʻao āu e ʻike nei, a e nānā i kou olakino holoʻokoʻa. Kōkua kēia nānā ʻana i ka hōʻoia ʻana e mau ana ka lāʻau lapaʻau i ka palekana a me ka pono no kou kūlana pilikino.

Inā ʻoe e hoʻolālā ana e hāpai, hiki iā ʻoe ke hooki i ka lawe ʻana i nā pila i kēlā me kēia manawa. Hoʻi maʻamau kou momona i ka maʻamau i loko o kekahi mau mahina ma hope o ka hooki ʻana, ʻoiai e ovulate ana kekahi mau wahine i ka wikiwiki e like me ʻelua pule ma hope o kā lākou pila hope loa. ʻAʻohe hōʻike e pili ana i ka lawe ʻana i nā pila hoʻomalu hānau no nā manawa lōʻihi e pili ana i kou momona lōʻihi.

Pono paha kekahi mau wahine e hooki a hoʻololi paha i nā lāʻau lapaʻau ma muli o nā hopena ʻaoʻao a i ʻole nā loli i ko lākou kūlana olakino. ʻO nā kūlana e like me ke koko kiʻekiʻe, kekahi mau ʻano o ke poʻo, a i ʻole nā maʻi koko e koi iā ʻoe e hooki i kēia lāʻau lapaʻau. E kōkua kāu kauka iā ʻoe e hoʻololi i nā ʻano hana pale hānau ʻē aʻe inā pono.

He aha nā hopena ʻaoʻao o Levonorgestrel a me Ethinyl Estradiol?

ʻO ka hapa nui o nā wahine e ʻae maikaʻi i kēia lāʻau lapaʻau, akā e like me nā lāʻau lapaʻau a pau, hiki iā ia ke hana i nā hopena ʻaoʻao. ʻO ka lono maikaʻi, he maʻalahi ka nui o nā hopena ʻaoʻao a pinepine e hoʻomaikaʻi ma hope o ka hoʻoponopono ʻana o kou kino i nā hormones, maʻamau i loko o nā mahina ʻekolu mua o ka hoʻohana.

ʻO nā hopena ʻaoʻao maʻamau e ʻike ai nā wahine he nausea, palupalu o ka umauma, a me ke poʻo. He maʻalahi kēia mau hōʻailona a maʻa mau e emi ana i ka wā e maʻa ai kou kino i nā hormones. Hiki nō hoʻi iā ʻoe ke ʻike i kekahi kiko a i ʻole ke kahe ʻana ma waena o nā wā, ʻoi aku hoʻi i nā mahina mua o ka hoʻohana.

Eia nā hopena ʻaoʻao i hōʻike pinepine ʻia e pono ai ʻoe e ʻike:

• Ka luaʻi a me ka ʻōpū ʻoluʻolu
• Ka palupalu a i ʻole ka pehu ʻana o ka umauma
• Ke poʻo a i ʻole nā loli ʻoluʻolu o ka naʻau
• Ke kahe ʻana o ke koko ʻole a i ʻole ke kiko ʻana ma waena o nā wā
• Nā loli o ke kaumaha (maʻamau 1-5 paona)
• Ka emi ʻana o ka makemake i kekahi mau wahine
• Nā loli o ka ʻili, me ka hoʻomaikaʻi ʻana a i ʻole ka hōʻino ʻana o ka ʻakena

ʻAʻole pilikia pinepine kēia mau hopena ʻaoʻao a hoʻoponopono pinepine lākou iā lākou iho. Eia naʻe, inā mau lākou a lilo i mea hoʻoluhi, e kamaʻilio me kāu kauka e pili ana i nā hopena a i ʻole nā lāʻau lapaʻau ʻē aʻe.

He kakaikahi nā hopena ʻaoʻao koʻikoʻi akā pono e mālama koke ʻia. Pākuʻi ʻia kēia mau mea i ke poʻo koʻikoʻi ʻaʻole like me kāu mau poʻo maʻamau, ka ʻeha o ka umauma, ka pōkole o ka hanu, a i ʻole ka ʻeha nui o ka wāwae. Hiki i kēia mau hōʻailona ke hōʻike i nā koko koko, he mau pilikia maʻamau akā koʻikoʻi.

ʻO nā hōʻailona e pono ai ka mālama olakino koke ʻana, ʻo ia ke poʻo koʻikoʻi koke, nā loli o ka ʻike, ka ʻeha o ka umauma, ka pilikia o ka hanu, a i ʻole ka ʻeha nui o ka ʻōpū. Eia kekahi, inā ʻike ʻoe i nā hōʻailona o ke kaumaha e manaʻo nui ana a i ʻole nā manaʻo o ka hōʻeha iā ʻoe iho, e kiʻi koke i kāu mea mālama ola a i ʻole nā lawelawe pilikia.

ʻO wai ka mea pono ʻole e lawe iā Levonorgestrel a me Ethinyl Estradiol?

ʻAʻole palekana kēia lāʻau lapaʻau no nā mea a pau, a ʻo kekahi mau maʻi olakino e hana ʻole ai i ka hoʻohana ʻana i nā pila hoʻomalu hānau hui pū. E nānā pono kāu kauka i kāu moʻolelo olakino ma mua o ke kau ʻana i kēia lāʻau lapaʻau e hōʻoia i ka palekana iā ʻoe.

ʻAʻole pono nā wahine me ka mōʻaukala o nā koko koko, ka hahau, a i ʻole ka puʻuwai e lawe i kēia lāʻau lapaʻau. Hiki i ka mea estrogen ke hoʻonui i ka pilikia o nā koko koko, ʻoi aku hoʻi i nā wahine i loaʻa mua nā mea pilikia. Pākuʻi ʻia kēia i nā maʻi e like me ka thrombosis vein hohonu, ka embolism pulmonary, a i ʻole nā maʻi clotting i hoʻoilina ʻia.

Hoʻonui nui ka puhi ʻana i nā pilikia e pili ana i kēia lāʻau lapaʻau, ʻoi aku hoʻi no nā wahine ma luna o 35. Inā puhi ʻoe a ma luna o 35, e ʻōlelo paha kāu kauka i kahi ʻano ʻokoʻa o ka contraception. ʻO ka hui pū ʻana o ka puhi ʻana, ka makahiki, a me ka estrogen e hana i kahi pilikia kiʻekiʻe loa no nā pilikia cardiovascular.

Nui nā kūlana ʻē aʻe e hana ai i kēia lāʻau lapaʻau kūpono ʻole, a pono kāu kauka e ʻike e pili ana i kēia mau mea ma mua o ke kau ʻana:

• Ka maʻi maʻi umauma a i ʻole ka mōʻaukala o ka maʻi maʻi umauma a i ʻole nā maʻi maʻi ʻē aʻe e pili ana i ka hormone
• Maʻi ate a i ʻole nā ʻōpū ate
• Ke kahe ʻana o ka ʻōpū i wehewehe ʻole ʻia
• Ke koko kiʻekiʻe nui
• Diabetes me nā pilikia o nā kīʻaha koko
• Nā ʻeha poʻo migraine me ka aura
• Hāpai a i ʻole ke kānalua ʻia ka hāpai ʻana

Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, mai hopohopo - nui nā koho contraceptive ʻē aʻe i loaʻa. Hiki i kāu kauka ke kōkua iā ʻoe e ʻimi i kahi ʻano hana palekana a maikaʻi hoʻi no kāu kūlana.

Nā inoa inoa o Levonorgestrel a me Ethinyl Estradiol

Loaʻa kēia hui hormone ma lalo o nā inoa inoa like ʻole, kēlā me kēia me nā ʻano like ʻole o nā doses hormone a i ʻole nā papa hana pill. ʻO kekahi o nā hōʻailona maʻamau e pili ana iā Seasonique, Aviane, Alesse, a me Nordette. Hiki i kāu hale kūʻai lāʻau lapaʻau ke lawe pū i nā mana generic, i loaʻa nā mea hana like akā ʻoi aku ka liʻiliʻi.

Hiki i nā hōʻailona like ʻole ke loaʻa nā mea hana ʻole a i ʻole nā kala pill, akā hana like lākou a pau. Hoʻolālā ʻia kekahi mau hōʻailona no nā pōʻaiapuni i hoʻonui ʻia, ʻo ia hoʻi he liʻiliʻi kāu mau manawa i kēlā me kēia makahiki, aʻo nā mea ʻē aʻe e hahai i ka pōʻaiapuni 28-lā kuʻuna. E koho kāu kauka i ka hōʻailona kikoʻī a me ka formulation i kūpono loa no kāu mau pono a me nā makemake.

Inā hoʻololi kāu lāʻau lapaʻau iā ʻoe i kahi brand ʻē a i ʻole generic version, mai hopohopo - he mea maʻamau a palekana kēia. Eia naʻe, inā ʻoe e ʻike i nā loli i nā hopena ʻaoʻao a i ʻole ka pono ma hope o ka hoʻololi ʻana i nā brand, e haʻi i kāu kauka. I kekahi manawa, hiki i nā ʻokoʻa liʻiliʻi i nā mea hana ʻole ke hoʻopilikia i ke ʻano o ka pane ʻana o nā kānaka i ka lāʻau.

Nā koho ʻē aʻe o Levonorgestrel a me Ethinyl Estradiol

Inā ʻaʻole hana maikaʻi kēia lāʻau lapaʻau iā ʻoe, nui nā koho contraceptive maikaʻi ʻē aʻe i loaʻa. Hiki i nā pila progestin-only (mini-pills) ke kūpono inā ʻaʻole hiki iā ʻoe ke lawe i ka estrogen ma muli o nā pilikia olakino. Aia kēia mau pila i ka progesterone synthetic wale nō a palekana no nā wahine e puhi ana a i ʻole nā ​​maʻi olakino.

Hāʻawi nā mea pale reversible lōʻihi e like me nā IUD a i ʻole nā ​​implants i ka pale maikaʻi loa me ka ʻole o nā pila i kēlā me kēia lā. Hoʻokuʻu nā IUD hormonal i nā mea liʻiliʻi o ka progestin pololei i loko o kou ʻōpū, ʻoiai hāʻawi nā IUD keleawe i ka contraception hormone-free no ka 10 mau makahiki. Hele ka implant contraceptive i kou lima a hāʻawi i ka pale no ʻekolu makahiki.

Hāʻawi nā ʻano pale e like me nā condoms, diaphragms, a i ʻole nā ​​pāpale cervical i nā koho hormone-free me ka pōmaikaʻi hou o ka pale STI. Hāʻawi nā contraceptives injectable e like me Depo-Provera i ʻekolu mahina o ka pale me kēlā me kēia pana, ʻoiai he ʻokoʻa paha kā lākou ʻaoʻao hopena ma mua o nā pila.

Hiki i kāu kauka ke kōkua iā ʻoe e kaupaona i nā pono a me nā pōʻino o kēlā me kēia koho e pili ana i kou nohona, ka mōʻaukala olakino, a me nā makemake pilikino. E hoʻomanaʻo ʻo ke ʻano contraceptive maikaʻi loa ka mea āu e hoʻohana ai me ka maʻamau a me ka pololei.

Ua ʻoi aku ka maikaʻi o Levonorgestrel a me Ethinyl Estradiol ma mua o nā pila hānau ʻē aʻe?

ʻAʻole pono kēia hui ʻana i ʻoi aku ka maikaʻi a i ʻole ka ʻino ma mua o nā pila hoʻomalu hānau ʻē aʻe - he koho wale nō ia ma waena o nā koho kūpono he nui. Hana like nā pila hoʻomalu hānau hui pū a pau a loaʻa nā helu kūpono like ke hoʻohana pono ʻia. ʻO ka pila maikaʻi loa nāu e hilinaʻi ana i ke ʻano o ka pane ʻana o kou kino i nā hui hormone like ʻole a me nā mea i hoʻohana ʻia.

ʻOi aku ka maikaʻi o kekahi mau wahine me nā mea i hoʻohana ʻia i ka estrogen kiʻekiʻe a haʻahaʻa paha, aʻo nā mea ʻē aʻe e pono i nā ʻano progestin like ʻole. Hiki i kāu kauka ke hoʻāʻo i nā hui like ʻole e ʻike i ka mea e hana maikaʻi ai nāu. He mea maʻamau kēia kaʻina hana o ka ʻimi ʻana i ka mea kūpono a hōʻike i ka mea e hana nei kāu mea mālama ola kino i kāu mālama.

I ka hoʻohālikelike ʻana me nā pila progestin-only, ʻo nā pila hui pū e like me kēia e hāʻawi pinepine i nā manawa i wānana ʻia a me ka mana pōʻai maikaʻi. Eia naʻe, ʻoi aku ka palekana o nā pila progestin-only no nā wahine me kekahi mau maʻi olakino. E hilinaʻi ka koho ma waena o kēia mau koho i kāu ʻikepili olakino pilikino a me nā makemake.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Levonorgestrel a me Ethinyl Estradiol

He palekana anei ʻo Levonorgestrel a me Ethinyl Estradiol no nā wahine me ka maʻi diabetes?

Hiki i nā wahine me ka maʻi diabetes ke hoʻohana pinepine i kēia lāʻau lapaʻau me ka palekana, akā pono ia i ka nānā pono ʻana e kāu mea mālama ola kino. Hiki i nā hormones ke hoʻopilikia iki i nā pae kōpaʻa koko, no laila e makemake kāu kauka e nānā pinepine i kāu mana diabetes ke hoʻomaka ʻoe i ka lāʻau lapaʻau. Inā loaʻa iā ʻoe ka maʻi diabetes me nā pilikia e pili ana i kou mau kīʻaha koko, nā maka, nā puʻupaʻa, a i ʻole nā ​​aʻalolo, ʻaʻole paha e ʻōlelo ʻia kēia lāʻau lapaʻau.

E noʻonoʻo kāu kauka i ka maikaʻi o ka mālama ʻia ʻana o kāu maʻi diabetes, ka lōʻihi o kou loaʻa ʻana, a inā he pilikia paha kāu. Nui nā wahine me ka maʻi diabetes i mālama maikaʻi ʻia e hoʻohana i nā pila hoʻomalu hānau hui pū me ka ʻole o nā pilikia. Eia naʻe, pono ʻoe i nā manawa hālāwai maʻamau e hōʻoia i ka paʻa ʻana o kou kōpaʻa koko.

He aha kaʻu e hana ai inā hoʻohana hewa au i ka nui o Levonorgestrel a me Ethinyl Estradiol?

Inā ua lawe ʻoe ma mua o hoʻokahi pila i ka lā, mai hopohopo - ʻaʻole pilikia pinepine kēia. Hiki paha iā ʻoe ke ʻike i ka nausea, ka luaʻi, a i ʻole ke kahe ʻana o ke koko i manaʻo ʻole ʻia, akā he maʻalahi a he manawa pōkole kēia mau hōʻailona. E lawe i kāu pila aʻe i ka manawa maʻamau a e hoʻomau me kāu papa manawa maʻamau.

Inā ua lawe ʻoe i kekahi mau pila keu a i ʻole e manaʻo nui ana ʻoe i ka maʻi, e hoʻokaʻaʻike i kāu mea mālama ola a i ʻole ke kikowaena mana o ka lāʻau lapaʻau no ke alakaʻi. Hiki iā lākou ke aʻo iā ʻoe i ka mea e manaʻo ai a inā pono ʻoe i kekahi lāʻau lapaʻau. I ka hapanui o nā hihia, ʻaʻole e hōʻeha nui ka lawe ʻana i kekahi mau pila keu, akā ʻoi aku ka maikaʻi o ka loaʻa ʻana o ka ʻōlelo aʻo ʻoihana.

He aha kaʻu e hana ai inā ua hala wau i kahi mahele o Levonorgestrel a me Ethinyl Estradiol?

Inā ua hala ʻoe i hoʻokahi pila hana, e lawe koke iā ia ke hoʻomanaʻo ʻoe, ʻoiai inā ʻo ia hoʻi ka lawe ʻana i ʻelua pila i hoʻokahi lā. Pono e hoʻomau ka hana ʻana o kāu pale ʻana i ka hāpai ʻana, a ʻaʻole pono ʻoe i ka pale ʻana i hope. E hoʻomau i ka lawe ʻana i kāu mau pila i koe i ka manawa maʻamau.

Inā ua hala ʻoe i ʻelua a ʻoi aku paha nā pila hana, e lawe i ka pila i hala loa i ka wā e hoʻomanaʻo ai ʻoe a e hoʻolei i nā pila i hala ʻē aʻe. E hoʻohana i ka pale ʻana i hope e like me nā condoms no nā lā ʻehiku e hiki mai ana. Inā ua hala ʻoe i nā pila i ka pule mua o kāu pūʻolo a ua hana ʻoe i ka moekolohe i pale ʻole ʻia, e noʻonoʻo i ka lāʻau lapaʻau pilikia.

ʻO ka hala ʻana i nā pila i ka pule ʻekolu o kāu pūʻolo e koi i ka nānā kūikawā. Pono ʻoe e lele i nā pila hana ʻole a e hoʻomaka i kahi pūʻolo hou ma hope koke o ka pau ʻana o nā pila hana mai kāu pūʻolo o kēia manawa. Pale kēia i ka manawa hormone-free mai ka lōʻihi loa ʻana a me ka hoʻopilikia ʻana i kāu pale.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Levonorgestrel a me Ethinyl Estradiol?

Hiki iā ʻoe ke hooki i ka lawe ʻana i kēia lāʻau i kēlā me kēia manawa, akā ʻoi aku ka maikaʻi e hoʻopau i kāu pūʻolo i kēia manawa e pale aku i ke kahe ʻana o ke koko. Inā ʻoe e hooki ana no ka mea makemake ʻoe e hāpai, hiki iā ʻoe ke hoʻāʻo e hāpai koke ma hope o ka hooki ʻana. Hoʻi maʻamau kou momona i loko o kekahi mau mahina, ʻoiai e ovulate ana kekahi mau wahine i loko o nā pule.

Inā ʻoe e hooki ana ma muli o nā hopena ʻaoʻao, e kamaʻilio mua me kāu kauka e pili ana i nā koho ʻē aʻe. Hiki iā lākou ke ʻōlelo e hoʻāʻo i kahi ʻano ʻokoʻa a i ʻole e hoʻololi i kahi ʻano hana pale hānau ʻokoʻa loa. Mai hooki koke me ka loaʻa ʻole o kahi hoʻolālā pale hānau ʻē aʻe inā makemake ʻoe e pale i ka hāpai ʻana.

Ke hooki ʻoe i ka lawe ʻana i nā pila, hiki iā ʻoe ke ʻike i kekahi mau loli manawa i ka wā e hoʻoponopono hou ai kou kino i kāna mau pōʻai hormonal maoli. Hiki i kēia mau mea ke komo i nā manawa maʻamau no kekahi mau mahina, nā loli i ke ʻano, a i ʻole nā loli ʻili. He maʻamau kēia mau hoʻoponopono a hoʻoponopono maʻamau iā lākou iho.

Hiki iaʻu ke lawe iā Levonorgestrel a me Ethinyl Estradiol i ka wā e hānai ai i ka waiū?

ʻAʻole ʻōlelo ʻia kēia lāʻau no nā makuahine e hānai ana i ka waiū, ʻoi aku hoʻi i nā mahina ʻeono mua ma hope o ka hānau ʻana. Hiki i ka mea estrogen ke hōʻemi i ka hana waiū a hiki ke hele i loko o ka waiū umauma i nā mea liʻiliʻi. Manaʻo ka hapa nui o nā kauka e kali a hiki i ka wā i hoʻokumu maikaʻi ʻia ai ka hānai ʻana i ka waiū ma mua o ka noʻonoʻo ʻana i nā pila hānau hui.

Inā ʻoe e hānai ana i ka waiū a pono i ka pale ʻana i ka hānau ʻana, ʻoi aku ka maikaʻi o nā pila progestin-only (mini-pills). ʻAʻole lākou e pili i ka hana waiū a ua manaʻo ʻia he palekana i ka wā e hānai ai i ka waiū. ʻO nā koho ʻē aʻe e pili ana i nā IUD, nā implants, a i ʻole nā ʻano pale e ʻaʻole e keakea i ka hānai ʻana i ka waiū.

Ke mākaukau ʻoe e hoʻokaʻawale a i ʻole ua hōʻemi nui i ka hānai ʻana i ka waiū, hiki iā ʻoe ke kūkākūkā i ka hoʻololi ʻana i nā pila hui me kāu kauka. E kōkua lākou iā ʻoe e koho i ka manawa maikaʻi loa a me ke ʻano no kāu kūlana pilikino.