Whakawhānau Raraunga Kāore he Estrogen Nui: Ngā Momo, Te Horopeta, me te Haumarutanga

Ko ēhea pire whakawhānau ngā iti ake te estrogen?

Ko ngā pire whakawhānau tahi ngā iti ake te estrogen, kei roto i a rātou te 35 mirikiramu (mcg) iti iho rānei o te ethinyl estradiol. Ko ngā tauira ko ngā ranunga kei roto i te 20–35 mcg o te ethinyl estradiol me ngā progestin pēnei i te levonorgestrel, norgestimate, me te drospirenone, me ngā momo tino iti pēnei i te Lo Loestrin Fe (10 mcg). Ko ngā pire progestin anake, kāore he estrogen kei roto.

He pai ake ngā pire whakawhānau iti ake te estrogen mō ngā pānga taha?

Ko ngā pire iti ake te estrogen, he iti ake ngā pānga taha e pā ana ki te estrogen (pēnei i te ruaki, te mamae o te upoko, te mamae o te u, me te mate toto hikaka) mō te tini o ngā tāngata, ahakoa ka nui ake te pakarutanga o te toto mō etahi. Ko ngā momo progestin anake, kāore he estrogen, he pai mēnā ka aro nui koe ki te estrogen, ka nui rānei tō tūponotanga ki ngā take e pā ana ki te estrogen.

Tūtohinga ki te Progestin Anake: Te Māramatanga ki Ngā Momo Matua E Rua

Inā kōrero ana mātou mō ngā pire whakawhānau, e rua ngā kāwai matua kei roto i a rātou. Ko te māramatanga ki te rerekētanga, ko te kaupae tuatahi ki te whiriwhiri i te ara tika mōu.

Ngā Pire Tūtohinga: Te Tokorua Pūmanawa

E ai ki te ingoa, kei roto i ngā pire tūtohinga e rua ngā momo homoni: he momo hanga o te estrogen (te ethinyl estradiol) me tētahi progestin. Tahi, ka aukati te mahi matua i te ovulescence—te tuku o te hua manu i roto i ō takere. Ka whakapiki hoki i tō ngako poka tai hei aukati i te parameka kia tae atu ki te hua manu, me te whakaiti i te pakitara o tō kōpū [puna].

Inā rongo koe i te kupu "iti-horopeta," he maha tonu te kōrero ki ēnei pire. Anei tētahi whakarāpopototanga o ngā taumata estrogen:

• Iti-horopeta: Kei roto i te 35 mirikiramu (mcg) o te estrogen iti iho rānei.
• Tino iti-horopeta: Kei roto i te 20 mcg o te estrogen iti iho rānei.

Kua puta mai he kāwai hou me te rahinga tino iti o te estrogen, ka meinga ai kia rongonui mō ngā tāngata e aro nui ana ki ngā homoni.

Ngā Pire Progestin Anake (POPs me te "Piri Iti")

Mēnā he āwangawanga tō mō te estrogen, tēnā titiro ki te piri iti. Ko ngā pire progestin anake (POPs) kei roto, kua mārama kē koe, he progestin anake, kāore he estrogen. He rerekē te mahi a ēnei i ngā pire tūtohinga. Engari mō te aukati pono i te ovulescence (ahakoa ka puta i ētahi wā), ko te mahi matua ko te whakapiki i te ngako poka tai, ka hangaia he arai kia kore e taea e te parameka te kuhu.

Ka meinga ai te whakawhānau kāore he estrogen hei kōwhiringa pai mō ngā tāngata kāore e taea, e kore rānei e pai ki te tango estrogen, nā te take hauora pēnei i te hītori o te mate toto hikaka, ngā momo mate upoko motuhake, me te whāngai tamariki hoki.

Tīrohanga ki Ō Kōwhiringa: Ngā Tohu Pire Whakawhānau Iti-Estrogen

Ka nui te raruraru ki te tirotiro i ngā rākau rongoā. Hei āwhina, kua rōpūhia e mātou ētahi o ngā pire iti-homoni e tino kitea ana e te kāwai kia mārama ai koe ki ngā ingoa hei rapu.

Pire Tūtohinga Tino Iti-Horopeta (10 mcg)

Mō te hunga e rapu ana i te horopeta estrogen tino iti rawa i roto i tētahi pire tūtohinga, ko tēnei te kōwhiringa matua.

• Lo Loestrin Fe: Ko tēnei anake te pire 10 mcg estrogen kei te mākete i tēnei wā. Ko te Lo Loestrin Fe he ranunga motuhake i hangaia hei whakarato i te whakatete whai hua ki te hapūtanga me te rahinga iti rawa o te estrogen, ka āwhina pea ki te whakaiti i ngā pānga taha e pā ana ki te homoni. Ko te "Fe" e tohu ana ko ngā pire whakamutunga o te mōkihi he rino tāpiritanga hei āwhina ki te aukati i te koretake o te toto, kaua kia rite ki ngā pire wātea.

Ngā Pire Tūtohinga Iti-Horopeta (20-35 mcg)

Ko tēnei te kāwai tino kitea o ngā pire whakawhānau e tohua ana i tēnei rā. Ka whakarato i tētahi taurite pai o te whai hua me ngā pānga taha e whakahaerea ana mō te tini o ngā kaiwhakamahi.

• Yaz me Yasmin: Ko ngā Yaz / Yasmin kei roto i a rāua ngā momo homoni rite, engari ko Yaz he iti ake te horopeta estrogen (20 mcg) ki a Yasmin (30 mcg). Ka whakamahia e rāua he progestin ko drospirenone te ingoa, e mōhio ana hoki ki te āwhina ki te hakihaki me te mate pouri i mua i te paheketanga (PMDD) [puna].
• Apri, Aviane, Levora, Ortho Novum: Ko ēnei katoa he tohu rongonui e uru ana ki te kāwai o ngā pire tūtohinga iti-horopeta, kei roto i a rātou te 20 me te 35 mcg o te estrogen.

Ngā Pire Progestin Anake ("Ngā Piri Iti")

Mō tētahi rongoā waha kāore rawa he estrogen, ko ēnei ngā kōwhiringa mōu.

• Camila, Errin, Heather, Nora-BE: Ko ēnei katoa he ingoa tohu noa mō te piri iti. Kei roto i a rātou te progestin norethindrone, ā, ka tangohia i ia rā, kāore he wiki pire wātea.
• Opill: He kaihurihuri i roto i te whakawhānau, ko te Opill birth control te pire whakawhānau o ia rā tuatahi kua whakaaetia e te FDA mō te hoko kāore he tohutohu (OTC) i te United States [puna]. He pire progestin anake, ka meinga ai te whakawhānau homoni kia nui ake te whai waahi atu i mua. Ko te wātea o te Opill birth control he kaupae nui whakamua mō te hauora whānau uri.

Ngā Painga: Te Tirohanga ki ngā Painga o te Whakawhānauitiiti-Estrogen

He aha te hunga maha e whakarerekē ana? Ko ngā painga o te whakawhānauitiiti-estrogen he kaha, ā, ka pā atu ki tua atu i te aukati hapūtanga.

• Aukati Hapūtanga Nui: Kia tīmata tātou ki te whāinga matua. Inā tika te tango, ko ngā pire iti-horopeta me ngā pire progestin anake, he 99% te whai hua ki te aukati hapūtanga [puna].
• Iti Ngā Pānga Taha e Pā ana ki te Estrogen: Mō ētahi, ko te teitei o te estrogen ka puta te ruaki, te mamae o te u, me te pupū. Ko te whakaiti i te horopeta ka whakaiti i ēnei take.
• Ngā Paheketanga Iti, Kia Rite: Ko te maha o ngā pire tūtohinga ka meinga ai ō paheketanga kia poto ake, kia iti ake, kia tino kitea. Ka tohua hoki ēnei mō te whakahaere i ngā mate pēnei i te mate endometriosis me te mate kohungahunga polycystic (PCOS).
• Ngā Tūponotanga Hauora Iti: Kua whakaaturia te whakamahi tonu o ngā pire tūtohinga hei whakaiti i tō tūponotanga ki te whakawhanake i te mate kānaka o ngā takere me te kōpū, ngā kohungahunga o te takere, me te mate kōpū urupare (PID) [puna].
• Haumaru mō te Rōpū Whānui (POPs): Nā te mea kāore he estrogen, ko ngā pire progestin anake he kōwhiringa haumaru mō ngā tāngata e whāngai ana, he hītori o te mate toto hikaka, he toto toto tiketike, ka mamae rānei i te mate upoko me te aura. He kōwhiringa noa hoki ēnei mō te whakawhānau mō te perimenopause.

Ngā Kino: Ngā Pānga Taha me Ngā Tūponotanga hei Whakaaro

Ae ra, kāore he rongoā e tino pai. He mea nui kia mōhio koe ki ngā pānga taha o te whakawhānauitiiti-estrogen me ngā tūponotanga i mua i te tīmatanga o tētahi pire hou.

• Pakaru Toto (Kopara): Ko tēnei te pānga taha tino kitea, ina koa ki te whakawhānau tino iti-horopeta me ngā pire progestin anake. Ka hiahia tō tinana ki ētahi marama hei urutau, i roto i tēnei wā ka taea e koe te kite i te toto, te kopara rānei i waenganui i ngā paheketanga.
• Ngā Pānga Taha Noa: Ko ētahi atu pānga taha ka taea ko te mamae o te upoko, te ruaki, te whakarereketanga o te manawa, me te whakarereketanga o te taumaha. Ka memeha enei i muri i te 2-3 marama tuatahi i te urutau o tō tinana.
• Ngā Tūponotanga Nui o Ngā Pire Tūtohinga: Ko tēnei te whakaaro nui. Ahakoa te iti o te estrogen, ka whakapiki i te tūponotanga ki te whakawhanake i te mate toto hikaka, ka taea te mate toto hōhonu (DVT), te mate kohu roro, te whiu, me te mate ngakau. Ahakoa he iti te tūponotanga mō te hunga hauora, he mea nui ki te kōrero ki tō tākuta.
• Te Ture Wā Mō Te Pire Progestin Anake: Ko te piri iti he iti ake te ngāwari i ngā pire tūtohinga. Me tango i roto i te wā kotahi o te toru haora i ia rā kia whai hua ai. Mēnā ka pōturi koe, ka hiahia koe ki te whakamahi i tētahi tikanga tiaki taapiri.

Kei Tō Taha Rānei te Whakawhānauitiiti-Estrogen?

Nā, ko wai te tāngata tino tika? A, he mea nui ake, ko wai kia karo?

Ko te pire whakawhānau tino iti-horopeta pēnei i te pire 10 mcg estrogen, ka taea te kōwhiringa pai mēnā ka aro nui koe ki ngā pānga o te estrogen. Waihoki, mēnā kei te rapu koe i te whakawhānau mō te perimenopause hei āwhina ki te whakahaere i ō huringa, ka taea e tō tākuta te tohutohu i tētahi kōwhiringa iti-horopeta.

Heoi, he tino aukati mō ngā pire kei roto he estrogen. KĀORE koe e tika kia whakamahi i ngā pire tūtohinga iti-horopeta mēnā koe:

• Kei runga koe i te 35, ā, ka paoa koe i te hikareti.
• He hītori koe o te mate toto hikaka, te whiu, te mate ngakau rānei.
• He toto toto tiketike koe kāore i te whakahaerea.
• He hītori koe o ngā momo kānaka, pēnei i te kānaka uma.
• Ka mamae koe i te mate upoko me te aura.

Mēnā ka pā tētahi o ēnei ki a koe, ko tētahi tikanga progestin anake, ko tētahi kōwhiringa kāore he homoni, he kōwhiringa tino haumaru.

Kaua e Wareware i Ngā Kōwhiringa Kāore He Homoni

Ahakoa ka arotahi tēnei aratohu ki te whakawhānauitiiti-estrogen, he mea nui kia mōhio koe he kōwhiringa pai hoki ētahi kāore he homoni.

• Paraihe Parahi (ParaGard): Ko tēnei taputapu iti, āhua-T, ka kuhua ki roto i tō kōpū e tētahi tohunga hauora, ā, ka taea te aukati i te hapūtanga mō te 10 tau. He 100% kāore he homoni.
• Ngā Tikanga Paraihe: Ko ngā rākau, ngā diaphragm, me ngā potae takerekere, ko ēnei katoa he tikanga whai hua, e wātea ana, kāore hoki he homoni. Ā, ko ngā rākau te tikanga anake e tiaki ana hoki ki ngā mate whakawhiti ira (STIs).

Te Take Whakamutunga: Kōrero ki Tō Tākuta

Ko te mea nui ki te mahara, ko te "pai rawa atu" te whakawhānau, ko te mea ka uru ngāwari me te haumaru ki roto i ō koe oranga. Ko te māramatanga ki ngā painga o te whakawhānauitiiti-estrogen me ngā pānga taha o te whakawhānauitiiti-estrogen, ko tō kaupae tuatahi.

Ko tō kaupae muri, me te mea nui ake, ko te whakarite karangatanga ki tētahi tākuta, OB/GYN rānei. Ka taea e rātou te arotake i tō hītori hauora whaiaro, kōrero mō tō oranga me ngā manakohanga, ā, ka āwhina ki te whiriwhiri i tētahi tikanga whakawhānau e noho haumaru, hāneanea ai koe, ā, kei a koe te mana.