

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
Ko te drospirenone me te ethinyl estradiol he rongoā whakakotahi hei aukati i te hapū, he mea kei roto e rua ngā momo homoni waihanga. E mahi ana tēnei rongoā mā te aukati i te ovulation (te tuku i ngā hua manu mai i ō ovaries) me te uaua ake mō te parāoa kia tae ki te hua manu, mō te hua manu rānei kua whakatōkia kia piri ki tō kōpū.
Ko tēnei whakakotahitanga tētahi o ngā rongoā aukati i te hapū e tino whakahauhia ana i te ao whānui. He maha ngā wāhine e kite ana he whai hua anake mō te aukati i te hapū, engari mō te whakahaere i ētahi āhuatanga e pā ana ki te homoni ka pā ki ō rātou oranga o ia rā.
E whakakotahi ana tēnei rongoā i ngā homoni waihanga e rua e rite ana ki te estrogen me te progesterone tūturu o tō tinana. Ko te Ethinyl estradiol he momo estrogen, ko te drospirenone he progestin waihanga (he momo progesterone) he āhuatanga ahurei ki ētahi atu pire aukati i te hapū.
Ko te mea motuhake o te drospirenone ko tōna mahi rite ki te spironolactone, he rongoā diuretic. Ko te tikanga tēnei ka āwhina i te whakaiti i te pupuri wai, ā, ka whai pānga anti-androgen, he mea whai hua mō ētahi āhuatanga kiri me te pupuhi.
Ka tae mai te whakakotahitanga i roto i te ahua papa, ā, ka tangohia mā te waha kotahi i te rā. Ko te nuinga o ngā hanganga e whai ana i te huringa 28-rā, me ngā pire homoni kaha 21 me ngā pire kore kaha 7, ahakoa ētahi putanga he 24 pire kaha me te 4 kore kaha.
Ko te whakamahinga tuatahi o tēnei rongoā ko te aukati i te hapū, ā, neke atu i te 99% te whai hua ina tangohia tika ana. Heoi, he maha ngā wā e whakahauhia ana e ngā tākuta mō ētahi atu āhuatanga e pā ana ki te homoni ka pā nui ki tō kounga o te oranga.
He maha ngā wāhine e kite ana i te oranga mai i ngā wā e mamae ana, e kore rānei e rite ana, i te wā e tango ana i tēnei huinga. Ka āwhina ngā homoni ki te whakahaere i tō huringa paheketanga, he maha ngā wā ka mama, ka poto, ka mōhiotia ngā wā paheketanga. He mea whai hua tēnei mēnā kei te raru koe i te toto nui, i te wā rānei e kore e mōhiotia.
Mō te hunga e raru ana i te hakihaki, inā koa te hakihaki homoni e pūāwai ana i te wā o tō huringa paheketanga, ka taea e tēnei rongoā te whai hua nui. Ka āwhina ngā āhuatanga anti-androgen o te drospirenone ki te whakaiti i te hanga hinu, ā, ka taea te whai kiri mārama ake i roto i ngā marama e whakamahia ana.
E kite ana ētahi wāhine i te oranga mai i te mate dysphoric premenstrual (PMDD), he momo PMS kaha e pā ana ki ngā huringa o te ngākau, te pōuri, me te āwangawanga. Ka āwhina te whakahaere homoni ki te whakapumau i ēnei tohumate kare-ā-roto e puta ana i mua i tō wā paheketanga.
I tua atu, ka āwhina tēnei huinga ki te pupuri wai me te pupuhi e pā ana ki ētahi wāhine i ia huringa. Ka taea e ngā pānga diuretic-rite o te drospirenone te whakaiti i te pupuhi me te huringa taumaha e kore e pai, e pā ana ki ngā huringa homoni.
Ka mahi tēnei rongoā mā ngā tikanga maha hei aukati i te hapū. Ko te mahi tuatahi ko te aukati i te ovulation mā te pānga ki ngā tohu homoni i waenga i tō roro me ngā ovaries, e whakatū ana i tō pūnaha whakaputa uri ki te okiokinga whakahaere, rangitahi.
Ka āwhina te wāhanga estrogen (ethinyl estradiol) ki te pupuri i ngā taumata homoni pumau puta noa i tō huringa. Ka mahi tahi me te pūnaha urupare tūturu o tō tinana ki te aukati i te piki o te homoni luteinizing e whakaohooho ana i te ovulation i ia marama.
Ko te Drospirenone, te wāhanga progestin, ka matotoru i tō hūpē pūhihi, ka uaua ake te haere o te pūtau tāne mā tō pūhihi, ka tae ki te hua manu. Ka hangaia tēnei he arai atu ki te whakawhānau ahakoa ka puta te ovulation.
Ka huri hoki te whakakotahitanga i te arai o tō kōpū (endometrium), ka kore e pai mō te hua manu kua whakatō. E whakarato ana tēnei i tētahi paparanga tuatoru o te whakamarumaru i te hapū.
Hei rongoā aukati hapū, e kiia ana tēnei whakakotahitanga he kaha ngawari, he tino whai hua. Ko ngā āhuatanga ahurei o te drospirenone e whai hua ana mō ngā wāhine e pā ana ki te pupuri wai, ki te hakihaki hormonal rānei me ētahi atu tikanga whakahaere whānau.
Tangohia tēnei rongoā i te mea i whakaritea e tō tākuta, he pai ake i te wā kotahi i ia rā. Ko te rite tonu o te wā ka āwhina i te pupuri i ngā taumata hormone, me te whakanui i te whai huatanga mō te aukati hapū me ētahi atu painga.
Ka taea e koe te tango i ēnei pire me te kore kai, me te kai rānei, engari ko te tango me te kai ka āwhina i te whakaiti i te puku e pā ana ki a koe i te tīmatanga. E kite ana ētahi wāhine he pai te tango i te pire me te kai tina, te paramanawa rānei i mua i te moe mō tā rātou mahinga.
Tīmatahia tō pākete tuatahi i te rā tuatahi o tō wā, i te Rātapu tuatahi rānei i muri i te tīmatanga o tō wā, i runga i ngā tohutohu a tō tākuta. Ki te tīmata koe i tētahi rā kē atu i te rā tuatahi o tō wā, me whakamahi koe i te rongoā aukati hapū mō ngā rā e whitu tuatahi.
Whaia te raupapa o ngā pire i roto i te pākete. Ko te nuinga o ngā pākete he pere, he tau rānei e whakaatu ana i te raupapa. Tangohia tētahi pire kaha i ia rā mō te 21, 24 rā rānei (i runga i tō hanganga motuhake), kātahi ka tango i ngā pire kore kaha i te wā e pā ana ki a koe te totoheke i te rite ki te wā.
Ki te huri koe mai i tētahi atu rongoā aukati hapū hormonal, ka hoatu e tō tākuta ki a koe ngā tohutohu motuhake mō te wā ki te whakarite i te whakamarumaru tonu. Kaua e whakamutua tō tikanga o nāianei kia tīmata ra anō koe i te mea hou, ki te kore i tohutohutia ētahi atu.
Ka taea e koe te tango i tēnei rongoā i te roa e hiahia ana koe ki te aukati i te hapūtanga, ki te rongoā rānei i ngā āhuatanga e pā ana ki te homoni, mena kāore koe e whakawhanake i ngā pānga taha e pā ana, i ngā aukatinga rānei. He maha ngā wāhine e whakamahi ana i ngā aukati i te hapūtanga e pā ana ki te homoni mō ngā tau, kāore he raruraru.
Ka hiahia tō tākuta ki te kite i a koe i ngā wā katoa, te tikanga ia 6 ki te 12 marama, ki te aroturuki i tō urupare ki te rongoā me te tirotiro mō ngā āwangawanga hauora e tupu ana. He mea nui ēnei arowhai mō te whakarite kia noho haumaru tonu te rongoā me te tika mōu.
Mēnā kei te whakamahi koe i tēnei rongoā mō te rongoā hakihaki, ka kite pea koe i te whakapai ake i roto i te 3 ki te 6 marama, me te whai hua nui i muri i te 6 ki te 12 marama o te whakamahi tonu. Mō te whakarite i te huringa paheketanga, ka kitea ngā hua i roto i ngā huringa tuatahi.
Kāore he wā roa mō te tango i tēnei rongoā, engari ka tūtohu pea tō tākuta i ngā okiokinga wā, i te arotake anō rānei mēnā kua roa koe e tango ana i tēnei rongoā mō ngā tau maha. Ko ngā āhuatanga pēnei i te pakeke, te momi hikareti, me te whakawhanake i ngā āhuatanga hauora hou ka pā ki te roa e tika ana mōu.
Inā reri koe ki te whakamutu, ahakoa ki te whakamātau ki te hapū, mō ētahi atu take rānei, ka taea e koe te whakamutu i ngā wā katoa. Ko te tikanga ka hoki mai ō huringa tūturu i roto i ngā marama torutoru, ahakoa ka pā pea ētahi wāhine i ngā raruraru rangitahi i te wā e whakatikatika ana ō rātou tinana.
He pai te aro o te nuinga o ngā wāhine ki tēnei rongoā, engari pērā i ngā aukati i te hapūtanga e pā ana ki te homoni, ka taea e ia te pānga taha. Mā te māramatanga ki ngā mea e tūmanakohia ana ka āwhina koe ki te pūmau ake me te mōhio ki te wā ki te whakapā atu ki tō tākuta.
Ko ngā pānga taha noa he ngawari tonu, ā, ka pai ake i muri i ngā marama tuatahi i te wā e whakatikatika ana tō tinana ki ngā homoni. Ko te tikanga kāore ēnei e hiahia kia whakamutua te rongoā, ā, ka taea te whakahaere mā ngā rautaki ngawari.
Ngā pānga taha noa ka pā pea ki a koe:
Ko ēnei pānga noa ka iti ake te kite i te urutau o tō tinana ki ngā huringa homoni. He maha ngā wāhine e kite ana i ngā painga pēnei i te kiri mārama me ngā wā tika e nui ake ana i ēnei whakatikatika rangitahi.
He onge ngā pānga taha nui ake, engari me whai wāhi tonu te rongoā. Nā te mea he āhuatanga diuretic-rite a drospirenone, i ētahi wā ka pā ki ō taumata pāhare pāporo, ahakoa he mea noa tēnei i roto i ngā wāhine hauora.
Rapua tonu te rongoā mēnā ka pā ki a koe:
He onge ēnei pānga nui, engari mā te mōhio ki a rātou ka āwhina koe ki te rapu i te rongoā tika mēnā e hiahiatia ana. Ka kōrero tō kaiwhakarato hauora i ō āhuatanga tūpono takitahi me te aha hei mātakitaki i runga i tō hītori hauora.
Ko ētahi āhuatanga hauora me ngā āhuatanga tūpono ka kore e haumaru, e kore e tika rānei tēnei rongoā mō ētahi wāhine. Ka āta arotake tō kaiwhakarato hauora i tō hītori hauora me tō tūnga hauora o nāianei i mua i te whakahau i tēnei huinga.
Kāore koe e tango i tēnei rongoā mena he hītori tō koe mō ngā pūhui toto, te whiu, te whakaeke ngākau rānei. Ka taea e te wāhanga estrogen te whakanui i tō tūponotanga ki te whakawhanake i ngā pūhui toto mōrearea, inā koa i roto i ngā uaua hōhonu i ō waewae, i ō pūkahukahu rānei.
Me karo ngā wāhine e whai ana i ētahi momo mate pukupuku i tēnei rongoā. Mēnā he mate pukupuku ū tō koe, he mate pukupuku endometrial, ētahi atu mate pukupuku tairongo homoni rānei, ka taea e ngā homoni i roto i tēnei rongoā te whakahihiri i te tipu o te mate pukupuku.
Ka kore hoki ngā raruraru ate e tika ana tēnei rongoā. Ka tukatukahia e tō ate ēnei homoni, nō reira mēnā he mate ate tō koe, he cirrhosis, he puku ate rānei, tērā pea kāore e taea e tō tinana te whakahaere i te rongoā i runga i te haumaru.
Ko ētahi atu āhuatanga e aukati ana i te whakamahi haumaru ko:
He mea nui hoki ngā āhuatanga o te tau me te noho. Mēnā kei runga ake koe i te 35 tau, ā, e momi hikareti ana koe, tērā pea kāore tēnei huinga e haumaru mōu nā te piki o ngā tūponotanga ngākau. Ka kōrero tō tākuta i ngā huarahi kē tērā pea e tika ana.
Ka taea e ētahi rongoā te pāhekoheko ki tēnei huinga, tae atu ki ētahi paturopi, patu harore, me ngā rongoā hopu. Me whakamōhio tonu ki tō kaiwhakarato hauora mō ngā rongoā katoa, ngā tāpiringa, me ngā hua otaota e tango ana koe.
Kei te wātea tēnei huinga homoni i raro i ētahi ingoa waitohu, he rerekē ngā hanganga, ngā whakauru korekore rānei. Ko te waitohu tino rongonui ko Yaz, kei roto 3 mg o te drospirenone me te 0.02 mg o te ethinyl estradiol.
Ko Yasmin tētahi pūtea rongonui anō kei roto te horopeta estrogen teitei ake (0.03 mg) me te 3 mg o te drospirenone. Ko tēnei hanganga e pai ana mō ngā wāhine e hiahia ana i ngā pānga estrogen kaha ake, i te mea rānei he toto i waenga i ngā kōwhiringa horopeta iti ake.
Ko ētahi atu ingoa pūtea ko Beyaz, e tāpiri ana i tētahi tāpiringa folate ki te hanganga Yaz taketake, me Safyral, e whakakotahi ana i te hanganga Yasmin me te folate. Ko ēnei putanga i hangaia mō ngā wāhine ka hapū pea, ā, ka whai hua mai i te waikawa folic anō.
Kei te wātea hoki ngā putanga generic, kei roto ngā kai kaha rite tonu ki ngā putanga ingoa pūtea. He iti ake te utu o ēnei, ā, he pai te mahi, ahakoa ka kite ētahi wāhine i ngā rerekētanga o ngā pānga taha nā te rerekē o ngā kai kore kaha.
Ka pā te inihua me te urupare whaiaro ki ngā hanganga rerekē ki te putanga e tūtohu ana tō tākuta. Ka mahi ngā putanga katoa mā te tikanga kotahi, ā, ka whai hua te whai huatanga aukati rite tonu.
Mēnā kāore tēnei huinga i te tika mōu, he maha atu ngā kōwhiringa aukati whai hua e wātea ana. Ka taea e tō kaiwhakarato hauora te āwhina i a koe ki te kimi i tētahi kōwhiringa kē e pai ake ana ki ō hiahia hauora, te oranga, me ngā hiahia.
Ko ētahi atu pire aukati whakakotahi e whakamahi ana i ngā momo progestin rerekē, pēnei i te norgestimate, levonorgestrel, rānei, desogestrel. Ko ēnei pea ngā kōwhiringa pai ake mēnā ka pā te pānga taha ki a koe mai i te drospirenone, i te mea rānei he take tūpono e kore ai tēnei huinga.
Ko ngā pire progestin-anake (e kiia ana ko ngā mini-pire) kāore he estrogen, ā, he tika pea mēnā kāore e taea e koe te tango estrogen nā te tūpono o te toto, te migraines, rānei, ētahi atu contraindications. E hiahia ana ēnei i te wā tika rawa, engari ka whai hua mō te maha o ngā wāhine.
He pai ngā rongoā aukati hapū e mahi ana mō te wā roa, he pai ake hoki te whakahaere i ia rā. Ka tukuna e te IUD hormonal he iti nei te progestin ki roto i tō kōpū, i te wā e whakarato ana te IUD parahi i te aukati hapū kore-homoni mō te 10 tau.
Ko ētahi atu kōwhiringa hormonal ko te papaki aukati hapū, te mowhiti tara, te werohanga rānei. He rerekē ngā painga me ngā ngoikoretanga o ia mea i runga i te wātea, ngā pānga taha, me te whai hua.
Ko ngā tikanga arai kore-homoni pēnei i te kāpō, te diaphragm, te potae pūhihi rānei he kōwhiringa anō, ahakoa te nuinga o te wā he iti ake te whai hua i ngā tikanga hormonal, me te whakamahi i ia mahi moe.
E ai ki ō hiahia ake, te āhua o tō hauora, me te pēhea te urupare o tō tinana ki ngā homoni rerekē, ka whakatauhia mēnā he
E pā ana ki te ārai hapū, he rite tonu te whai hua o tēnei huinga ki ētahi atu pire whakawhānau hou, ina tika te tango. Ko te whiriwhiri i waenga i ngā momo rongoā rerekē ka heke iho ki te pai o tō manawanui ki ngā pānga taha, me te whiwhi rānei koe i ngā painga atu mō ētahi atu āhuatanga.
Ka taea e tō kaiwhakarato hauora te āwhina i a koe ki te whakatau i ngā painga me ngā ngoikoretanga i runga i tō hītori hauora, ngā tohumate o nāianei, me ngā hiahia whaiaro. Ko te mea e pai ana mō tō hoa, mō te mema rānei o te whānau, kāore pea i te mea pai mōu.
Ka whai hua tēnei huinga mō te maha o ngā wāhine e PCOS ana (te mate polycystic ovary syndrome). Ko ngā āhuatanga anti-androgen o te drospirenone e āwhina ana ki te whawhai i ngā homoni tāne kua piki ake e kitea ana i roto i te PCOS, ka pai ake pea ngā tohumate pēnei i te hakihaki, te nui o te tipu o ngā makawe, me ngā wā haukoti kore.
Heoi anō, he maha ngā wāhine e PCOS ana he ētahi atu āhuatanga pēnei i te aukati i te insulin, i te toto tiketike rānei, me whakaaro. Ka arotakehia e tō tākuta tō pikitia hauora katoa, tae atu ki tō taumaha, tō toto, me te tūponotanga ki te mate huka, i mua i te whakatau mēnā e tika ana tēnei rongoā mōu.
Mēnā ka tango koe i te pire kotahi neke atu i te rā kotahi, kaua e mataku. Ko te tango i te pire atu, e rua rānei, kāore pea e whara nui, ahakoa ka pā tō puku, te ruaki, te toto rerekē rānei.
Whakapā atu ki tō kaiwhakarato hauora, ki te pūmanawa whakahaere paitini rānei mō te ārahitanga, ina koa kua tango koe i ētahi pire atu. Ka taea e rātou te tohutohu i a koe mō te aha e tūmanako, me te hiahia rānei koe ki te āwhina hauora. Haere tonu ki te tango i ō pire auau i te wā i whakaritea, ki te kore e tohutohutia ētahi atu.
Mēnā ka ngaro i a koe tētahi pire kaha, tangohia i te wā tonu ka mahara koe, ahakoa me tango koe i ngā pire e rua i te rā kotahi. Kāore koe e hiahia ki te whakamahi i te aukati hapū tuarua mēnā kei raro i te 24 hāora koe i te mutunga.
Mēnā ka ngaro i a koe ngā pire kaha e rua i te rarangi, tangohia ngā pire e rua i tēnei rā me ngā pire e rua āpōpō, ka haere tonu ki tō hōtaka auau. Whakamahia te aukati hapū tuarua mō ngā rā e whitu e whai ake nei. Mēnā ka ngaro i a koe e toru, neke atu rānei ngā pire, whakaarohia te tīmata i tētahi pākete hou me te whakamahi i te aukati hapū tuarua mō te wiki tuatahi.
Ka taea e koe te whakamutu i te tango i tēnei rongoā i ngā wā katoa, engari he pai ake te whakaoti i tō pākete o nāianei kia kore ai e puta te toto kore. Mēnā kei te whakamutu koe ki te ngana ki te hapū, ka taea e koe te tīmata ki te ngana tonu, i te mea ka hoki wawe te hua ki te hoki mai i muri i te whakamutu.
Mēnā kei te whakamutu koe nā te pānga taha, ētahi atu āwangawanga rānei, kōrerohia te wā tōtika ki tō kaiwhakarato hauora. Ka hiahia pea rātou ki te aroturuki i a koe i te wā o te whakawhiti, ki te āwhina rānei i a koe ki te tīmata i tētahi tikanga kē i mua i te whakamutu i tēnei.
Kāore tēnei huinga i te tohutohutia i te wā e whāngai ū ana, ina koa i ngā marama e ono tuatahi. Ka taea e te wāhanga estrogen te whakaiti i te hanga miraka, ā, ka uru pea ki te miraka u i roto i ngā rahinga iti.
Mēnā kei te whāngai ū ana koe me te hiahia ki te aukati hapū, ka tohutohu pea tō tākuta i ngā kōwhiringa progestin-anake he haumaru ake i te wā e ngote ana. Kia mutu rawa koe te whāngai ū, kua whakatū rānei tō tuku miraka, ka taea e koe te kōrero mō te mea e tika ana tēnei huinga mōu.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.