Icyo Drospirenone na Estetrol ari cyo: Ibikoreshwa, Uburyo Bifatwa, Ingaruka Zishobora Kugaragara n'ibindi

Drospirenone na estetrol ni umuti wo kuboneza urubyaro uvanga imisemburo, ukaba ukumira inda binyuze mu guhagarika imbyaro no gutuma intanga ngabo zitagera ku ntanga ngore. Uyu muti wo kuboneza urubyaro wo mu bwoko bushya uvanga imisemburo ibiri ikorera hamwe kugira ngo itange uburyo bwizewe bwo kuboneza urubyaro mu gihe ushobora gutanga izindi nyungu ugereranije n'imiti yo kuboneza urubyaro ya kera.

Uyu muti ugaragaza uburyo bugezweho bwo kuboneza urubyaro hakoreshejwe estetrol (imisemburo ya estrogeni isanzwe ibaho) ivanzwe na drospirenone (progestin ikorwa mu buryo bwa gihanga). Abagore benshi basanga iyi mvange ikora neza kandi yihanganirwa, nubwo kimwe n'indi miti yose, ifite ibyo ugomba kuganiraho n'umuganga wawe.

Drospirenone na Estetrol ni iki?

Drospirenone na estetrol ni umuti uvanga imisemburo yo kuboneza urubyaro urimo imisemburo ibiri ikorwa mu buryo bwa gihanga igenewe gukumira inda. Uyu muti ukora yigana imiterere y'imisemburo y'umubiri wawe mu gihe itanga uburinzi buhoraho bwo kuboneza urubyaro mu gihe cyose cy'imihango yawe.

Drospirenone ni progestin (progesterone ikorwa mu buryo bwa gihanga) ifasha gukumira imbyaro no gukomeza ururenda rwo mu kiziba. Estetrol ni imisemburo ya estrogeni isanzwe ibaho yatangiriye kuvumburwa mu bagore batwite noneho ikaba yarashyizwe mu buryo bwa gihanga kugira ngo ikoreshwe mu kuboneza urubyaro. Iyi misemburo ikorera hamwe, itanga inzitizi ikora neza yo gukumira inda mu gihe ishobora gutera ingaruka nke ugereranije n'imiti yo kuboneza urubyaro ya kera.

Ubu buryo buvanga imisemburo ni bushya ku isoko, buvuye mu myaka y'ubushakashatsi bwo guteza imbere imiti yo kuboneza urubyaro ikomeza gukora neza mu gihe igabanya ingaruka zitifuzwa. Imiterere yihariye ya estetrol, by'umwihariko, ishobora gutanga inyungu mu bijyanye n'ibibazo by'amaraso no ku zindi ngaruka ziterwa na estrogeni.

Drospirenone na Estetrol bikoreshwa mu iki?

Ikoreshwa ry'ibanze rya drospirenone na estetrol ni ukurinda inda ku bagore bahitamo kuboneza urubyaro hakoreshejwe imisemburo. Uyu muti wagenewe by'umwihariko abagore bifuza kuboneza urubyaro byizerwa kandi bashobora gufata imiti ivanze y'imisemburo yo kuboneza urubyaro mu buryo bwizewe.

Usibye gukumira inda, abagore bamwe bashobora kugira izindi nyungu bafata uyu muti. Izi zirimo imihango iteganywa neza, kugabanya kuribwa mu gihe cy'imihango, ndetse n'uruhu rworoshye kubera imitungo ya drospirenone irwanya androjeni. Ariko, izi ngaruka zinyurana ku muntu ku muntu kandi ntizikwiye kuba impamvu nyamukuru yo guhitamo ubu buryo bwo kuboneza urubyaro.

Umuvuzi wawe ashobora kugusaba ubu buryo bwihariye niba waragize ibibazo n'ibindi binini byo kuboneza urubyaro cyangwa niba amateka yawe y'ubuzima agaragaza ko ushobora kungukirwa n'imitungo idasanzwe ya estetrol. Icyemezo kigomba guhora gishingiye ku miterere y'ubuzima bwawe bwite n'ibyo ukeneye mu kuboneza urubyaro.

Drospirenone na Estetrol bikora bite?

Uyu muti ukora hakoreshejwe uburyo bwinshi bwo gukumira inda, bigatuma uba uburyo bwizewe cyane bwo kuboneza urubyaro. Ubu buryo buvanga ibice bitandukanye by'ubuzima bwawe bw'imyororokere kugira ngo habeho inzitizi nyinshi zo gutwita.

Icya mbere, imisemburo irinda intanga ziva mu ngingo z'abagore buri kwezi (ovulation). Hatabayeho intanga zishobora guhura n'intanga ngabo, ntibishoboka ko inda yaterwa. Uyu muti kandi ukomeza ururenda ruri mu gitsina cy'umugore, bigatuma bigora cyane intanga ngabo kunyura no kugera ku ntanga zishobora kuba zihari.

Byongeye kandi, imisemburo ituma urukuta rw'igitsina cy'umugore (endometrium) rucika intege, bigatuma bitashoboka ko intanga yaterwa yashobora kwimuka no gukura. Iki gikorwa cy'ubutatu gituma uyu muti ukora neza ku kigero cya 99% iyo ufashwe neza kandi buri gihe.

Imbaraga z'uyu muti zifatwa nk'izikomeye ku rugero ruringaniye mu miti ikoreshwa mu kuboneza urubyaro ikoresha imisemburo. Uyu muti ugamije gutanga uburinzi bwizewe ukoresha urugero rw'imisemburo abagore benshi bashobora kwihanganira neza. Uburyo bwihariye bwa drospirenone na estetrol bushobora gutanga uburyo bworoheje ugereranije n'uburyo bwa kera.

Nkwiriye Gufata Drospirenone na Estetrol Nte?

Fata uyu muti nk'uko wabisabwe n'umuganga wawe, akenshi urubuto rumwe ku gihe kimwe buri munsi. Imiti myinshi ikurikiza gahunda y'imiti ikora iminsi 24 ikurikirwa n'iminsi 4 y'imiti idakora, nubwo gahunda yawe yihariye ishobora gutandukana bitewe n'ubwoko bw'umuti n'ibyo umuganga wawe agusaba.

Ushobora gufata imiti ufite cyangwa udafite ibiryo, ariko kuyifata ufite ibiryo bishobora kugufasha kugabanya kuribwa mu gifu niba wumva uruka. Abagore benshi basanga bifasha gufata umuti ku gihe kimwe buri munsi, nko ku ifunguro rya mu gitondo cyangwa mbere yo kuryama, kugirango bashyireho gahunda no kugabanya amahirwe yo kwibagirwa imiti.

Amazi ni meza rwose mu gufata umuti, kandi ntukeneye amata cyangwa ikindi kinyobwa cyihariye. Niba wumva uribwa mu gifu, gufata umuti ufite agafunguro gato cyangwa ifunguro rishobora gufasha. Irinde gufata umuti ufite umutobe wa pome, kuko ibi bishobora kubangamira uburyo umubiri wawe ukoresha imisemburo.

Tangira ipaki yawe ya mbere nk'uko byategetswe n'umuganga wawe, bishobora kuba ku munsi wa mbere w'imihango yawe cyangwa ku cyumweru cya mbere nyuma yo gutangira imihango yawe. Koresha uburyo bwo kuboneza urubyaro bwunganira (nk'agakingirizo) mu minsi irindwi ya mbere niba utatangiriye ku munsi wa mbere w'imihango yawe.

Nkwiriye Kumara Igihe Kingana Gite Ndafata Drospirenone na Estetrol?

Ushobora gufata uyu muti mu buryo bwizewe igihe cyose ukeneye kuboneza urubyaro kandi ntugire ingaruka zikomeye. Abagore benshi bakoresha imiti ikoreshwa mu kuboneza urubyaro imyaka myinshi nta kibazo, kandi nta gihe ntarengwa kigutera guhagarika gufata umuti.

Umuganga wawe ashobora kugusaba kujya kwa muganga buri gihe (akenshi buri mezi 6-12) kugira ngo agenzure ubuzima bwawe kandi arebe niba imiti ukoresha ikigukwiriye. Uru ruzinduko rutuma bapima umuvuduko w'amaraso, baganira ku ngaruka zose zishobora kubaho, kandi bagahindura amateka yawe y'ubuzima ashobora kugira ingaruka ku buryo ukoresha kuboneza urubyaro.

Abagore bamwe bahitamo guhagarika gukoresha imiti iboneza urubyaro ikoranye imisemburo, nubwo ibyo bitaba ngombwa mu rwego rw'ubuvuzi keretse niba ufite ingaruka zayo cyangwa ushaka gutwita. Niba uhisemo kubihagarika, ganira n'umuganga wawe ku gihe cyo kubihagarika n'ubundi buryo bwo kuboneza urubyaro kugira ngo wirinde gutwita niba utiteguye.

Gukoresha iyi miti igihe kirekire muri rusange bifatwa nk'ibidahungabanya ubuzima ku bagore benshi, ariko uko ubuzima bwawe buteye bizagufasha kumenya icyo wakora. Ibintu nk'imyaka, uko unywa itabi, amateka y'umuryango, n'izindi ndwara zose bigira uruhare mu kumenya igihe imiti iboneza urubyaro ikoreshwa.

Ni izihe ngaruka ziterwa na Drospirenone na Estetrol?

Kimwe n'indi miti yose, drospirenone na estetrol bishobora gutera ingaruka, nubwo abagore benshi batagira ibibazo byinshi cyangwa na bike iyo bayikoresha. Kumva icyo witegura bishobora kugufasha kumenya ibimenyetso bisanzwe byo guhinduka kw'umubiri n'ibibazo bisaba ubufasha bw'abaganga.

Ingaruka zisanzwe ushobora guhura nazo mu mezi make ya mbere zirimo isesemi, kubabara amabere, kuribwa umutwe, no kuva amaraso atari ngombwa hagati y'imihango. Ibi bimenyetso akenshi biragabanuka uko umubiri wawe uhinduka ku misemburo, akenshi mu mezi atatu ya mbere yo kuyikoresha.

Dore ingaruka zisanzwe abagore bashobora guhura nazo:

• Uburwayi bwo mu nda cyangwa kubabara mu nda, cyane cyane mu byumweru bya mbere
• Urubavu rw'amabere cyangwa kwiyongera gato
• Umutwe cyangwa impinduka nto mu myifatire
• Guhagarara imihango idasanzwe cyangwa gusa nk'iyiza hagati y'imihango
• Impinduka nto mu gihe uburemere bwiyongera, nubwo kwiyongera cyane bidakunze kubaho
• Impinduka mu kwifuza imibonano mpuzabitsina
• Kuzana amazi make cyangwa kubyimba

Ibyo bimenyetso akenshi biba by'agateganyo kandi bigashira umubiri wawe umaze kumenyera umuti. Niba bikomeje nyuma y'amezi atatu cyangwa bikaba bibangamiye, ganira n'umuganga wawe ku bindi bisubizo.

Abagore bamwe bashobora kugira ingaruka zitagaragara cyane ariko zikomeye zikeneye ubufasha bw'abaganga. Nubwo ibyo bitaba kenshi, ni ngombwa kubimenya no kumenya igihe cyo kuvugana n'umuganga wawe.

Ingaruka zitagaragara cyane ariko zikomeye zirimo:

• Umutwe ukabije cyangwa udashira, cyane cyane hamwe n'impinduka mu mbono
• Urubavu mu gituza cyangwa guhumeka bigoranye
• Kubabara cyane kw'ukuguru cyangwa kubyimba (gushobora kuba amaraso yazinze)
• Kubabara cyane mu nda
• Impinduka zikomeye mu myifatire cyangwa agahinda gakabije
• Uruhu cyangwa amaso y'umuhondo (umwijima)
• Urugero rukabije rw'uburwayi bw'umubiri

Ibyo bimenyetso bisaba ubufasha bw'abaganga bwihutirwa, kuko bishobora kugaragaza ibibazo bikomeye. Nubwo bitaba kenshi, amaraso yazinze ni yo ngaruka ikomeye ishobora guterwa n'imiti ivura imihango ikoreshwa, nubwo ibyago bya estetrol bishobora kuba bike ugereranije n'imiti ya kera.

Ninde utagomba gufata Drospirenone na Estetrol?

Uyu muti ntukwiriye kuri buri wese, kandi indwara zimwe na zimwe zituma bitaba byiza gukoresha imiti ivura imihango ikoreshwa. Umuganga wawe azasuzuma amateka yawe y'ubuzima neza kugirango amenye niba uyu muti ukwiriye kuri wowe.

Ntugomba gufata uyu muti niba warigeze kugira amaraso yiziba, uruhuka, umutima utera cyane, cyangwa indwara zimwe na zimwe z'umutima. Igice cya estrogen gishobora kongera ibyago byo kwiziba kw'amaraso, bigatuma uyu muti uba mubi ku bantu bafite izi ndwara. Byongeye kandi, niba ufite umuvuduko w'amaraso uri hejuru utagenzurwa, uyu muti ushobora gutuma iyi ndwara irushaho kuba mibi.

Abagore bafite ubwoko bumwe na bumwe bw'umutwe bagomba kandi kwirinda uyu muti. Niba ufite imigraine ifite aura (ibibazo byo kureba, ubushye, cyangwa ibindi bimenyetso bya neurologique), imiti ivanze ya hormonal irinda gusama ishobora kongera ibyago byawe byo kuruhuka. Ariko, abagore bafite imigraine idafite aura barashobora gukoresha uyu muti bayobowe n'abaganga.

Izindi ndwara zituma uyu muti utabereye zirimo:

• Indwara y'umwijima ikora cyangwa ibibyimba by'umwijima
• Ubwo bwoko bw'umutima, cyane cyane kanseri y'ibere cyangwa izindi kanseri zifite hormone
• Gusohoka kw'amaraso mu gitsina kutumvikana
• Gusama cyangwa gukeka ko utwite
• Umunyonga niba urengeje imyaka 35
• Indwara zimwe na zimwe zidakira zo kwiziba kw'amaraso
• Ibibazo bikomeye by'impyiko cyangwa ibinyabuzima bya adrenal

Imyaka n'imibereho nabyo biragira uruhare. Abagore barengeje imyaka 35 banywa itabi bahura n'ibyago byinshi byo kwiziba kw'amaraso n'ibibazo by'umutima. Umuganga wawe azagereranya ibi bintu n'inyungu zo gukoresha imiti ya hormonal irinda gusama kugira ngo amenye uburyo bwiza kuri wowe.

Amazina y'ubwoko bwa Drospirenone na Estetrol

Uku guhuza imiti kuboneka munsi y'amazina y'ubwoko bwihariye, Nextstellis ikaba ari yo ikoreshwa cyane mu bihugu byinshi. Izina ry'ubwoko rishobora gutandukana bitewe n'aho uherereye n'uburyo bwihariye umuganga wawe akoresha.

Abakora ibicuruzwa bitandukanye bashobora gukora ubwoko bw'uyu muti bufite itandukaniro rito mu bintu bitagira akamaro cyangwa mu buryo imiti ipfunyitsemo. Ariko, ibintu bifite akamaro (drospirenone na estetrol) biracyaza kimwe hatitawe ku izina ry'uruganda. Umufarimasi wanyu ashobora gutanga amakuru yerekeye ibihwanye n'uyu muti niba bibonetse.

Jya ukoresha buri gihe ubwoko bw'umuti cyangwa uwo mu bwoko rusange wandikiwe na muganga wawe, kuko guhinduranya hagati y'ubwoko butandukanye butagishijwe inama na muganga byagira ingaruka ku mikorere y'umuti. Niba ukeneye guhindura ubwoko bw'umuti kubera ubwishingizi cyangwa ikibazo cyo kuboneka, banza ubiganireho na muganga wawe.

Uburyo bwo gusimbuza Drospirenone na Estetrol

Hariho ubundi buryo bwo kuboneza urubyaro bushobora gukoreshwa niba drospirenone na estetrol bidakwiriye kuri wowe. Muganga wawe ashobora kugufasha gushakisha uburyo butandukanye bushingiye ku buzima bwawe, imibereho yawe, n'ibyo ukunda.

Uundi muti wo kuboneza urubyaro ukoreshwa mu kanwa ukoresha imisemburo itandukanye ishobora gukora neza kuri wowe. Ibi bikubiyemo imiti ifite ubwoko butandukanye bwa estrogen (nka ethinyl estradiol) cyangwa progestins zitandukanye. Abagore bamwe basanga imiti imwe itera ingaruka nke cyangwa igakora neza n'imikorere y'umubiri wabo.

Uburyo butari mu kanwa bukoresha imisemburo burimo ibishishwa byo kuboneza urubyaro, impeta yo mu gitsina cy'abagore, cyangwa IUD zikoresha imisemburo. Ubu buryo butanga imisemburo mu buryo butandukanye kandi bushobora korohereza abagore bagorwa no kunywa imiti buri munsi. Ibishishwa n'impeta bikoresha imisemburo isa n'iyo mu miti ariko bisaba kwitabwaho kenshi.

Niba udashobora gukoresha uburyo ubwo aribwo bwose bukoresha imisemburo, uburyo bukora neza cyane butakoresha imisemburo burimo IUD ya cuivre n'uburyo bwo kwirinda nka diyagarame iyo bikoreshejwe neza. Ubu buryo bwo gusimbuza butanga uburyo bwiza bwo kwirinda gusama bitagize ingaruka ziterwa n'imisemburo.

Ese Drospirenone na Estetrol biruta izindi miti yo kuboneza urubyaro?

Niba uyu muti ari "mwiza" kurusha ibindi binini byo kuboneza urubyaro, biterwa n'ibyo ukeneye ku giti cyawe n'uko umubiri wawe witwara ku misemburo itandukanye. Ubu buryo bufite ibyiza byihariye, ariko icyiza kurusha ibindi gitandukanye ku muntu ku giti cye.

Igice cya estetrol gishobora gutanga ibyiza kurusha imisemburo ya kera ikoreshwa mu binini byo kuboneza urubyaro bya kera. Ubushakashatsi buvuga ko bishobora kugira ibyago bike byo gupfuka kw'amaraso no kugira ingaruka nkeya ku mikorere y'umwijima ugereranije na ethinyl estradiol, imisemburo ikoreshwa mu bindi binini byinshi byavanzwemo. Ibi bishobora kubigira amahitamo meza ku bagore bamwe.

Drospirenone, igice cya progestin, ifite imitungo irwanya androgenic ishobora gufasha kurwanya ibiheri kandi ntibitera kubyimba cyangwa kongera ibiro bifitanye isano na progestins zimwe. Abagore bamwe basanga ubu buryo butera impinduka nkeya mu myitwarire cyangwa kubabara amabere ugereranije n'izindi formulations.

Ariko, gushya ntibisobanura buri gihe ko ari byiza kuri buri wese. Abagore bamwe bakora neza cyane ku buryo bwa kera, bwashyizweho neza bwo kuboneza urubyaro kandi ntibashobora gukenera guhindura. Ibinini byo kuboneza urubyaro "byiza" ni icyo kirinda inda neza mugihe gitera ingaruka nke zitishimira kumubiri wawe wihariye.

Ibitekerezo by'ikiguzi nabyo birakenewe. Imiti mishya nk'ubu buryo bushobora guhenda kurusha verisiyo rusange z'ibinini bya kera, kandi ubwishingizi buratandukanye. Umuganga wawe ashobora kugufasha gupima ibyiza bishoboka ugereranije n'ibitekerezo bifatika nk'ikiguzi n'uko biboneka.

Ibikunze Kubazwa Kuri Drospirenone na Estetrol

Ese Drospirenone na Estetrol birakwiriye ku bagore bafite umuvuduko ukabije w'amaraso?

Uyu muti ntushobora gukwira ku bagore bafite umuvuduko ukabije w'amaraso utagenzurwa, kuko igice cya estrogen gishobora kongera umuvuduko w'amaraso. Ariko, abagore bafite umuvuduko ukabije w'amaraso ugenzurwa neza, woroshye barashobora gukoresha uyu muti bayobowe n'abaganga.

Umuvuzi wawe w’ubuzima azagomba kugenzura umuvuduko w'amaraso yawe buri gihe niba ufite amateka y’umuvuduko ukabije w’amaraso. Bashobora kugusaba ko wajya kwa muganga kenshi mu ntangiriro kugira ngo barebe ko imiti itateza izamuka ritari ryiza ry’umuvuduko w'amaraso yawe. Niba umuvuduko w'amaraso yawe bigoye kuwugenzura mugihe ukoresha uyu muti, ushobora gukenera guhindura ukoresha uburyo bwa progestin gusa cyangwa ubundi buryo butagira imisemburo.

Nkwiriye gukora iki niba nanyoye drospirenone na estetrol nyinshi bitunguranye?

Kunywa ikinini kimwe cyangwa bibiri byongereweho bitunguranye ntibishobora guteza ibibazo bikomeye, ariko ushobora guhura no kuruka cyane, kuruka cyangwa kuva amaraso. Vugana n'umuvuzi wawe w’ubuzima cyangwa umufarimasi kugira ngo akuyobore uko wasubira mu gihe cyawe gisanzwe mu buryo bwizewe.

Niba wanyoye byinshi cyane kurusha urugero rwawe rwanditswe, vugana n'umuvuzi wawe w’ubuzima ako kanya cyangwa uhamagare ikigo gishinzwe kugenzura uburozi. Nubwo ingaruka zikomeye zo kunywa imiti myinshi zitabaho cyane ku binini bigabanya urubyaro, kunywa ibinini byinshi icyarimwe bishobora gutera ingaruka zikomeye zikeneye ubuvuzi. Ntugerageze "gukosora" ibinini byongereweho ubyirengagiza ibinini nyuma, kuko ibi bishobora kugabanya imikorere y'umuti.

Nkwiriye gukora iki niba nciweho urugero rwa drospirenone na estetrol?

Niba wibagiwe ikinini kimwe, kinywe ako kanya wibukira, niyo byasaba kunywa ibinini bibiri kumunsi umwe. Ntukenera uburyo bwo kuboneza urubyaro niba wibagiwe ikinini kimwe gusa, ariko gerageza gusubira mu gihe cyawe gisanzwe vuba bishoboka.

Kwibagirwa ibinini bibiri cyangwa byinshi bisaba kwitondera cyane. Koresha ikinini giheruka kwibagirwa ako kanya wibukira hanyuma ukomeze gahunda yawe isanzwe, ariko ukoreshe uburyo bwo kuboneza urubyaro (nk'agakingirizo) muminsi irindwi ikurikira. Niba wibagiwe ibinini mugihe cy'icyumweru cya mbere cy'ipaki yawe kandi wakoze imibonano mpuzabitsina idakingiye, tekereza kuboneza urubyaro rwihutirwa kandi uvugane n'umuvuzi wawe w’ubuzima kugira ngo akuyobore.

Niba ukunda kwibagirwa imiti, ganira n'umuganga wawe ku buryo bwo kuboneza urubyaro butandukanye. Uburyo nk'agapfuka, impeta, cyangwa IUD bishobora kuba bikwiriye ubuzima bwawe kandi bitange uburinzi bwizewe.

Ni ryari nshobora kureka gufata Drospirenone na Estetrol?

Ushobora kureka gufata uyu muti igihe icyo aricyo cyose, ariko ni byiza kuganira n'umuganga wawe mbere yo gufata icyemezo. Bashobora kugufasha gutegura inzira kandi bakemeza ko ufite ubundi buryo bwo kuboneza urubyaro niba utiteguye gutwita.

Niba ureka gufata uyu muti kuko ushaka gutwita, ushobora gutangira kugerageza gusama ako kanya nyuma yo kureka imiti. Uburumbuke bwawe busanzwe bugaruka vuba, akenshi mu mezi make. Niba ureka gufata uyu muti kubera izindi mpamvu ariko ugikeneye kuboneza urubyaro, tegura ubundi buryo mbere yo kureka gufata imiti.

Abagore bamwe bahura n'impinduka z'agateganyo mu gihe cyabo cy'imihango nyuma yo kureka kuboneza urubyaro bikoreshwa imisemburo. Ibi ni ibisanzwe, kandi igihe cyawe gisanzwe kigomba kugaruka mu mezi make. Niba udafite imihango mu mezi atatu nyuma yo kureka gufata imiti, vugana n'umuganga wawe kugira ngo akuremo urujijo rwo gutwita cyangwa izindi ngorane.

Nshobora gufata Drospirenone na Estetrol nkamara konsa?

Uyu muti muri rusange ntusabwa mugihe cyo konsa, cyane cyane mu mezi atandatu ya mbere nyuma yo kubyara. Igice cya estrogen gishobora kugabanya umusaruro w'amata kandi gishobora kugira ingaruka ku miterere y'amata y'ibere, bishobora kugira ingaruka ku mirire y'umwana wawe.

Niba uri konsa kandi ukeneye kuboneza urubyaro bikoreshwa imisemburo, uburyo bwa progestin gusa nk'umuti muto, IUD ikoresha imisemburo, cyangwa igikoresho gishyizwe mu mubiri birahishemo. Ubu buryo ntibukubiyemo estrogen kandi ntibishobora guhagarika konsa.

Umuvuzi wawe ashobora kugufasha guhitamo uburyo bwiza bwo kuboneza urubyaro bushingiye ku ntego zawe zo konsa n'igihe uzamara konsa. Niba uteganya guhagarika konsa vuba, ushobora guhindura ukoresha uyu muti uvanga iyo umaze gucutsa umwana wawe.