Yini i-Medroxyprogesterone: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Medroxyprogesterone iyihomoni eyenziwe ngumuntu elingisa i-progesterone, i-homoni umzimba wakho oyikhiqiza ngokwemvelo. Lo muthi uza ngomjovo onikezwa emsipheni wakho noma ngaphansi kwesikhumba sakho ngumhlinzeki wezempilo. Ivame ukusetshenziselwa ukulawula ukuzala nokwelapha izimo ezithile zezempilo zabesifazane ngokulawula umjikelezo wakho wokuya esikhathini kanye namahomoni.

Yini i-Medroxyprogesterone?

I-Medroxyprogesterone iyinguqulo eyenziwe ngumuntu ye-progesterone, enye yama-hormone abalulekile ohlelweni lwakho lokuzala. Cabanga ngayo njengokushintshwa kwehomoni okungena lapho umzimba wakho udinga ukwesekwa okwengeziwe ekulawuleni umjikelezo wakho wokuya esikhathini noma ekuvikeleni ukukhulelwa.

Lo muthi ungoweqembu elibizwa ngokuthi ama-progestin, okuyizinhlobo ezenziwe ngumuntu ze-progesterone yemvelo. Uma uthola i-medroxyprogesterone njengomjovo, ikhishwa kancane kancane egazini lakho emasontweni amaningana noma izinyanga, inikeze amazinga e-hormone aqhubekayo.

Ifomu lomjovo lilusizo ikakhulukazi ngoba liqeda isidingo sokukhumbula amaphilisi ansuku zonke. Umhlinzeki wakho wezempilo uzokunika umjovo emsipheni wakho (intramuscular) noma ngaphansi kwesikhumba sakho (subcutaneous), kuye ngendlela ethile kanye nezidingo zakho zokwelashwa.

Isetshenziselwani i-Medroxyprogesterone?

Umjovo we-Medroxyprogesterone usebenza ngezinhloso eziningana ezibalulekile ekunakekelweni kwezempilo kwabesifazane. Ukusetshenziswa okuvamile njengendlela yokulawula ukuzala esebenza isikhathi eside engavimbela ukukhulelwa izinyanga ezintathu ngomjovo owodwa.

Ngaphandle kokuvimbela ukukhulelwa, lo muthi usiza ukuphatha izifo ezihlukahlukene zokuya esikhathini. Uma uhlangabezana nezikhathi ezinzima, ezingajwayelekile, noma ezibuhlungu, i-medroxyprogesterone ingasiza ukulawula umjikelezo wakho futhi inciphise izimpawu. Isebenza ngokuzinzisa umugqa wesisu sakho nokulawula ukuguquguquka kwehomoni.

Abahlinzeki bezempilo baphinda banikeze lo muthi we-endometriosis, isimo lapho izicubu ezifana nokuvunda kwakho kwesisu zikhula ngaphandle kwesisu. Le hormone isiza ukunciphisa ukukhula kwalezi zicubu futhi inganciphisa kakhulu ubuhlungu nokuvuvukala.

Kwezinye izimo, i-medroxyprogesterone isetshenziswa njengengxenye yokwelashwa nge-hormone replacement therapy kwabesifazane abadlula esikhathini sokuya esikhathini. Ingasiza futhi ekwelapheni izinhlobo ezithile zomdlavuza, ikakhulukazi umdlavuza we-endometrial, ngokunciphisa ukukhula kwamaseli omdlavuza.

Isebenza Kanjani I-Medroxyprogesterone?

I-Medroxyprogesterone ithathwa njengomuthi we-hormone olungile olusebenza ngokulingisa i-progesterone yakho yemvelo yomzimba. Uma uthola umjovo, ikhipha kancane kancane i-hormone ohlelweni lwakho amasonto amaningana noma izinyanga.

Ukuze kulawulwe ukuzala, lo muthi uvimbela ukukhulelwa ngezindlela ezintathu eziyinhloko. Okokuqala, imisa ama-ovari akho ekukhululeni amaqanda njalo ngenyanga. Okwesibili, iqina amafinyila emqaleni wakho wesibeletho, okwenza kube nzima ngesidoda ukufinyelela eqandeni. Okwesithathu, iguqula ukugqama kwesisu sakho ukwenza kungabi maningi amathuba okuthi iqanda elivundisiwe lingazifaka.

Lapho welapha izifo zokuya esikhathini, i-medroxyprogesterone isiza ukulinganisa amazinga akho e-hormone kuyo yonke imijikelezo yakho. Ingaqeda ukushuba kokugqama kwesisu sakho, okusiza ukulawula ukuphuma kwegazi okukhulu futhi kwenze izikhathi zibe lula ukuphathwa.

Ezimweni ezinjenge-endometriosis, lo muthi udala isimo esifana nokuya esikhathini ngokucindezela ukukhiqizwa kwe-estrogen. Lokhu kusiza ukunciphisa izicubu ze-endometrial futhi kunciphisa ukuvuvukala, kunikeze ukukhululeka ebuhlungu nakwezinye izimpawu.

Kufanele Ngiyithathe Kanjani I-Medroxyprogesterone?

Umjovo we-Medroxyprogesterone kufanele unikezwe ngumhlinzeki wezempilo endaweni yezokwelapha. Awukwazi ukuziphatha lo muthi ekhaya. Umjovo uvame ukunikezwa njalo ngamaviki ayi-12 kuya kwayi-13 ukuze kulawulwe ukuzala, nakuba isikhathi singahluka ngokuya ngohlelo lwakho oluthile lokwelashwa.

Ngaphambi kokujovwa kwakho, akudingeki ukuthi ulandele noma yimiphi imikhawulo ekhethekile yokudla. Ungadla ngokujwayelekile futhi akudingeki ukuthi uthathe umuthi nokudla ngoba unikezwa njengesibhamu kunokuba kube yiphilisi. Kodwa-ke, kuyasiza ukuhlala unamanzi kahle futhi ugcine ukudla okunempilo ukuze usekele impilo yakho yonke.

Umhlinzeki wakho wezempilo uzonquma indawo engcono kakhulu yokujova ngokusekelwe ekwakhekeni okuthile okutholayo. Ukujova kwemisipha kuvame ukunikezwa engalweni yakho engenhla, ethangeni, noma emisipha yezinqe. Ukujova okungaphansi kwesikhumba kungena ethisshu elinamanzi ngaphansi kwesikhumba sakho, ngokuvamile ethangeni lakho noma esiswini.

Kubalulekile ukugcina umkhondo wokuthi kufanele ujovwe nini ngokulandelayo. Umhlinzeki wakho wezempilo uzohlela ama-aphoyintimenti okulandelayo, kodwa ukumaka ikhalenda lakho kungasiza ukuqinisekisa ukuthi awuphuthelwa imithamo, ikakhulukazi uma uyisebenzisela ukulawula ukuzala.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Medroxyprogesterone?

Ubude bokwelashwa nge-medroxyprogesterone buqondene ngokuphelele nokuthi uyithatheleni nokuthi umzimba wakho usabela kanjani. Ukuze ulawule ukuzala, ungaqhubeka nokuthola imijovo uma nje ufuna ukuvimbela ukukhulelwa futhi ungaqali ukuzwa imiphumela engathandeki.

Uma usebenzisa i-medroxyprogesterone ngezinkinga zokuya esikhathini, umhlinzeki wakho wezempilo ngokuvamile uzoncoma isikhathi esithile sokwelashwa. Lokhu kungahluka kusuka ezinyangeni ezimbalwa kuya onyakeni noma ngaphezulu, kuye ngezimpawu zakho nokusabela ekwelashweni.

Ezimweni ezinjenge-endometriosis, ubude bokwelashwa buyahlukahluka kakhulu. Abanye besifazane bathola ukukhululeka ngemuva kwezinyanga eziyisithupha, kanti abanye bangase badinge izikhathi zokwelashwa ezinde. Udokotela wakho uzoqapha inqubekela phambili yakho futhi alungise uhlelo lokwelashwa njengoba kudingeka.

Kufanelekile ukuqaphela ukuthi uma usebenzisa i-medroxyprogesterone ngezizathu zempilo yamathambo, umhlinzeki wakho wezempilo angase ancome ukukhawulela ukusetshenziswa kwesikhathi eside. Ukusetshenziswa okwandisiwe kungathinta ukuminyana kwamathambo, ngakho-ke ukuqapha njalo nokuphumula okungenzeka ekwelashweni kungase kudingeke.

Ziyini Izimo Ezingezinhle Zomuthi i-Medroxyprogesterone?

Njengayo yonke imithi, i-medroxyprogesterone ingabangela izimo ezingezinhle, nakuba kungewona wonke umuntu oziphathayo. Ukuqonda ukuthi yini ongayilindela kungakusiza ukuthi uzizwe ulungiseleleke kakhulu futhi wazi ukuthi unxhumana nini nomhlinzeki wakho wezempilo.

Izimo ezingezinhle ezivame kakhulu ongase uzithole zihlanganisa izinguquko emjikelezweni wakho wokuya esikhathini, okuvame ukulindeleka ngalolu hlobo lomuthi wamahomoni:

• Ukuphuma kwegazi okungajwayelekile noma ukuchitheka phakathi nezikhathi
• Izikhathi ezinzima noma ezilula kunezivamile
• Ukungabi bikho ngokuphelele kwezikhathi ngemva kokujova okumbalwa
• Imjikelezo wokuya esikhathini omude noma omfushane

Lezi zinguquko zokuya esikhathini zivame ukuba zesikhashana futhi zivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi.

Ungase futhi uqaphele ezinye izinguquko zomzimba ezivame ukulawuleka:

• Ukukhuluphala (ngokuvamile amakhilogremu angu-1-2 ngonyaka wokuqala)
• Ukuqaqamba kwamabele noma ukuvuvukala
• Ukucabanga noma isiyezi esincane
• Ushintsho lwemizwa, okuhlanganisa ukuzizwa unemizwa eminingi noma ucasukile
• Ukukhathala noma amazinga amandla anciphile
• Ukuqunjelwa noma ukungakhululeki esiswini

Iningi lalezi zimo ezingezinhle zithambile futhi zivame ukuthuthuka ngokuhamba kwesikhathi njengoba umzimba wakho ujwayela amazinga amahomoni.

Ezinye izimo ezingezinhle ezingavamile kodwa ezingathi sína zidinga ukunakekelwa kwezempilo ngokushesha. Nakuba kungavamile, kubalulekile ukwazi lezi zinto ezingenzeka:

• Ubuhlungu obukhulu besifuba noma ukuphefumula kanzima
• Ukucabanga okungazelelwe okukhulu noma izinguquko embonweni
• Ubuhlungu obukhulu emlenzeni noma ukuvuvukala
• Ukuphuma kwegazi okungavamile esithweni sangasese noma ukukhipha
• Izimpawu zokucindezeleka noma izinguquko ezinzima zemizwa
• Ubuhlungu obukhulu besisu

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, xhumana nomhlinzeki wakho wezempilo ngokushesha noma funa ukunakekelwa kwezempilo eziphuthumayo.

Ukusetshenziswa kwesikhathi eside kwe-medroxyprogesterone kungase futhi kuthinte ukuminyana kwamathambo akho. Yingakho umhlinzeki wakho wezempilo ezokuqapha njalo futhi angase ancome izithasiselo ze-calcium ne-vitamin D ukusekela impilo yamathambo.

Ubani Ongafanele Athole I-Medroxyprogesterone?

I-Medroxyprogesterone ayifanele wonke umuntu, futhi izimo ezithile zezempilo zenza kungaphephile ukuyisebenzisa. Umhlinzeki wakho wezempilo uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokunquma lo muthi.

Akufanele uthole i-medroxyprogesterone uma ukhulelwe njengamanje noma ucabanga ukuthi ungase ukhulelwe. Umuthi ungabangela ingozi kumntwana osakhulayo, ngakho-ke ukuhlolwa kokukhulelwa kuvame ukudingeka ngaphambi kokuqala ukwelashwa.

Izimo eziningana zezempilo zenza i-medroxyprogesterone ingaphephile noma idinga ukuqapha okukhethekile. Lokhu kufaka phakathi izimo ezithinta uhlelo lwakho lwe-cardiovascular:

• Umlando wamagazi emilenzeni yakho, emaphashini, noma kwezinye izingxenye zomzimba wakho
• Isifo samanje noma esidlule sokushaywa unhlangothi noma ukuhlaselwa yinhliziyo
• Umfutho wegazi ophezulu ongagadiwe
• Izifo ezithile zesigqi senhliziyo

Izimo ezihlobene nomdlavuza nazo zithinta ukuthi ngabe ungaqhubeka yini usebenzisa lo muthi ngokuphepha, njengoba ama-hormone engathonya izinhlobo ezithile zokukhula komdlavuza.

Izinkinga zesibindi ziveza enye into okufanele ikhathazwe ngayo, njengoba isibindi sakho sisebenzisa ama-hormone. Uma unesifo sesibindi esisebenzayo noma umlando wamathumba esibindi, i-medroxyprogesterone ingase ingakulungele.

Ezinye izimo ezidinga ukucatshangelwa ngokucophelela zifaka:

• Ukuphuma kwegazi okungachazeki emithanjeni
• Isifo sikashukela esibi esinokuhlushwa
• Ukucindezeleka okukhulu noma izifo zemizwa
• Izinhlobo ezithile zama-migraines ezinomoya
• Isifo se-Gallbladder

Ubudala bungaba yinto ebalulekile, njengoba abesifazane abangaphezu kweminyaka engama-35 ababhemayo bangase babhekane nezingozi ezengeziwe ngemithi ye-hormone.

Amagama Omkhiqizo we-Medroxyprogesterone

Umjovo we-Medroxyprogesterone utholakala ngaphansi kwamagama amaningi emikhiqizo, i-Depo-Provera iyona eyaziwa kakhulu. Leli gama lomkhiqizo selivele lifana nomuthi ngokwawo ezindaweni eziningi zokunakekelwa kwezempilo.

I-Depo-SubQ Provera 104 ngomunye umkhiqizo ovamile, oklanyelwe ngqo ukujovwa ngaphansi kwesikhumba. Le fomula isebenzisa isimiso sokulinganisa esihlukile kancane kanye nendlela yokujova uma iqhathaniswa nenguqulo yendabuko ye-intramuscular.

Ikhemisi lakho noma umhlinzeki wakho wezempilo naye angase akhiphe izinguqulo ezivamile zomjovo we-medroxyprogesterone acetate. Lezi ziqukethe isithako esifanayo esisebenzayo futhi zisebenza ngempumelelo njengezinguqulo zegama lomkhiqizo, ngokuvamile ngentengo ephansi.

Umkhiqizo othile noma ifomula oyitholayo ingase incike ekuhlinzekweni komshwalense wakho, okuthandwa ngumhlinzeki wakho wezempilo, kanye nesimo esithile eselashwayo. Zonke izinguqulo ezivunyelwe zihlangabezana nezindinganiso ezifanayo zokuphepha nokusebenza kahle.

Ezinye izindlela ze-Medroxyprogesterone

Uma i-medroxyprogesterone ingakulungele, ezinye izinketho ezingezinye zingabhekana nezinkinga zezempilo ezifanayo. Umhlinzeki wakho wezempilo angakusiza ukuthi uhlole lezi zindlela ezingezinye ngokusekelwe ezidingweni zakho ezithile nomlando wakho wezokwelapha.

Ukuze ulawule ukuzala, unezinketho eziningi ezisukela kwezinye izindlela zama-hormonal kuya ezindleleni ezingezona eze-hormonal. Izinketho ezisebenza isikhathi eside zihlanganisa amadivayisi angaphakathi kwesisu (IUDs), zombili izinguqulo zama-hormonal nezethusi, ezingavimbela ukukhulelwa iminyaka eminingi.

Ezinye izindlela zokulawula ukuzala zama-hormonal zihlanganisa amaphilisi okulawula ukuzala, iziqeshana, noma izindandatho zesitho sangasese. Lezi zidinga ukulinganisa okuvame kakhulu kodwa zinikeza inzuzo yokubuyiselwa ngokushesha uma ufuna ukukhulelwa.

Ukwelapha izinkinga zokuya esikhathini, ezinye izindlela zingabandakanya ezinye izinhlobo zokwelashwa ngamahomoni, njengamaphilisi okulawula ukuzala ahlanganisiwe noma ama-IUD anamahomoni. Ezinye izindlela ezingenawo amahomoni njengemithi ethile yokudambisa ubuhlungu noma izinqubo zokuhlinzwa zingase zifaneleke kuye ngesimo sakho esithile.

Uma ubhekene ne-endometriosis, ezinye izindlela zokwelapha zihluka kusukela ekwelashweni ngamanye amahomoni kuya ezindleleni zokuhlinzwa. Umhlinzeki wakho wezempilo uzocabangela ubunzima bezimpawu zakho, iminyaka yakho, kanye nemigomo yakho yokuhlela umndeni lapho encoma ezinye izindlela.

Ingabe i-Medroxyprogesterone Ingcono Kunezinye Izindlela Zokulawula Ukuzala?

I-Medroxyprogesterone inikeza izinzuzo eziyingqayizivele eziyenza ibe yindlela enhle kakhulu kwabesifazane abaningi, kodwa ukuthi ingabe “ingcono” kuncike ezidingweni zakho kanye nezintandokazi zakho. Indlela ngayinye yokulawula ukuzala inezinzuzo zayo kanye nokucatshangelwa kwayo.

Inzuzo enkulu ye-medroxyprogesterone ukulula kwayo nokusebenza kahle. Ngokusebenza kahle ngaphezu kuka-99% ekuvikeleni ukukhulelwa, ingenye yezindlela zokulawula ukuzala ezithembeke kakhulu ezitholakalayo. Udinga kuphela ukukhumbula ama-aphoyintimenti njalo emva kwezinyanga ezintathu kunokuthatha amaphilisi nsuku zonke.

Uma kuqhathaniswa namaphilisi okulawula ukuzala, i-medroxyprogesterone iqeda ingozi yokukhohlwa imithamo yansuku zonke, okunganciphisa ukusebenza kahle. Futhi ayihlangani neminye imithi engase ithinte ukumuncwa kwamaphilisi noma ukusebenza kahle.

Noma kunjalo, i-medroxyprogesterone inokucatshangelwa okuthile ezinye izindlela ezingenawo. Ngokungafani namaphilisi, iziqeshana, noma izindandatho, awukwazi ukuyeka ngokushesha imithi uma unezinkinga. Imiphumela yamahomoni iyaqhubeka izinyanga eziningana ngemuva komjovo wakho wokugcina.

Uma kuqhathaniswa nama-IUD, i-medroxyprogesterone ayidingi inqubo yokufakwa noma yokususwa. Noma kunjalo, ama-IUD angahlala iminyaka eminingana futhi awadingi imijovo ejwayelekile. Abanye besifazane bakhetha indlela ethi “yibeke futhi uyikhohlwe” yama-IUD.

Kwabesifazane abangakwazi ukusebenzisa izindlela zokulawula inzalo ezinama-estrogen ngenxa yezimo zezokwelapha, i-medroxyprogesterone inikeza enye indlela enhle ngoba iqukethe i-progestin kuphela. Lokhu kuyenza ifaneleke kwabesifazane abanezinkinga ezithile zenhliziyo nemithambo yegazi noma ezinye izimo ezingavumeli ukusetshenziswa kwe-estrogen.

Imibuzo Evame Ukubuzwa Nge-Medroxyprogesterone

Ingabe i-Medroxyprogesterone Iphephile Ukusetshenziswa Isikhathi Eside?

I-Medroxyprogesterone ingasetshenziswa ngokuphepha isikhathi eside, kodwa ukusetshenziswa isikhathi eside kudinga ukuqapha njalo ngumhlinzeki wakho wezempilo. Okukhathaza kakhulu ngokusebenzisa isikhathi eside imiphumela engaba khona ekuminyaneni kwamathambo, okungakhuphuka ngokuhamba kwesikhathi.

Umhlinzeki wakho wezempilo cishe uzoncoma ukuhlolwa njalo kokuminyana kwamathambo uma usebenzisa i-medroxyprogesterone iminyaka engaphezu kwemibili. Bangase futhi baphakamise izithasiselo ze-calcium ne-vitamin D ukusekela impilo yamathambo ngesikhathi sokwelashwa kwakho.

Kwabesifazane abaningi, izinzuzo ze-medroxyprogesterone zidlula izingozi, ikakhulukazi uma ukuqapha okufanele kukhona. Umhlinzeki wakho wezempilo uzohlola njalo ukuthi ngabe ukuqhubeka nokuyisebenzisa kufanelekile yini esimweni sakho.

Ngingenzani Uma Ngithola I-Medroxyprogesterone Eningi Ngengozi?

Njengoba i-medroxyprogesterone inikezwa ngabahlinzeki bezempilo ezindaweni ezilawulwayo, ukweqisa ngengozi akuvamile kakhulu. Kodwa-ke, uma ukhathazekile ngokuthola umthamo ongalungile, xhumana nomhlinzeki wakho wezempilo ngokushesha ukuze uxoxe ngezinkathazo zakho.

Uma usola ukuthi uthole imithi eningi kakhulu, ziqaphelele imiphumela emibi eyengeziwe efana nesicanucanu esibi, ukuphuma kwegazi ngokweqile, noma izimpawu ezingavamile. Unganqikazi ukufuna usizo lwezokwelapha uma uhlangabezana nanoma yiziphi izimpawu ezikhathazayo.

Umhlinzeki wakho wezempilo angabuyekeza amarekhodi akho ezokwelapha ukuze aqinisekise ukuthi umthamo olungile unikeziwe futhi anikeze isiqondiso esifanele uma kuvela noma yiziphi izinkinga.

Ngingenzani Uma Ngedlula Umthamo We-Medroxyprogesterone?

Uma uphuthelwa ukuqokwa kwakho komjovo okuhleliwe, xhumana nomhlinzeki wakho wezempilo ngokushesha ngangokunokwenzeka ukuze uhlele kabusha. Isikhathi somjovo wakho olandelayo sibalulekile ekugcineni ukusebenza kahle, ikakhulukazi uma uwusebenzisela ukulawula ukuzala.

Uma ushaye isonto elilodwa ngemuva komjovo wakho futhi usebenzisa i-medroxyprogesterone ukulawula ukuzala, kungase kudingeke usebenzise indlela yokuvimbela ukukhulelwa ngaphandle kokuthi uthole umjovo wakho futhi usebenze futhi.

Umhlinzeki wakho wezempilo angase ancome ukuhlolwa kokukhulelwa ngaphambi kokunikeza umjovo osekwephuzile ukuze aqinisekise ukuthi awukhulelwanga ngesikhathi segebe lokumboza.

Ngingayeka nini Ukuthatha i-Medroxyprogesterone?

Ungayeka ukuthola imijovo ye-medroxyprogesterone nganoma yisiphi isikhathi ngokumane ungaqoki ukuqokwa kwakho okulandelayo. Kodwa-ke, kubalulekile ukuxoxa ngalesi sinqumo nomhlinzeki wakho wezempilo, ikakhulukazi uma uwusebenzisela izimo zezokwelapha kunokulawula ukuzala.

Khumbula ukuthi imiphumela ye-medroxyprogesterone iyaqhubeka izinyanga eziningana ngemuva komjovo wakho wokugcina. Uma uyisebenzisela ukulawula ukuzala futhi ufuna ukukhulelwa, kungase kuthathe izinyanga eziyi-6-12 noma ngaphezulu ukuthi inzalo yakho ibuyele kwesijwayelekile.

Umhlinzeki wakho wezempilo angakusiza ukuthi uhlele isikhathi sokuyeka i-medroxyprogesterone ngokuya ngezinhloso zakho futhi angase asikisele ezinye izindlela zokwelapha uma uyeka ngezizathu ezingezona ezokufuna ukukhulelwa.

Ingabe i-Medroxyprogesterone Izothinta Ikhono Lami Lokukhulelwa Esikhathini Esizayo?

I-Medroxyprogesterone ayibangeli izinkinga zenzalo ezingapheli, kodwa kungathatha isikhathi ukuthi umjikelezo wakho wokuya esikhathini ovamile nenzalo yakho ibuyele ngemuva kokuyeka umuthi. Lokhu kubambezeleka kungokwesikhashana futhi akubonisi noma yimiphi imiphumela ehlala njalo ohlelweni lwakho lokuzala.

Abesifazane abaningi babona izikhathi zabo zibuyela phakathi kwezinyanga eziyi-6-12 ngemuva komjovo wabo wokugcina, nakuba abanye bengase bahlangabezane nokubambezeleka okufika ezinyangeni eziyi-18. Lokhu kuhluka kujwayelekile futhi akubikezeli izinkinga zenzalo yesikhathi esizayo.

Uma uhlela ukukhulelwa esikhathini esizayo, xoxa ngesikhathi nodokotela wakho. Bangakusiza ukuthi uhlele ukuthi uyeka nini ukuthatha i-medroxyprogesterone ukuze kuhambisane nezinhloso zakho zokuhlela umndeni.