Azimayi oposa 80 peresenti ya amayi a ku America adzagwiritsa ntchito mankhwala opatsirana pogonana nthawi zina pazaka zawo zobereka, komabe amayi ambiri sadziwa za ubwino wosagwiritsira ntchito njira imeneyi. Kawirikawiri, kuphatikiza kwa ma ARV kumaphatikizapo progesin (chifukwa cha zotsatira zake za kulera) ndi kupanga estrogen (kuti zikhazikitse endometrium ndi kuchepetsa zosafuna kuzidziwitsa).
Zotsatirazi ndi mndandandanda wa zowonjezereka zomwe sizinapangidwe zokhuza kubereka. Chonde kumbukirani kuti mkazi aliyense akhoza kuchita mosiyana ndi njira zina zothandizira kubereka, kotero chidziwitsochi chiyenera kukhala mwachidule. Ndikofunika kuzindikira kuti chifukwa chachikulu chogwiritsira ntchito mankhwala opatsirana pogonana ndi chifukwa choletsa kubereka (kuteteza mimba yosakonzekera ) - zopindulitsa zopanda kulera za kubereka zingathe kulingalidwidwe pozindikira njira yomwe imakhala yabwino kwa inu. .
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DysmenorrheaDysmenorrhea amamva kupweteka chifukwa cha kupweteka kwakukulu kwa uterine pa nthawi ya kusamba chifukwa cha kutuluka kwa prostaglandin. Kupweteka kumakhala kochepa kwambiri kuti kuchepetsa ntchito za tsiku ndi tsiku zazimayi pa nthawi imeneyo. Dysmenorrhea ndi matenda omwe amadziwika kwambiri kuti amatha msambo, omwe amakhudzidwa mpaka 90 peresenti ya atsikana. Kuphatikizira mapiritsi oletsa kubereka , NuvaRing , Implanon , Mirena IUD, ndi Ortho Evra Patch onse awonetsa kuthekera kochepetsa kuchepetsa kupweteka kwa thupi
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PMS ndi PMDDMatenda a Premenstrual (PMS) amatanthauza zizindikiro zosiyanasiyana zamthupi kapena zamaganizo zomwe zimachitika masiku asanu ndi asanu ndi asanu asanayambe mkazi kuyamba kumwezi. Zizindikiro zimatha nthawi yomwe amayamba kumaliseche, kapena posakhalitsa pambuyo pake ndipo amawerengera amayi 75 peresenti panthawi yomwe akubereka.
Matenda opatsirana ammimba (PMDD), mawonekedwe amphamvu a PMS, ndi chikhalidwe chomwe chimakhudza kwambiri ubwino wa maganizo ndi chikhalidwe cha anthu pafupifupi 3-5 peresenti ya amayi a msinkhu wobereka. Kudzala Mtengo Wathu wa Chiyembekezo -Positive Prevention User Guide Kusintha kwa ma hormone komwe kumachitika pa nthawi ya kusamba kwa amayi kumawoneka kuti kumawathandiza pakuchitika kwa PMDD. Njira zoletsa kubereka, kuphatikizapo mapiritsi owonjezera, awonetsedwa kuti amapereka chithandizo
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Ziphuphu ndi HirsutismNthendayi, yomwe imachitika kawirikawiri pamaso kapena mapewa, ndi chikopa cha khungu chomwe chimayambitsa ma nyemba, minofu, ndi zilonda zamoto zofiira (papules, pustules, ndi cysts). Hirsutism ndi kukula kwambiri kwa tsitsi la amuna pamtundu wina wa nkhope ndi thupi la mkazi monga masharubu ndi ndevu. Androgens, mahomoni opatsirana pogonana pakati pa amuna, akhoza kukhala ndi udindo pa izi. Amayi mwachibadwa amakhala ndi mayendedwe ochepa a androgens, koma machitidwe akuluakulu osakanizidwa a androgens angapangitse kuti tsitsi lanu likhale lolemera kwambiri. Popeza kuti kupatsirana kwa ma hormonal kungachepetse mayendedwe a androjeni mu ufulu wanu, kuphatikizapo OCs kungakhale kothandiza kwambiri pochiza zinthu izi
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Kusamba Mwezi MigrainesAmayi makumi asanu ndi limodzi a amayi omwe ali ndi migraines amawagwirizanitsa kuti ayambe kusamba. Kusindikizidwa kwa msambo migraine kumachitika pa 8 peresenti ya amayi. Mapiritsi afupipafupi (monga Seasonique kapena Lybrel ) ndi kupatsirana koyambitsa matenda opatsirana (kuphatikizapo Depo Provera ) akhoza kuchepetsa kusintha kwa mahomoni kuganiza kuti kumayambitsa matenda ena a migraine ndikuthandiza ena odwala migraine
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Zisamba zosasambaAmayi ambiri amavutika chifukwa chokhala osasamba. Azimayi ena amadera nkhaŵa chifukwa chosadziŵa kuti nthawi yawo idzayamba liti. Kusamba kwa msambo kungakhale kosadziŵika chifukwa cha zosavuta, zosasintha kapena zosasintha. Kuphatikizako mankhwala okhudzana ndi mahomoni angakupatseni phindu lothandizani kuti muyambe kuyendetsa mwezi kapena kupuma nthawi zonse
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EndometriosisEndometriosis ndi mkhalidwe umene minofu yomwe imayika mkati mwa chiberekero (endometrium) imakula m'madera ena a thupi. Zimayambitsa kupweteka, kusasinthasintha magazi, komanso kuthekera kwa kusabereka. Endometriosis ndi vuto lalikulu ndipo mwinamwake limayambira nthawi yomwe kumayamba msambo nthawi zonse. Depo Provera ndi Depo-subQ Fufuzani majekeseni 104 akhala ali ndi FDA -vomerezedwa kuti athetse ululu wokhudzana ndi endometriosis. Mankhwala ena opatsirana pogonana angathandizenso
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MenorrhagiaMenorrhagia ndikumasamba magazi kwambiri ndipo amatha kuchepetsa kuchepa kwa magazi m'thupi. Zikuoneka kuti zimachitika pafupifupi 10 peresenti ya amayi a msinkhu wobereka, ngakhale kuti amayi oposa 30 peresenti amatha kupeza chithandizo cha matendawa. Zokambirana zapakati zomwe zimachepetsanso magawo ambiri a magazi zimakhala zothandiza makamaka pakuyang'anira mchitidwe wamatenda. Njira zothandizira kubereka zikhoza kukhala zowonongeka (zomwe zili ndi zotsatira zochepa zochepa) za menorrhagia monga njira yothetsera matenda ndi njira yowonjezereka (opaleshoni) yomwe imayambitsa kubereka
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Kansa ya EndometrialKhansara ya endometrial ndi khansara yomwe imayambira mu endometrium, chiberekero cha chiberekero. Matenda ambiri a khansa ya m'magazi amachitika pakati pa zaka 60 ndi 70, koma matenda ena amatha kusanafike zaka 40. Malingana ndi National Cancer Institute, khansa ya uterine ndi khansa yowopsa kwambiri, ndipo khansa ya endometrial imakhala pafupifupi 90 peresenti ya khansa yonse ya uterine. Ku United States, pafupifupi 37,000 matenda atsopano a khansa ya uterine amapezeka ndipo amayi pafupifupi 6,000 amafa ndi matendawa chaka chilichonse. Mapiritsi oletsa kubereka, Mirena ndi Depo Provera, akhala akuwonetseredwa kuti amapereka chitetezo cha khansa ya m'magazi
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Khwangwala la ovarianKhansara ya ovarian ndi khansara yomwe imayambira m'mimba mwake. Ndi khansa yowonjezeka kwambiri yachisanu mwa amayi, ndipo imayambitsa imfa kuposa anyamata ena omwe ali ndi khansa yobereka. Akuti pafupifupi madola 30,000 atsopano a khansa ya ovari adzapezeka chaka chilichonse, ndi amayi 15,000 akufa ndi matendawa. Reanalysis ya deta yapadziko lonse ya OCs pamodzi ndi khansa ya ovari yasonyezera kuti kugwiritsa ntchito kulikonse kwa mapiritsi oletsa kubereka kumachepetsa chiopsezo cha khansa ya ovari. Kuwonjezera apo, kutalikirana kwa OC pamodzi kumakhala kochepa kwambiri
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Khansa yolondolaKansa, kapena khansa yoyera, ndi khansa yomwe imayambira m'mimba yaikulu (colon) kapena rectum (mapeto a koloni). Malingana ndi American Cancer Society, khansa yoyipa kwambiri ndi imodzi mwa zifukwa zomwe zimachititsa kuti anthu azifa khansa ku United States ndipo ndi khansa yachinayi yomwe imapezeka kwambiri pakati pa amuna ndi akazi. Kafukufuku amasonyeza kuti kugwiritsa ntchito mankhwala opatsirana mowa (" mapiritsi ") kungachepetse chiopsezo chanu chokhala ndi khansa yofiira
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Kusakanikirana kwa MchereKuchuluka kwa mafupa (BMD) ndi kuchuluka kwa fupa, kuphatikiza mphamvu ya mafupa omwe amaimiridwa ndi kashiamu. Kuchulukana kwa mafupa ndi kuchuluka kwa mafupa m'kati mwa mafupa ena. BMD ikhoza kukhala chisonyezero chodziwika bwino cha matenda a mitsempha ya mitsempha komanso chiopsezo cha kugwidwa. Ngakhale zikuwoneka kuti mapiritsi oletsa kubereka angapangidwe ndi kuwonjezeka kwa mafupa pakati pa akazi m'zaka zobadwa zoberekera, kafufuzidwe ka njira zina za mahomoni ndizochepa. Kugwiritsiridwa ntchito kwa Depo Provera ndi Implanon kungachepetse BMD. Ndipotu, Depo Provera ili ndi bokosi lakuda la FDA loti Depo Provera angagwiritsire ntchito ntchito yowonongeka kwapang'onopang'ono.
American College of Obstetricians ndi Gynecologists. "Kusagwiritsa ntchito mosaganizira za mankhwala opatsirana pogonana." Chitani Bulletin No. 110, Jan 2010 115: 206-18. Idapezeka kudzera mwachinsinsi.