Women who live with a normal sex life, but who do not care for mothers today, have several options to protect themselves from becoming pregnant. Over the past decades, women have relied heavily on hormonal contraceptives, but their numbers have declined in recent years. What is behind this fall? And what are the benefits and risks of taking hormonal pills?
Drop of women who are Protects against conception by hormonal contraception, Followed by a MUDR gynecologist. "In 2008 there was a downward trend in the use of hormonal contraceptives, which is still ongoing, and the number of surgeries has declined by about a third," said Kateinaina Klímová of the gynecological gynecological clinic in Gynecology.
"By reducing the number of users, unfortunately, stopped favorably The downward trend in artificial termination of pregnancy, Which currently holds about 20,000 a year. This is, I think, a great shame, because unplanned pregnancies represent emotional and physical stress for women, and last but not least, unnecessary costs to the health system, "the gynecologist said.
Women pursue vascular problems as well as extra pounds
Why are pregnancy-prevention users decreasing? The reasons can be many. The causes of the decline in the use of hormonal contraceptives are directed by physicians within the framework of the educational project Fake Forum. Their study showed that women, in the context of hormonal pills, fear of weight gain increased risk of thromboembolic disease.
Women's decision-making, of course, also reflects the general mood of society. Many people, in the spirit of sustainability, try to gradually return to nature, logically Does not prescribe the use of chemical preparations. Their role in the formation of hormonal contraceptives is also expressed in the media. While some of them are fairly objectively informed about the balls, others recycle half truths and myths that can discourage potential hobbyists or even scare them unnecessarily.
Hormonal contraception is not for everyone
It should be noted that combined hormonal contraception containing estrogen and progestin in effect Not suitable for any woman. Pills are a convenient and convenient solution for sexually active women, so they do not suffer from diseases or conditions, whether they exist or over the counter, that are not included in the use of hormonal contraception.
"between Contraindications of hormonal contraceptives High blood pressure, deep vein thrombosis, pulmonary embolism, heart disease, including developmental congenital malformations, increased blood, migraine, breast cancer, abnormal liver tests, gallstones, diabetes complications, blood clotting disorders At the same time, such as smoking with excess weight and blood pressure varies, or in combination with family burden, "says Dr. Klima risk factors.
Pills are not suitable for breastfeeding women or less than three weeks after birth. The risks can also be for women who smoke 15 or more cigarettes per day and are over the age of 35 years. The use of hormonal contraceptives is also eliminated by the presence of genetic factors to increase blood clotting. The best known are Mutation of Leiden, A hereditary disease of blood clotting, which is estimated to suffer up to a tenth of the population of the Czech Republic.
Prevention and a responsible doctor are important
A responsible gynecologist should tell the patient about the benefits of taking hormonal contraceptives, but also teach her what pills to carry Risks and obstacles. Of course, it is also necessary to check if the affected person suffers from any diseases that are not included in the pill. If the patient has a potentially dangerous illness in the patient's family, the patient's presence should be confirmed or excluded from appropriate testing.
Patients need to find a doctor they can trust and rely on their expertise and judgment. Given the nature of gynecological examinations, it makes sense that women not only gynecologist or gynecologist is essential, though Their sympathy also plays their part. If the tests are conducted in a pleasant atmosphere, women are less likely to go to gynecology. Examinations should be performed at least once a year, unless the doctor decides otherwise.
What women, according to Dr. Klímová, most often choose a gynecologist? "It works best Definitely a recommendation. References from someone you know help when making decisions. And most of our new customers come from the personal experience of their friends or acquaintances, "concluded the gynecologist.
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