Women who live in a regular sexual life but are currently not cared for by their mother have several options to protect themselves from becoming pregnant. In recent decades, women most often rely on hormonal contraceptives, but their number has decreased over the last few years. What's behind this fall? And what are the benefits and risks of using hormonal tablets?
Reducing the number of women protects against the concept of hormonal contraception, then gynecologist MUDr. Kateřina Klímová from Gynclin's gynecologic clinic: "There was a tendency to reduce hormonal contraception that was still ongoing in 2008. The number of tablet users decreased by about one-third. Only a small part of this decrease has replaced intrauterine use," says a doctor.
"Reducing the number of users, unfortunately, stopped favorably an artificial pregnancy termination trend, which now occupies around 20,000 per year. In my opinion, it is very shameful because unplanned pregnancies are emotional and physical stress for women and, ultimately, unnecessary costs to the healthcare system, "said gynecologist.
Women are shaking blood vessels, as well as additional kilos
Why do contraceptives decrease? The reason may be many. The doctors in charge of reducing the use of hormonal contraceptives use the education project Counterfeiting Forum. Their research suggests that women in the context of hormonal pills are afraid of weight gain and the risk of thromboembolic disease.
Of course, women's decision-making also reflects the general mood in society. Many people in the spirit of sustainability are trying to gradually return to nature, which is logical does not list the use of chemical preparations. The media also play their role in developing an attitude to hormonal contraception. While some of them are fairly and objectively aware of the pills, others recycle half the truths and myths that may deter potential enthusiasts or even without a doubt.
Hormonal contraception is not for everyone
It should be noted that combined hormonal contraceptives containing estrogen and progestin not suitable for every woman. Tablets are a convenient and convenient solution for sexually active women who are healthy and therefore do not suffer from diseases or conditions, both current and over-the-counter, which are not included in the use of hormonal contraceptives.
"Between possible contraindications for hormonal contraceptives high blood pressure, deep vein thrombosis, pulmonary embolism, heart disease, including congenital developmental disorders, high blood fat levels, migraine, breast cancer, abnormal liver function tests, gallstones, complications of diabetes mellitus, coagulation disorders, antifosfolipid syndrome, dual presence of several risk factors factors at the same time, such as smoking with overweight and fluctuating blood pressure or with family burdens, "says Doctor Klima's risk factors.
The tablets are not suitable for women who are breast-feeding or less than three weeks after childbirth. Risks can also be found in women who smoke 15 or more cigarettes per day or over 35 years old. The use of hormonal contraceptives is also prevented by the genetic presence of the presence of blood in the blood. The best known are Leiden mutation, a legacy of clotting disorders that is estimated to affect one tenth of the population of the Czech Republic.
Prevention and a responsible physician are important
The responsible gynecologist should tell the patient about the benefits of using hormonal contraceptives, and teach her what pills are risks and gaps. Of course, it must also be checked that the suffered person suffers from a disease that is excluded from the pill. If the patient has a potentially hazardous illness in the patient's family, the presence of the patient should be confirmed or excluded by appropriate tests.
Therefore, patients need to find a doctor to whom they can trust and rely on their experience and judgment. Given the nature of the gynecological examination, it is logical that women not only need a gynecologist or gynecologist but their sympathy has its own meaning. If the exams take place in a pleasant atmosphere, women have less reason to go to gynecology. The tests must be performed at least once a year, unless the doctor decides otherwise.
How do women, according to Dr. Klimov, most often choose a gynecologist? "It works best there is no doubt a recommendation. References from someone you know are helpful in making decisions. And most of our new clients come from their personal experiences with their friends or acquaintances, "concluded a gynecologist.
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