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What kind of contraceptive is better and has no side effects?
List of contraceptive methods and their effects

Now many young friends, because they don't know contraception, have many abortions afterwards. It is suggested to know more about contraceptive methods, so that they can help each other protect themselves while enhancing their feelings. Is contraception for safety or convenience? Many young women will choose the former, because the fear and helplessness on the induced abortion operating table are nightmares; For more experienced women, the degree of convenience and comfort, like safety, is the "key factor" they need to consider when choosing contraceptive methods. Inconvenient and uncomfortable contraceptive methods will gradually make our bodies "reject" sex, seriously affecting the opportunity and ability to reach happiness. Ms Lawrence, a sociologist from the United States, was surprised to find that more than 75% of the lesbians around her in China chose female intrauterine devices (IUDs) as contraceptive methods.

Because, quite a few female colleagues complained that menstrual blood increased after going to Sheung Wan, and they were dizzy and looked bad during the whole menstrual period; Some other female colleagues suffer from uterine inflammation. "However, they still realize that this is their' obligation'." Lawrence was puzzled. "Since the sexual release and happiness of both sexes are equal, why should women bear all the discomfort caused by contraception?" In the United States, more than 60% women of childbearing age choose oral contraceptives, which are comfortable and safe, and their partners are increasingly willing to accept male condoms. "Contraception is becoming a relaxed topic."

Maybe Lawrence's suggestion is right? Contraception, we should choose the most convenient and comfortable, and choose the one that conforms to the physiological state of the stage. Below we will introduce five contraceptive methods and their comfort comparison, so that everyone can see which contraceptive method is more suitable for them!

● Vaginal contraceptives

Advantages: no side effects and convenient use.

Disadvantages: it is not easy to buy, it needs to be used every time, and the failure rate is high.

Failure rate: the rate of unintended pregnancy within one year after using this method is 6 ~ 20%.

● Interrupt sexual intercourse

Advantages: economy, convenience and no cost.

Disadvantages: it requires strong self-control and is very human. Moreover, when men are excited, the secretion contains a small amount of sperm, but only one sperm is enough to get pregnant.

Failure rate: The rate of unintended pregnancy within one year after using this method is 20%.

● Safety period

Advantages: economy, safety and no side effects.

Disadvantages: three days before ovulation to two days after ovulation is a dangerous period, and other days are a safe period. But the calculation of safety period is easier for women with regular menstrual cycle (see the calculation of ovulation day); People with irregular cycles are not suitable for this method.

Failure rate: The rate of unintended pregnancy within one year after using this method is 20%.

● Condoms (condoms, * * sets)

Advantages: economy, simplicity, no side effects, contraception and prevention of sexually transmitted diseases.

Disadvantages: it needs the cooperation of men and needs to be used every time.

Failure rate: The accidental pregnancy rate within one year after using this method is 3% (used correctly and every time) to 20% (used only in critical period or only during ejaculation).

● Contraceptive pills (oral or injection)

Advantages: Easy to use, it can regulate menstruation for women with irregular menstrual cycle, and is helpful for premenstrual abdominal pain, irritability and other symptoms. Long-term use of contraceptives can reduce the incidence of ovarian cancer and endometrial cancer.

Disadvantages: it needs to be taken daily, which is a great challenge for people with poor memory. Some people are worried about side effects, which are caused by early high-dose contraceptives. The latest low-dose contraceptives have few side effects. The new generation of short-acting contraceptives has effectively changed the side effects of the old generation of contraceptives, such as obesity, acne, hair growth, etc., and has no effect on fetal development. In other words, as long as you are prepared in all aspects of body and mind and ready to have a baby, you can get pregnant immediately after stopping taking the drug.

Failure rate: the rate of unintended pregnancy within one year after using this method is 0. 1 ~ 0.5%.

● Intrauterine devices

Advantages: it can be used for 5 years once, which is economical, simple and safe. Take it out and restore the ability to conceive.

Disadvantages: A rather uncomfortable contraceptive method, the operation scale of placing IUD is almost the same as that of induced abortion, which may cause side effects such as increased menstrual flow or irregular menstruation, backache and so on. And it is more suitable for women who have given birth.

Failure rate: the rate of unintended pregnancy within one year after using this method is 0.6 ~ 0.8%.

● Ligation (sterilization)

Advantages: once and for all, no side effects. Male ligation will not affect sexual ability, and female ligation will not enter menopause prematurely.

Disadvantages: minor surgery is needed, and the wound will be a little painful. If you need to give birth again, it is not easy to restore fertility.

Failure rate: The rate of unintended pregnancy within one year after using this method is 0.4%.

● Emergency contraception (morning after pill)

Advantages: it's not safe to share a room. Take medicine within 72 hours.

Disadvantages: There will be slight nausea and side effects of menstrual disorders, which can be used occasionally and should not be used frequently.

Failure rate: about 2%, the sooner you start taking medicine from unsafe sex, the better.

Yuting (post-medical) consultation series

Royal court consultation series 1- time range of medication attention

After the introduction of the emergency contraceptive "Yuting", the worries of women of childbearing age were relieved. However, due to the lack of detailed publicity, many women said on the phone to the Yuting service hotline (0 10-62 173454) that they saw different time ranges of taking emergency contraception in different publicity materials, some said it was within 72 hours (three days), and some said it was 65454.

In principle, both schemes are acceptable. Previous studies have confirmed that the effect of taking emergency contraception within 72 hours (three days) after same-sex is positive. In order to give more women access to remedies, some studies have increased the time range to 120 hours (five days). From the preliminary results, the effective rate of medication has not decreased significantly, but its effect needs to be further confirmed. But the overall conclusion is clear, the shorter the interval between taking medicine and unprotected sex, the better the effect.

As an over-the-counter contraceptive, Yuting can be bought directly from pharmacies, and supermarkets have been introduced in some big cities. Therefore, women of childbearing age can buy it in advance and put it in the family medicine box as a standing medicine. Once there is an accident in contraception, it can increase the efficiency of contraception and prevent the occurrence of unexpected pregnancy.

Yu Ting's Counseling Series II —— Factors Influencing Yu Ting's Curative Effect

With the widespread use of emergency contraceptive Yuting, more and more people want to know what factors will affect the use effect of emergency contraceptive Yuting, so as to avoid medication errors.

Generally speaking, the failure rate of emergency contraceptive Yuting is 2%, but in practical application, the failure rate will be even greater, which is often caused by some human factors. For example:

Unused-pregnant before taking medicine; -having an unguarded roommate after taking drugs.

It is related to the time of taking medicine-the failure rate will increase if the first time of taking medicine is late; -The interval between two doses exceeds 12 hours.

The influence of other drugs-some antibiotics, anti-tuberculosis drugs, etc.

Effects of the disease-fever, vomiting.

It is often used as a conventional contraceptive.

In addition, it is very common for some couples who use safe period contraception to use the emergency contraceptive Yuting only after unprotected sex on the day they think it is unsafe. In fact, the ovulation time of women in each cycle is easily influenced by various factors, and people have many difficulties in correctly judging the ovulation date. Therefore, the real reason for some unexpected pregnancies is often sexual intercourse on the day they think it is "safe", rather than the poor effect of the emergency contraceptive Yuting.

In view of the above situation, we should remind women who take the emergency contraceptive Yuting to pay attention to their physical condition and the use of other drugs during taking the medicine. At the same time, we should pay more attention to avoid unprotected sex again before the next menstrual period. If they have sexual intercourse, they must take routine contraceptive measures.

Yuting Consultation Series III —— Comparison between Yuting and Alternative Medicine

Before 1998, because the emergency contraceptive-Yuting had not been developed and put on the market, there was no specific medicine for emergency contraception in China's market, so we had to replace it with some conventional contraceptives, such as compound 18 short-acting norethindrone contraceptive and No.53 anti-pregnancy tablet. Many people ask what is the difference between these two medicines and Yuting, a medicine specially used for emergency contraception.

The method of taking compound 18 short-acting norethindrone contraceptive instead of emergency contraceptive is: 4 tablets each time, with an interval of 12 hours, taken twice. However, due to the high incidence of side effects of nausea and vomiting, which can reach 50%, many people cannot continue to take the second drug. However, Yuting, an emergency contraceptive, has a small dose and significantly reduced side effects. In contrast, the compound 18 short-acting norethindrone contraceptive is not suitable as an emergency contraceptive.

The method of taking No.53 anti-pregnancy tablet instead of emergency contraception for visiting relatives is: take 1 tablet every night after having sex for three days, but take 1 tablet in the morning after having sex, and take one tablet every other night after the third day, with 8 tablets each time. Compared with Yuting taking 1 tablet once, with an interval of 12 hours, and only taking it twice, the taking method of No.53 visiting relatives and stopping pregnancy tablet is much more complicated, and the dosage is large, and the side effect is nausea and vomiting, which obviously affects the next menstruation, so it is not suitable as the first choice for emergency contraception.

If a woman temporarily takes compound 18 norethindrone short-acting contraceptive or No.53 anti-pregnancy tablet after unprotected sex, if it is still within 72 hours (three days), she can take Yuting instead, as long as she takes the medicine according to the required method.

Yuting's safety and side effects consultation series 4-Yuting

Women who have taken the emergency contraceptive Yuting and women who need to take the emergency contraceptive Yuting often ask what harm Yuting does to their health.

The main component of Yuting is a synthetic progesterone, and its chemical name is levonorgestrel. This drug has been used in long-term and short-term oral contraceptives, family visiting contraceptives, subcutaneous implants, vaginal rings and intrauterine devices that release hormones. It has been widely used at home and abroad for a long time and has been proved to be safe. Especially since1April, 1998, Yuting was officially listed and widely used. A large number of observation and use results confirmed that Yuting, as a special medicine for emergency contraception, is safe, convenient and effective, with small dosage and little side effects. It is occasionally used as a remedial measure, and users do not have to worry about safety issues.

When we talk about the "safety" of a drug, it doesn't mean that it has no side effects. The common side effects of Yuting, an emergency contraceptive, are dizziness, nausea and fatigue. The incidence rate is only about 5- 10%, which is mild and usually occurs within one day after taking the medicine, so users need not worry. In addition, taking medicine after meals can effectively alleviate and avoid the above side effects.

About less than 2% of women will vomit after taking emergency contraception. If vomiting occurs within 2 hours after taking the medicine, they need to take one tablet, and the time for taking the second tablet remains the same. Yuting has two kinds of packaging, one is 2 tablets, the other is 4 tablets, and the 4 tablets are the spare dose that needs to be taken when vomiting. For most women who have never vomited, the 4-piece package can be used for the second emergency contraception.

Yuting Consultation Series V-Yuting's Influence on the Next Menstruation

After taking the emergency contraceptive Yuting, some women will have early or overdue menstruation, so the question about Yuting's influence on the next menstruation has become a question that needs to be answered.

Yuting, an emergency contraceptive, is a synthetic steroid hormone. Because it inhibits ovulation and endometrium, it can delay the next menstruation. It may also be that the hormone level in the blood is temporarily increased due to temporary medication, and after the decrease, there is withdrawal bleeding, which is characterized by early menstruation. However, after taking the emergency contraceptive Yuting, about 70% women will menstruate on time, which is 3 days less than the expected "normal" date of their next menstruation; The incidence of premature menstruation is generally 10- 15%, and some people may be 7- 10 days earlier.

Delayed menstruation often brings inconvenience to women who take medicine. First of all, we should pay attention to excluding pregnancy. If it is more than one week after the expected next menstrual period, a urine pregnancy test should be done. If you still have menstruation after two weeks, you should go to the hospital for treatment, and the doctor will decide whether it is necessary to give treatment to induce menstruation.

A large number of observations have also confirmed that the emergency contraceptive Yuting has no obvious effect on the menstrual time and blood volume of the next menstruation.

Can Yuting Consulting Series 6- Yuting be used repeatedly in a short time?

If you have unprotected sex again in the same menstrual cycle after taking the emergency contraceptive Yuting, or if you just took the emergency contraceptive Yuting in the last menstrual cycle and have unprotected sex again in the next menstrual cycle, can you take Yuting again?

Some women feel that there are no side effects after taking Yuting once or twice, and menstruation can come as scheduled. In addition, their sexual life is not frequent, so they intend to use Yuting as a supplement, that is, after each sexual intercourse. Is this ok?

Yuting service hotline (0 10-62 173454) often receives the above questions. The knowledge about the above questions is directly related to the effect of using Yuting by women, so it is necessary to introduce and explain the common sense of emergency contraception and the characteristics of Yuting to these women.

First of all, it should be noted that although the dosage of emergency contraceptive Yuting is small, it stays in the body for a short time and is safe to use. After all, it will have an impact on ovulation and endometrium, and repeated use in a short time will increase the incidence of menstrual disorders. In the case of unprotected sex again after taking the above medicine, we can only take emergency contraception again after weighing the pros and cons. However, it should be informed that if you take the medicine again, the impact on menstruation may increase.

Secondly, for those women who want to take Yuting as a tonic afterwards, in addition to warning them that taking medicine again will have an impact on menstruation, they should also tell them that Yuting is not a conventional contraceptive, but a special medicine for emergency contraception. Only when it is used occasionally in an emergency when contraception fails, it will have a good effect. However, if it is used as a conventional contraceptive, it will not play its good role effectively, so the effect is naturally worse than that of conventional contraceptives. In addition, the emergency contraceptive Yuting is slightly more expensive than the conventional contraceptive, so it should also be used specially for women who need long-term contraception to avoid undue mistakes and unnecessary consumption.

Royal court consultation series 7- the use of royal court in special circumstances

With the widespread popularity of emergency contraceptive Yuting, women of childbearing age have a growing awareness and demand for its use, such as whether Yuting can be used after childbirth, lactation and illness, and how to use it. This paper specifically answers the above questions one by one.

1. If menstruation has not recovered after delivery or abortion, do you need to take the emergency contraceptive Yuting when unprotected sex occurs?

Being in the same room after delivery or when menstruation has not recovered after abortion can also lead to pregnancy. Because the recovery of ovulation is earlier than the resurgence of menstruation, it is necessary to take the emergency contraceptive Yuting when the above situation occurs. In order to be prudent, a urine pregnancy test should be done before taking the medicine. If it is negative, it can be used. At the same time, it should be noted that condoms and other conventional contraceptive methods should be used in the same room again after taking the medicine to avoid repeated medication.

2. Can lactating women take the emergency contraceptive Yuting?

Once your child has added complementary food, or more than half a year after delivery, or when menstruation comes, it is necessary to remind lactating women to adopt reliable contraceptive methods. If they have unprotected roommates in the above situation, they should actively use the emergency contraceptive Yuting. It should be pointed out that lactating women should consider the influence of estrogen on milk secretion, and only use the emergency contraceptive Yuting containing progesterone, not any other contraceptive containing estrogen.

3. Does taking broad-spectrum antibiotics or taking a drug for a long time have an effect on the emergency contraceptive Yuting?

Some broad-spectrum antibiotics (such as commonly used penicillin drugs), anti-tuberculosis drugs rifampicin and anticonvulsant drugs barbiturates will reduce the effect of steroid contraceptives, while emergency contraceptive Yuting is a steroid drug, especially Yuting's dosage is small, which is more likely to lead to contraceptive failure under the action of the above drugs. Women with these conditions are often not suitable for placing intrauterine devices, so it is even more necessary to explain to them the adverse effects of the above drugs on the emergency contraceptive Yuting, and use them under the guidance of a doctor if necessary.

Yuting Consultation Series 8- Do you want to continue pregnancy after the failure of emergency contraception?

About one-third of the women who take the emergency contraceptive Yuting are pregnant women. Once emergency contraception fails due to various situations, do you want to continue pregnancy? This question often makes them hesitate, and Yu Ting's consultation service telephone number (0 10-62 173454) often receives such questions.

Theoretically speaking, because the dose of emergency contraceptive Yuting is very small, even if it fails, it should not have a serious impact on pregnancy, especially some pregnancies are not directly attributed to the ineffectiveness of emergency contraceptives, but the result of unprotected sex again after taking the medicine. Nevertheless, there are few cases of continuous pregnancy to full-term delivery due to the failure of emergency contraception, and it is not yet possible to make a clear conclusion about the pregnancy outcome after the failure of emergency contraception. So generally speaking, to be on the safe side, women are advised to terminate their pregnancy. In addition, women who intend to get pregnant in the near future should also advise against taking emergency contraceptive measures. In addition, if it still has an effect several months after taking the medicine, it will also increase unnecessary worries for couples who want to get pregnant.