Kodi Njira Yotulutsiramo Ndi Yogwira Ntchito Motani, Kwenikweni?

Zamkati

• Kodi Njira Yokakamizira Ndi Chiyani?
• Kodi Njira Yotulutsiramo Ndi Yogwira Ntchito Motani?
• Njira Yotulutsiramo Ndi Yogwira Ntchito Mukamaliza Mwangwiro?
• Kodi Njira Yotulutsira Poyerekeza Ndi Mitundu Yina Yolerera Yotani?
• Chikumbutso: Njira Yotulutsira Panjira Sili Yothandiza Potsutsana ndi Matenda Opatsirana pogonana
• Momwe Mungapangire Njira Yokoka Kuti Ikhale Yothandiza Kwambiri
• Mfundo Yofunika Pa Njira Yotulutsira
• Onaninso za

Nthawi zina anthu awiri akamakondana kwambiri (kapena onse awiri akusewera kumanja) ...

Chabwino, mumvetsa. Uwu ndi mtundu wachabechabe wa The Sex Talk womwe umatanthauza kuti ubweretse kanthu kena kokayikitsa komwe achikulire abulu akuchita m'chipinda chogona: pogwiritsa ntchito njira yokoka.

Kutengera zokumana nanu, mutha kulumbira nazo - kapena kulumbira kuti musadzachitenso. Koma kodi njira yotulutsayi ndiyothandiza bwanji, malinga ndi akatswiri ndi sayansi? Nayi chokopa.

Kodi Njira Yokakamizira Ndi Chiyani?

Kutsitsimula pang'ono: Njira yotulutsira ndi pamene, panthawi yogonana ndi mbolo, munthu amene ali ndi mbolo amakoka kumaliseche asanakodzere.

"Madokotala amatchulanso njira yolerera ngati 'coitus interruptus' kapena 'njira yochotsera,'" atero a Mary Jacobson, M.D., director director a Alpha Medical, ntchito yazaumoyo yomwe imagwira ntchito yokhudza chisamaliro cha amayi. Chikhulupiriro nchakuti kutulutsa dzenje lisanatuluke kumateteza wamwamuna ku ~ kupukusa mungu ~ wamkazi, potero amateteza kutenga pakati.

Zapezeka, ndizodziwika bwino: "Kuchuluka kwa azimayi omwe adagwiritsapo ntchito njira yochotsera pafupifupi 65%," akutero Dr. Jacobson.

N’chifukwa chiyani anthu ambiri amagwiritsa ntchito njira yopulumutsira anthu? Ngati ndinu gawo la 65 peresenti, mwina mukudziwa kale. "Mwina m'modzi kapena onse awiri safuna kugwiritsa ntchito kondomu kapena amaganiza kuti imasokoneza chisangalalo, kapena mwina banjali lili pachibwenzi ndipo adasankha," akutero Dr. Jacobson. Kapenanso, zitha kukhala chifukwa "zikuwoneka ngati zosavuta komanso / kapena zopezeka mosavuta kuposa njira zina zakulera." (Chikumbutso chaubwenzi: Ngati mukuda nkhawa kuti mulipira njira zolerera, mutha kukaona malo azaumoyo a Planned Parenthood ndikupeza makondomu ndi madamu a mano kwaulere.)

Koma chifukwa ~ aliyense akuchita ~ sizitanthauza kuti ndi lingaliro labwino.

Kodi Njira Yotulutsiramo Ndi Yogwira Ntchito Motani?

Tiyeni tiwone manambalawo: "Njira yochotsera ndi pafupifupi 70 mpaka 80%," atero a Adeeti Gupta, MD, woyambitsa wa Walk In GYN Care ku New York City. Centers for Disease Control ikufotokozanso kuti kulephera kwa njirayi ndi pafupifupi 22%. Njira yotulutsira gawo la 78 peresenti zikumveka okwera bwino - koma kumbukirani, izi zikutanthauza kuti anthu 22 mwa anthu 100 atenga mimba pogwiritsa ntchito njira yolerera ngati njira yokhayo yolerera.

Kumveka dicey? Zili choncho. Ngakhale kutulutsa ndalama zisanaperekedwe kumakhala kosavuta, zimafunikira chiphaso. "Zimafunikira kuwongolera komanso nthawi; ngati mnzanu atagwidwa pakadali pano, sangatuluke munthawi yake," akutero a Anna Klepchukova, MD, wamkulu wa asayansi ku Flo Health, wolosera za amayi pathupi.

"Anecdotally, ndikukuuzani kuti amuna ena amadziwadi pamene atsala pang'ono kutulutsa umuna, ndipo ena, osati mochuluka," akutero Jen Gunter, MD, yemwe nthawi zambiri amatchedwa ob-gyn a Twitter. "Ndipo amenechitani mukudziwa ataya mwayiwo ngati ataponyedwa miyala kapena kumwa kapena awiri. "Ndibwino.

Ndipo ngakhale wina atakhala waluso pamachitidwe awo, zimangotenga pang'onopang'ono kuti atenge mimba. Kuti mukhale ndi pakati, mukufunikira umuna umodzi wathanzi komanso wodalirika kuti udikire chubu (chomwe chimalumikiza chiberekero ndi ovary) nthawi yozizira itachitika, malinga ndi American Pregnancy Association. Chifukwa nthawi ya ovulation imatha kusiyanasiyana (itha kuchitika kulikonse pakati pa tsiku la 11 ndi tsiku la 21 la kusamba kwanu) komanso chifukwa umuna ukhoza kukhala ndi moyo kwa masiku asanu m'mimba mwa amayi, malinga ndi APA, izi zikutanthauza kuti pali zenera lalikulu kwambiri kuti mimba ichitike. Izi zikutanthauza kuti kukopana ndi njira yotulutsira pa nthawi ya ovulation ndikoopsa kwambiri, kuchokera pamalingaliro apakati. (Komanso, kodi mumadziwa kuti mwayi wanu wokhala ndi pakati ndi wapamwamba ndi mnzanu watsopano?)

Njira Yotulutsiramo Ndi Yogwira Ntchito Mukamaliza Mwangwiro?

Ngakhale njira yokoka ikuchitidwa mwangwiro nthawi zonse, malinga ndi Dr. Gunter, kupambana kwa njira yotulutsira kumangokhala pafupifupi 96 peresenti, kutanthauza kuti pali mwayi wa 4 peresenti kuti mutha kutenga mimba.

Izi ndichifukwa choti, ngakhale mnzakeyo atatuluka kale asanatulutse umuna, pali china chake chotchedwa pre-cum (aka pre-ejaculate), chomwe chimamasulidwa asanafike umunawo, akufotokoza Dr. Gupta. "Kafukufuku akuwonetsa kuti, ngakhale kuchuluka kwa umuna mu pre-cum ndikotsika poyerekeza ndi momwe umakhudzidwira, umuna ulipobe - kutanthauza kuti iwe angathe khalani ndi pakati, "akutero.

Komabe, kafukufuku pankhaniyi akusowa, kotero sitikudziwa ndendende momwe pre-cum "yamphamvu" ilili. Mpaka pano, palibe njira yodziwira ngati maanja omwe adatenga mimba kuchokera ku njira yotulutsira adatenga pakati pa pre-cum yokha kapena zolakwika zaumunthu (akachedwetsa kuchotsa). Komabe, kaya gwero lake ndi lotani, mimba ndi mimba.

Kodi Njira Yotulutsira Poyerekeza Ndi Mitundu Yina Yolerera Yotani?

"Mabanja ambiri (ndi madotolo awo) amadabwitsidwa ndi momwe njira yochotsera ingathandizire," atero a Rob Huizenga, M.D., sing'anga otchuka komanso wolembaKugonana, Mabodza & Ma STD. "Koma ndichabwino? Ayi. Ndipo kwa maanja omwe sakufunitsitsa atakhala ndi pakati, zovuta ndizofunika kuzikumbukira."

Makamaka kuyambira, kutulukaonse Njira zina zolerera za Planned Parenthood imatchula njira zolerera zomwe zingatheke (zokwanira 18), njira yochotsa mimbayo ili yomaliza. Dr. Jacobson anati: “N’zosatheka kuyerekezera ndi njira zina zolerera zotchuka. Pa nkhani:

"Pali 18% yolephera ya kondomu, 9% ya mapiritsi, zigamba, ndi mphete, ndipo ochepera 1% ku IUD, kuyika, ma tubal ligation, ndi vasectomy."

Mary Jacobson, MD, wamkulu wa zamankhwala ku Alpha Medical

Kuyandikira pafupi, kuyerekezera kuchuluka kwa kulephera kwa kondomu motsutsana ndi kuchuluka kwa zolephera kungakupangitseni kufuna kutaya zonyansa - koma kumbukirani kuti, mukamagwiritsa ntchito molondola komanso nthawi iliyonse, makondomu amakhala othandiza kwambiri (98%). (Mukugwiritsa ntchito makondomu molondola? Onani zolakwika zowopsa za kondomu zomwe mungakhale mukupanga.)

Chikumbutso: Njira Yotulutsira Panjira Sili Yothandiza Potsutsana ndi Matenda Opatsirana pogonana

Ngakhale mutakhala olondola ndi njira yothandiza yodzitetezera pathupi, palinso zinthu zina zofunika kuda nkhawa nazo. Momwemonso, "njira yokoka sikuteteza kumatenda opatsirana pogonana," akutero Dr. Jacobson. "Matenda opatsirana pogonana (monga HIV, chlamydia, chinzonono, ndi chindoko) amatha kufalikira kudzera madzi asanakwane." (Yokhudzana: Kodi Mungadzipatseni Nokha Matenda Opatsirana pogonana?)

Kuphatikiza apo, kulumikizana molunjika pakhungu pakhungu (ngakhale kulibe kulowa) kumatha kupatsira ma virus ena monga maliseche, HPV, ndi nsabwe za pubic, akutero. (Ngati mukugwiritsa ntchito njira yolerera yomwe si kondomu ngati IUD kapena mapiritsi oletsa kubereka kumbukirani kuti mutha kutenganso matenda opatsirana pogonana.)

"Palinso chizolowezi choti anthu amanyalanyaza chiopsezo chotenga matenda opatsirana pogonana komanso amakhala ndi malingaliro abodza osagonjetseka akafika pachiwopsezo chotenga matenda," atero a Nesochi Okeke-Igbokwe, MD, MS, New York Sing'anga wokhazikika m'mizinda komanso katswiri wazaumoyo wa amayi.

Ichi ndichifukwa chake ndikofunikira kuti onse awiri ali patsamba limodzi zokhudzana ndi kukhala ndi mkazi mmodzi komanso momwe alili athanzi. "Lumikizanani ndikuyesedwa musanayese njira yotulutsira anthu onse kotero onse akuvomereza izi ndipo palibe zodabwitsa," akutero Dr. Gupta. Kupanda kutero, muyenera kuchita khama lanu ndikugwiritsa ntchito chotchinga panthawi yogonana. (Zokhudzana: Nayi Momwe Mungayankhulire ndi Okondedwa Wanu Zokhudza Kuyesedwa)

Momwe Mungapangire Njira Yokoka Kuti Ikhale Yothandiza Kwambiri

Ngakhale kulephera kwa 22 peresenti sikuli koyenera, njira yotulutsira kunja sikugwira ntchito. Pachifukwachi, a Dr. Gunter ati anthu ambiri atha kugwiritsa ntchito njirayikuphatikiza Njira zina zolerera kuti muchepetse mwayi wokhala ndi pakati.

M'malo mwake, pafupifupi 24% ya azimayi amagwiritsa ntchito njira yochotsera pambali pa kondomu kapena mahomoni kapena njira zolerera zosakhalitsa, malinga ndi kafukufuku wina wofalitsidwa mu magaziniyiKulera. Ngakhale izi ndizabwino pamalingaliro opewera kutenga pakati, ndikofunikirabe kukumbukira kuti njira yochotsera, mahomoni, ndi njira zina zakulera siziteteza ku matenda opatsirana pogonana, akutero Dr. Gunter. (Umuna ungathenso kutaya pH yako yakumaliseche, chifukwa chake njira yotulutsira ikhoza kukhala yofunika kuthana ndi zinthu monga matenda a yisiti ndi bakiteriya vaginosis - zomwe zimakhudzidwa ndikusintha kwanuko kwanu - komanso.)

"Tikuwonanso anthu ambiri akuphatikiza njira yochotsera ndi njira zakulera zakanthawi, kapena njira yolembera," akutero Dr. Gunter. Kwenikweni, izi zimaphatikizapo kugwiritsa ntchito pulogalamu yotsatila nthawi, kalendala yamapepala, mikanda yazunguliro, kapena pulogalamu yazachilengedwe kuti muwone momwe mungayendere komanso momwe mungakhalire ndi pakati. ICYDK, ndiwe wachonde kwambiri kuzungulira pakati pa kuzungulira kwako, ukakhala kuti ukutuluka. (Izi zimatha kusiyanasiyana kutengera momwe mayendedwe anu amakhalira pafupipafupi kapena mosasinthasintha.) Ndi njira yojambulira, mutha kusankha kuti musagonane mozungulira nthawiyo yamwezi (Hei, zinthu zina monga zinthu zamanja kapena zogonana pakamwa zili patebulo! ), kapena kugwiritsa ntchito makondomu kuwonjezera pa njira yotulutsira kunja pofuna kuteteza mimba. Chimodzi mwazinthu zoyipa kwambiri panjira yolembera ndikuti sizopusitsa: "Zimadalira kudziletsa kwakanthawi kuti zitheke, zomwe anthu atha kukhala osafuna kuchita," akutero Dr. Gunter. "Kuphatikizanso ena mwa mapulogalamuwa akhoza kukhala olakwika ndipo amafunikira kulimbikira kwa anthu." Zowona - ngakhale mapiritsi oletsa kubereka amafunikira khama kuti agwirenso ntchito. (Zokhudzana: Chifukwa Chiyani Aliyense Akusiya Kuletsa Kubereka RN?)

Pankhani ya njira ziwiri zakulera: Dr.Gunter akuwonetsa kuti ngati mnzanu atuluka mochedwa kwambiri ndipo simukuyesera kutenga pakati, mungaganizire zotenga zakulera zadzidzidzi. "Koma ngati mukuyenera kutenga Ella kapena Plan B kamodzi pamwezi, mutha kuganiza ngati iyi ndi njira yabwino yolerera kwa inu." Komanso, pali mfundo yakuti mwadzidzidzi kulerasali zana limodzi peresenti ogwira mwina. (Zokhudzana: Ndizoipa Motani Kutenga Plan B Monga Njira Yolerera Yokhazikika?)

Mfundo Yofunika Pa Njira Yotulutsira

Ndiye kutulutsa kunja kumakhala kothandiza bwanji? Zonsezi zimabwereranso ku kupambana kwa njira yotulutsira komanso kuchepa kwake: Zimagwira pafupifupi 78 peresenti ya nthawiyo, komabe pali mwayi wa 22% womwe ungakhale ndi pakati.

"Pazonse, sizodalirika kwambiri ndipo sizingakutetezeni ku matenda opatsirana pogonana, koma ngati simukufuna kutenga mimba, ndibwino kuposa chilichonse," akutero Dr. Klepchukova. "Komabe, ndikulimbikitsa anthu kuti aganizire mawonekedwe ena odalirika."

Ndipo ndi bwino kutchula momveka bwino: Chifukwa chimadalira mnzanuyo ndi mbolo yomwe imatuluka munthawi yake, munthu winayo ali ndi mphamvu zowongolera ngati wokondedwa wawo achoka kapena ayi - vuto lalikulu lomwe akatswiri onse adatsimikiza mobwerezabwereza. (#youkamatsu)

Ngati mukufuna kudziwa zambiri za njira zina zakulera, onani tsatanetsatane wa ma IUD ndi izi kuti mupeze njira zabwino zolerera.

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