Izsargāšanās – iespēja plānot, kad vēlies grūtniecību!

Kuru?

Kontracepcijas efektivitāti parasti nosaka, izmantojot Perla indeksu. Tā parāda, cik sievietēm no 100 (seksuāli aktīvām reproduktīvā vecumā), izmantojot attiecīgu kontracepcijas metodi, gada laikā tomēr ir iestājusies grūtniecība.

Tā piemēram, lietojot kontracepcijas tabletes atbilstoši instrukcijai, Perla indekss ir ļoti zems – precīzi tās lietojot ap 0,4 – 0,8% -, kas ir kontracepcijas tablešu lielā priekšrocība salīdzinājumā ar citām metodēm.

Kontracepcijas tabletes asinīs rada tādu hormonu līmeni, it kā olnīcas savu darbu būtu padarījušas un ovulācija būtu notikusi. Tādejādi nenotiek jauna ovulācija un, ja nav ovulācijas, grūtniecība nevar iestāties.

Reproduktīvā sistēma šajā brīdī it kā atpūšas. Papildu šim efektam ir vēl viens – tiek sabiezinātas dzemdes kakla gļotas, kas apgrūtina spermatozoīdam iekļūšanu dzemdē.

Vēl efektīvo kontracepcijas metožu klāstā ir citi hormonālās kontracepcijas līdzekļi – plāksteris, riņķis, injekcijas, hormonus saturoša spirāle. To, vai un kuras kontracepcijas tabletes jeb cits hormonus saturošs kontracepcijas līdzeklis ir vispiemērotākais sievietei, var pateikt tikai ginekologs, tālab, lai cik laba un zinoša būtu draudzene, par piemērotāko no šī klāsta ir jārunā ar ārstu.

Intrauterīnā kontracepcija jeb dzemdes spirāle ir metode, kas piemērota sievietēm, kuras kādu iemeslu dēļ nevar lietot hormonus saturošu kontracepciju. Spirāle rada vietēju, sterilu iekaisuma reakciju, kas neļauj apaugļotai olšūnai ieligzdoties dzemdes gļotādā. Tās Perla indekss ir ap 0,8%

Vēl viena kontracepcijas grupa ir barjermetodes – prezervatīvi, diafragmas un uzmavas, ko lieto kopā ar spermicīdiem. Šīs metodes neļauj spermatozoīdam sasniegt un apaugļot olšūnu, vai padara spermatozoīdus neaktīvus. To Perla indekss attiecīgi ir 6-16% atkarībā no lietošanas precizitātes, jo šo metožu lietošana prasa īpaši lielu rūpību un atbildību.

Visnedrošākās kontracepcijas metodes uzreiz pēc pilnībā neaizsargāta dzimumakta ir pārtrauktais dzimumakts un kalendārā metode. To Perla indekss ir attiecīgi 27% un 25%. Tas nozīmē, ka katrai ceturtajai sievietei, izmantojot šīs izsargāšanās metodes, tomēr iestājas grūtniecība.

Kaut reizēm vīrietim šķiet, ka viņš var kontrolēt visu, tomēr dabu ne vienmēr ir iespējams pakļaut sev. Galvenie iemesli, kālab iestājas grūtniecība ir preejakulāta izdalīšanās, ko vīrietis nemaz nejūt un savlaicīga dzimumlocekļa neizvadīšana no maksts – vienkārši nepaspēja. Pārtrauktais dzimumakts ir spriedze ne tikai vīrietim, bet arī sievietei. Tā ir neziņa un riskanta paļaušanās, tas ir apzināts vai neapzināts saspringums seksuālo attiecību laikā.

Arī kalendārā metode ir rotaļa ar dabu. Jā, sievietei ir cikls, kuram vajadzētu būt regulāram. Vajadzētu. Tomēr, sieviete ir tik hormonatkarīga un emocionāla būtne, ka pat pārslodze vai lielāks kreņķis darbā var nojaukt plānoto ovulācijas datumu.

Tas, ko izvēlēties ir katras pašas ziņā! Tā ir mūsu dzīve un ķermenis! Arī mēs, sievietes esam dažādas – kāda paļausies uz likteni neizsargājoties, kādai mīlējoties vajag brīvības sajūtu un drošības apziņu, ko sniedz droša kontracepcija!

Vīrieši par kontracepcijas izvēli

Jautājumu un atbilžu portāla www.tikaisievietem.lv interneta aptauja /2017.gada marts

Kuram no attiecībās esošajiem partneriem, Tavuprāt būtu jādomā par drošas kontracepcijas izvēli?

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