Do college students choose contraceptives or condoms? -Zhihu

Do college students choose contraceptives or condoms?

Hello, I am a deputy chief physician of Obstetrics and Gynecology of Peking Union Medical College Hospital.

Here, I will tell you about the most commonly used condoms and contraceptives, their respective advantages and disadvantages, and the misunderstandings of their use, and then introduce the long-acting reversible contraceptive methods that the World Health Organization has been committed to promoting.

I hope it helps you.

First, use contraceptives correctly before and after the event.

First, let’s talk about birth control pills.

Condoms are used to prevent pregnancy by suffocating sperm, and there are two kinds of contraceptives.

One is to put the egg in confinement, so that the egg girl can not go out of the door, and can not make an appointment, then why are you pregnant.

This corresponds to oral short-acting contraceptives, which should be taken every day, keep the army for a thousand days, and use it for a short time to prevent problems that may occur at that moment.

The other is emergency. If you really don’t intercept the egg or the sperm, you can only intercept the beard halfway. In this case, you have to rely on emergency contraceptives after the event.

But when many people talk about contraceptives, there is nothing else in their minds. They are all emergency contraceptives after the event. They simply don’t know what the concept of oral short-acting contraceptives is. Netizens

often ask, can’t you always take this emergency contraceptive after the event?

The morning-after pill is used in two situations. One is when you have already taken a contraceptive method and have not avoided it, for example, when the condom is broken.

The second is that women encounter unwanted sex, which translates as rape. Why is

this emergency contraceptive pill called an emergency? That is to say, it is an emergency remedy. It is a remedial measure. It is not something that can be “always eaten.”.

You let an emergency day to play the conventional army, this weapon configuration is not the same, the dosage size is not the same, your little body can not stand ah.

Continuous use, one is easy to lead to irregular menstruation, the other is that the failure rate of contraception will increase, which can not play an effective protective role.

So, don’t eat as much as you want just because Yuting can be easily bought at the drugstore.

Really only after the emergency, we have to remember, as an emergency Yuting, the use of a time limit, have to step on the point. Take it within 72 hours after

sex, the earlier the better.

If you have nausea or vomiting after eating Yuting, you must remember to take it within two hours, so that it is reliable.

Think about it, the medicine has not been absorbed, it was spit out, of course, there is no effect.

A lot of women say, I know all this, and I’ve been taking short-acting contraceptives to prevent pregnancy, but why am I still pregnant?

In this case, we should first ask ourselves, is it missing?

Is the medication irregular?

As we usually say, these short-acting compound oral contraceptives, such as Yasmin, Yasiyue, Marvelon, Xin Marvelon, Diane-35 and so on, their contraceptive effect is%, but in the actual use process, the biggest problem is missed.

These short-acting contraceptives should be taken from the first day of menstruation, one tablet a day, on time, for 21 days in a row, counting as a cycle.

If you don’t take the medicine on time and on time, the effect will be greatly reduced. On the contrary, it will blind you. You will hypnotize yourself and say, “I’m taking the medicine, and I won’t get pregnant.” As a result, you won’t wear the condom you should have worn, and you won’t do the protective measures you should have taken. You will enjoy yourself, just like the emperor’s new clothes. It would be strange if you didn’t get pregnant.

So remember, if you choose to take birth control pills to prevent pregnancy, first of all, it must be a short-acting combination pill, which must be taken according to the instructions and regularly within a fixed period of time.

If it is from the first day of menstruation to start taking, then eat enough for seven days before the contraceptive effect, if not, must use emergency contraceptives, it must also remember that within 72 hours after sex, the earlier the better the effect, so it is important to choose the right medicine, the time point must also be stepped on.

Since emergency contraceptives can not always be taken, then oral compound short-acting contraceptives are easy to miss. Is there a pill for three months, or an injection for half a year? Yes, but because there are many side effects, such as early pregnancy reaction, menstrual disorders and so on, long-acting contraceptives have withdrawn from the stage of history.

Two, the scientific use of condoms when it comes to condoms, we all think, who doesn’t understand this?

But why do some people use condoms or fail to use contraception?

Because there is something wrong with the details.

This condom, ah, first, to buy the right number, too big or too small. If it

is too big, it is easy to fall off, and if it is too small, it will affect pleasure and break easily.

Second, buy the right amount.

Don’t buy too much at one time, and have a correct estimate of your sexual frequency.

If you buy a lot and don’t keep it well, it will fail if it is exposed to the sun or expired.

Third, it should be used correctly throughout the process.

Don’t let yourself go as soon as you’re happy. Run naked in the first half and wear a condom in the second half.

Small sperm will not follow your pace, it may flow out before you ejaculate.

Fourth, take it while it’s hot. Be sure to take out the condom while it’s hot after

sex, and take it out quickly before the organ softens, otherwise it’s very easy to leak sperm into the vagina of women.

It is also easy to leave the condom in the vagina and not take it out.

You may not know that in our emergency department of obstetrics and gynecology, the most vaginal foreign bodies that need the help of doctors are those condoms that can’t be removed by themselves.

In short, remember these four points-don’t be too confident about your size, frequency, duration and hardness, buy the right number, buy the right amount, use the whole process, and take it while it’s hot.

If you want to prevent pregnancy, wearing condoms every day is too troublesome, and taking medicine every day is difficult to adhere to, I also have a long-term reversible contraceptive method-LARCS recommended to you.

3. Long-acting and reversible contraceptive methods.

LARCS is a long-acting reversible contraceptive method promoted by the World Health Organization, which mainly includes subcutaneous implants and intrauterine devices.

What is long-acting? Once the

subcutaneous implant is placed, it is easy to enjoy 3 to 5 years. Once the intrauterine device is implanted, the validity period is 5 to 10 years.

What is reversible?

This is in contrast to a vasectomy, where you only need to remove the implants and the IUD when you want to get pregnant. Are these two methods more efficient and convenient than contraceptives that can not be missed

once and condoms that should be taken every time and used correctly throughout the whole process?

The American College of Obstetricians and Gynecologists (ACOG) issued a statement in 2011 that doctors should encourage sexually active adolescents to choose LARCS.

The American Academy of Pediatrics recommends that girls who start having sex at the age of 12 or 13 use intrauterine devices or subcutaneous implants. Parents who have a girl

at home may not understand why two professional societies in the United States have given such advice. Is it possible for this child to have a ring when he is so young and not married.

In fact, a girl who started having sex as a teenager has poor self-control over condoms every time, and once she starts having sex, she may have many sexual partners at the same time. At the same time, a girl of this age may also be coerced. The partner may be an adult. Once an accidental pregnancy occurs, it will cause more social problems. Therefore, this professional advice is more aimed at preventing unwanted pregnancies and reducing the social problems of single mothers and teenage mothers.

Subcutaneous implant is to bury a rod containing hormone on the inner side of the upper arm, through which the rod slowly releases progesterone to inhibit ovulation and achieve contraception. This method is simple to operate, has little side effects, and can be placed for at least three years.

The IUD is commonly known as the IUD, which is placed in the uterus, through active copper ions, so that the endometrium produces an aseptic reaction, so that fertilized eggs can not take root in the uterus.

People should pay attention to the fact that they can’t take root, instead of the rumors on the Internet that putting a ring is equivalent to curettage, which makes women feel very cruel, as if they kill their children in their uterus every day.

I said in “Only the Doctor Knows 2” that you think the IUD is swinging in the womb, but also a child swings out, such rumors are really enough.

Speaking of this, I would also like to introduce to you a special new type of intrauterine device, which is called levonorgestrel intrauterine sustained-release system. The name is very long and difficult to say. The trade name is Mirena, which sustains 20 UG of levonorgestrel every day and continuously acts on the endometrium. As a result, the endometrium no longer proliferates synchronously with the ovulation of the ovaries, so the hotbed of the uterus becomes dry and no longer suitable for the growth of embryos, thus playing a contraceptive role.

Its validity period is 5 years, and its effective rate is more than 99%. When choosing this kind of IUD,

many women are particularly worried about whether the medicine put in the uterus will affect their fertility?

I tell everybody, need not worry, the growth of the endometrium basically relies on the adjustment of hormone, after taking out intrauterine device, medicaments will be metabolized quickly, the endometrium can return to original function condition very quickly, the uterus also can restore become pregnant ability, otherwise why is it called reversible contraceptive means.

If you’re looking for a relatively “once-and-for-all” form of long-term birth control, an IUD or subcutaneous implant is a good choice.

All right, let me sum up.

When using condoms, remember to use them all the way.

Take contraceptives to know that the daily short-acting compound oral contraceptives is the regular army, the main point of use is four words-regular use; The morning-after pill can only be used after a failed birth control or rape, not on a regular basis, but if you haven’t used any form of birth control or after a failed birth control, and you may have taken the morning-after pill four times this year, you don’t care about taking it more than once.

After all, abortion may have a greater impact on the body if contraception fails.

. Focus on not getting lost ~