La Family planning refers to the set of contraceptive measures that a woman, a man or a couple can use to prevent pregnancy.
To decide the correct method in each case, We must consider certain important aspects that will increase the chances of success, satisfaction and tranquility, that is ... Quality of life. Let yourself be advised by a specialist.
The consultation and assessment that our specialists consider necessary before the implantation of an effective contraceptive method must include:
History:
- Rule out contraindications
- Assess cardiovascular risk factors (especially tobacco, obesity, diabetes, dyslipidemia, HTN, as well as other types of pathologies, example: Migraine.
- Investigate a family history of ischemic heart disease, stroke or venous thrombosis in direct relatives under 50 years of age.
- Know pathological antecedents and obstetric antecedents (among other parity with satisfied maternity).
- Previous experience with different methods.
Physical - gynecological examination
- Blood pressure control
- Control of weight, height and body mass index (BMI)
- Skin inspection (assess hirsutism, acne, and breast examination)
- From the age of 45 determine glucose, cholesterol and triglycerides. With minors of this age it may also be necessary if they have risk factors and there are no recent data.
Gynecological examination
- Cervicovaginal cytology if applicable.
- Gynecological ultrasound
- Bimanual breast exams and perform complementary exams (mammography, breast ultrasound) if breast pathology is suspected.
The following is information about the contraceptive methods available, recommended in the case that is being evaluated:
- Barrier method: Prevent sperm from entering the uterus including: Condom
male, female diaphragm and cervical cap. - Anticonceptive pill:
- They combine two female hormones: estrogens and progesterone. When taken correctly they are very effective. They can have
side effects that may improve in 2 to 3 months (nausea, breast tenderness, swelling, mood swings, or irregular vaginal bleeding. - Progesterone-only mini-pill. It is useful in lactation. It can give irregular bleeding.
- They combine two female hormones: estrogens and progesterone. When taken correctly they are very effective. They can have
- Skin patches: They contain estrogen and progesterone. Monthly use.
- Vaginal ring: They contain estrogen and progesterone. Monthly usage
- Subcutaneous implants: Progesterone only. It is placed under the skin of the forearm and lasts for three years and can be removed at any time. It can cause irregular bleeding. This method is placed and removed by a gynecological specialist who prescribes it in our center.
- Intrauterine devices (IUD): It is placed through the cervix into the internal cavity of the uterus (endometrial cavity). The most common types are:
- Copper IUD: They do not contain hormones. Can give abundant rules
- Hormonal IUD from the progesterone family. Decreases bleeding and dysmenorrhea.
- Injectable contraceptive: Contains only progesterone. Monthly use. It can cause irregular bleeding or amenorrhea.
- Permanent method: Tubal Sterilization. (bilateral tubal ligation). Recommended for a group of specific patients.
Once the complete assessment has been carried out and with the conclusions made about which are the recommendations for the specific case, it is the patient who makes the decision about the way in which she wishes to plan.
We remember that the best contraceptive is:
- The one that you choose once you have received the complete and necessary information from a specialist.
- The one that you consider the most comfortable in terms of its use and cost.
- The one that inspires you the most confidence and gives you peace of mind.
- The one that doesn't cause you annoying side effects.
Do you want more information or consult your case?
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