{"id":879,"date":"2015-09-03T12:04:20","date_gmt":"2015-09-03T12:04:20","guid":{"rendered":"http:\/\/www.sanatateafemeii.md\/?page_id=879"},"modified":"2017-07-26T13:56:42","modified_gmt":"2017-07-26T13:56:42","slug":"contraceptivele-orale-combinate","status":"publish","type":"page","link":"https:\/\/cidsr.mihaisiscanu.com\/ro\/contraceptivele-orale-combinate\/","title":{"rendered":"Contraceptivele orale combinate"},"content":{"rendered":"<p style=\"text-align: left;\"><span style=\"color: #0080bf;\"><strong>Ce sunt contraceptivele orale combinate?<img decoding=\"async\" class=\" wp-image-960 alignright\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/09\/COC-300x190.jpg\" alt=\"COC\" width=\"251\" height=\"159\" srcset=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/09\/COC-300x190.jpg 300w, https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/09\/COC.jpg 660w\" sizes=\"(max-width: 251px) 100vw, 251px\" \/><br \/>\n<\/strong><\/span><\/p>\n<ul>\n<li>Pilule care con\u0163in doze mici din 2 hormoni \u2013 un progestativ \u015fi un estrogen \u2013 similari hormonilor naturali progesteron \u015fi estrogen din corpul femeii.<\/li>\n<li>Contraceptivele orale combinate (COC) sunt denumite \u015fi \u201epilule\u201d, pilule combinate cu doze mici, contraceptive orale sau CO.<\/li>\n<li>Ac\u0163ioneaz\u0103 \u00een principal prin prevenirea eliber\u0103rii ovulelor din ovare (a ovula\u0163iei).<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<div id=\"accordion-2\" class=\"accordion no-js\" role=\"tablist\"><div class=\"accordion-item\"><h3 id=\"accordion-2-t1\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c1\" aria-selected=\"false\" aria-expanded=\"false\"><strong>C\u00e2t de eficiente sunt?<\/strong><\/h3><div id=\"accordion-2-c1\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t1\" aria-hidden=\"true\">\n<p><strong>Eficien\u0163a depinde de utilizatoare:<\/strong> Cel mai mare risc de sarcin\u0103 este atunci c\u00e2nd femeia \u00eencepe o nou\u0103 folie de pilule cu 3 sau mai multe zile \u00eent\u00e2rziere, sau uit\u0103 3 sau mai multe pilule atunci c\u00e2nd este aproape de \u00eenceperea sau terminarea unei folii de pilule.<\/p>\n<ul>\n<li>\u00cen cadrul utiliz\u0103rii obi\u015fnuite, aproximativ 8 sarcini la 100 de femei, \u00een timpul primului an de utilizare a COC. Aceasta \u00eenseamn\u0103 c\u0103, din 100 de femei care utilizeaz\u0103 COC, 92 nu vor r\u0103m\u00e2ne gravide.<\/li>\n<li>C\u00e2nd nu se fac gre\u015feli \u00een utilizarea pilulelor, mai pu\u0163in de 1 sarcin\u0103 la 100 de femei, \u00een timpul primului an de utilizare a COC (3 sarcini la 1.000 de femei).<\/li>\n<\/ul>\n<p><strong>Revenirea fertilit\u0103\u0163ii dup\u0103 oprirea utiliz\u0103rii COC:<\/strong> Imediat\u0103<br \/>\n<strong>Protec\u0163ia \u00eempotriva infec\u0163iilor cu transmitere sexual\u0103 (ITS):<\/strong> Nu protejeaz\u0103<\/p>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t2\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c2\" aria-selected=\"false\" aria-expanded=\"false\"><strong>Efecte secundare<\/strong><\/h3><div id=\"accordion-2-c2\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t2\" aria-hidden=\"true\">\n<p><strong>Efecte secundare <\/strong><\/p>\n<p>La unele utilizatoare pot ap\u0103rea urm\u0103toarele:<\/p>\n<ul>\n<li>Modific\u0103ri ale caracterelor s\u00e2nger\u0103rii vaginale:<\/li>\n<\/ul>\n<p style=\"padding-left: 60px;\">&#8211; s\u00e2nger\u0103ri mai reduse cantitativ \u015fi zile mai pu\u0163ine cu s\u00e2ngerare,<br \/>\n&#8211; s\u00e2nger\u0103ri neregulate,<br \/>\n&#8211; s\u00e2nger\u0103ri mai rare,<br \/>\n&#8211; lipsa s\u00e2nger\u0103rii lunare<\/p>\n<ul>\n<li>Cefalee<\/li>\n<li>Ame\u0163eli<\/li>\n<li>Grea\u0163\u0103<\/li>\n<li>Durere \u00een s\u00e2ni<\/li>\n<li>Modificarea greut\u0103\u0163ii<\/li>\n<li>Modific\u0103ri ale dispozi\u0163iei generale<\/li>\n<li>Acnee (se poate ameliora sau agrava, de obicei se amelioreaz\u0103)<\/li>\n<\/ul>\n<p>Alte posibile modific\u0103ri fizice:<\/p>\n<ul>\n<li>Tensiunea arterial\u0103 poate cre\u015fte cu c\u00e2teva unit\u0103\u0163i (mm Hg). Dac\u0103 cre\u015fterea se datoreaz\u0103 COC, tensiunea arterial\u0103 scade rapid dup\u0103 oprirea utiliz\u0103rii COC.<\/li>\n<\/ul>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t3\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c3\" aria-selected=\"false\" aria-expanded=\"false\">B<strong>eneficii \u015fi riscuri pentru s\u0103n\u0103tate<\/strong><\/h3><div id=\"accordion-2-c3\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t3\" aria-hidden=\"true\">\n<p><strong>Beneficii pentru s\u0103n\u0103tate<\/strong><\/p>\n<p>Ajut\u0103 la protec\u0163ia \u00eempotriva:<\/p>\n<ul>\n<li>Riscurilor asociate sarcinii<\/li>\n<li>Cancerului mucoasei uterine (cancerului de endometru)<\/li>\n<li>Cancerului de ovar<\/li>\n<li>Bolii inflamatorii pelvine simptomatice<\/li>\n<\/ul>\n<p>Poate ajuta la protec\u0163ia \u00eempotriva:<\/p>\n<ul>\n<li>Chisturilor de ovar<\/li>\n<li>Anemiei prin deficit de fier<\/li>\n<\/ul>\n<p>Reduce:<\/p>\n<ul>\n<li>Crampele menstruale<\/li>\n<li>Problemele legate de menstrua\u0163ie<\/li>\n<li>Durerea produs\u0103 de ovula\u0163ie<\/li>\n<li>Pilozitatea \u00een exces de pe fa\u0163\u0103 sau corp<\/li>\n<li>Simptomele sindromului de ovar polichistic (s\u00e2nger\u0103ri neregulate, acnee, pilozitate \u00een exces pe fa\u0163\u0103 sau corp)<\/li>\n<li>Simptomele endometriozei (durere pelvin\u0103, s\u00e2nger\u0103ri neregulate)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Riscuri pentru s\u0103n\u0103tate<\/strong><\/p>\n<p>Foarte rar:<\/p>\n<ul>\n<li>Cheaguri de s\u00e2nge \u00een venele profunde ale membrelor inferioare sau pl\u0103m\u00e2ni (tromboz\u0103 venoas\u0103 profund\u0103 sau embolie pulmonar\u0103)<\/li>\n<\/ul>\n<p>Extrem de rar:<\/p>\n<ul>\n<li>Accident vascular cerebral<\/li>\n<li>Infarct miocardic<\/li>\n<\/ul>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t4\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c4\" aria-selected=\"false\" aria-expanded=\"false\"><strong>Cine poate \u015fi cine nu poate utiliza contraceptive orale combinate<\/strong><\/h3><div id=\"accordion-2-c4\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t4\" aria-hidden=\"true\">\n<p><strong>Sigure \u015fi potrivite pentru aproape toate femeile<\/strong><\/p>\n<p>Cele mai multe femei pot utiliza COC \u00een siguran\u0163\u0103 \u015fi eficient, inclusiv femeile care:<\/p>\n<ul>\n<li>Au n\u0103scut sau nu au n\u0103scut<\/li>\n<li>Nu sunt c\u0103s\u0103torite<\/li>\n<li>Au orice v\u00e2rst\u0103, inclusiv adolescente \u015fi femei peste 40 de ani<\/li>\n<li>Tocmai au avut un avort la cerere sau un avort spontan<\/li>\n<li>Fumeaz\u0103 \u2013 dac\u0103 au mai pu\u0163in de 35 de ani<\/li>\n<li>Au anemie \u00een prezent sau au avut anemie \u00een trecut<\/li>\n<li>Au vene varicoase<\/li>\n<li>Sunt infectate cu HIV, indiferent dac\u0103 utilizeaz\u0103 sau nu terapie antiretroviral\u0103<\/li>\n<\/ul>\n<p>Femeile pot \u00eencepe utilizarea COC:<\/p>\n<ul>\n<li>F\u0103r\u0103 examinare ginecologic\u0103<\/li>\n<li>F\u0103r\u0103 teste din s\u00e2nge sau alte teste de laborator efectuate de rutin\u0103<\/li>\n<li>F\u0103r\u0103 screening pentru cancerul de col uterin<\/li>\n<li>F\u0103r\u0103 examinarea s\u00e2nilor<\/li>\n<li>Chiar dac\u0103 femeia nu este \u00een timpul menstrua\u0163iei, dac\u0103 se \u015ftie cu un grad rezonabil de certitudine c\u0103 ea nu este \u00eens\u0103rcinat\u0103<\/li>\n<\/ul>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t5\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c5\" aria-selected=\"false\" aria-expanded=\"false\"><strong>Corectarea miturilor<\/strong><\/h3><div id=\"accordion-2-c5\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t5\" aria-hidden=\"true\">\n<p>Contraceptivele orale combinate:<\/p>\n<ul>\n<li>Nu se acumuleaz\u0103 \u00een corpul femeii. Femeile nu au nevoie de\u00a0\u201epauz\u0103\u201d \u00een utilizarea COC.<\/li>\n<li>Trebuie luate \u00een fiecare zi, indiferent dac\u0103 femeia are sau nu contact sexual \u00een acea zi.<\/li>\n<li>Nu produc infertilitate.<\/li>\n<li>Nu produc anomalii congenitale \u015fi nici na\u015fteri gemelare.<\/li>\n<li>Nu modific\u0103 comportamentul sexual al femeilor.<\/li>\n<li>Nu se acumuleaz\u0103 \u00een stomac. Dimpotriv\u0103, pilula se dizolv\u0103 zilnic.<\/li>\n<li>Nu \u00eentrerup evolu\u0163ia unei sarcini deja existente<\/li>\n<\/ul>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t6\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c6\" aria-selected=\"false\" aria-expanded=\"false\"><strong>Managementul problemelor<\/strong><\/h3><div id=\"accordion-2-c6\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t6\" aria-hidden=\"true\">\n<strong>Probleme raportate drept efecte secundare sau probleme cu utilizarea<\/strong>:<\/p>\n<ul>\n<li>Pilule uitate<\/li>\n<li>S\u00e2nger\u0103ri vaginale neregulate (s\u00e2nger\u0103ri nea\u015fteptate care deranjeaz\u0103)<\/li>\n<li>Lipsa s\u00e2nger\u0103rii vaginale lunare<\/li>\n<li>Cefalee obi\u015fnuit\u0103 (nemigrenoas\u0103)<\/li>\n<li>Gre\u0163uri sau ame\u0163eli<\/li>\n<li>Dureri \u00een s\u00e2ni<\/li>\n<li>Modificarea greut\u0103\u0163ii<\/li>\n<li>Modific\u0103ri ale dispozi\u0163iei generale sau modific\u0103ri ale libidoului<\/li>\n<li>Acnee<\/li>\n<\/ul>\n<p><strong>Probleme noi care pot necesita schimbarea metodei<\/strong><\/p>\n<ul>\n<li>S\u00e2ngerare vaginal\u0103 neexplicat\u0103 (care sugereaz\u0103 o afec\u0163iune medical\u0103 f\u0103r\u0103 leg\u0103tur\u0103 cu metoda) sau s\u00e2ngerare vaginal\u0103 abundent\u0103 sau prelungit\u0103<\/li>\n<li>Ini\u0163ierea tratamentului cu anticonvulsivante, rifampicin\u0103, rifabutin\u0103 sau ritonavir<\/li>\n<li>Cefalee migrenoas\u0103<\/li>\n<li>Situa\u0163ii \u00een care femeia va fi imobilizat\u0103 la pat timp de o s\u0103pt\u0103m\u00e2n\u0103 sau mai mult<\/li>\n<li>Anumite afec\u0163iuni medicale grave (suspiciune de afec\u0163iune cardiac\u0103 sau afec\u0163iune hepatic\u0103 grav\u0103, hipertensiune arterial\u0103, cheaguri de s\u00e2nge \u00een venele profunde ale membrelor\u00a0 inferioare \u00a0sau \u00a0pl\u0103m\u00e2ni, \u00a0accident \u00a0vascular cerebral, cancer de s\u00e2n, afectare vascular\u0103, tulbur\u0103ri de vedere, renale, sau ale sistemului nervos produse de diabet zaharat, sau afec\u0163iuni ale vezicii biliare).<\/li>\n<li>Suspiciune de sarcin\u0103<\/li>\n<\/ul>\n<p><strong>\u00cen caz de apari\u021bie a unor probleme din cele listate mai sus, adresa\u021bi-v\u0103 la medic.<\/strong><\/p>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t7\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c7\" aria-selected=\"false\" aria-expanded=\"false\"><strong>Pilule uitate<\/strong><\/h3><div id=\"accordion-2-c7\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t7\" aria-hidden=\"true\">\n<p>\u00cen cazul \u00een care uita\u021bi s\u0103 administra\u0219i pastila\/pilula la timp, fie \u00eent\u00eerzia\u021bi initierea unei folii noi la timp, risca\u021bi s\u0103 r\u0103m\u00eene\u021bi \u00eens\u0103rcint\u0103, deoarece eficacitatea metodei scade. Este important s\u0103 administra\u021bi zilnic pastila, la aceiasi or\u0103. La fel este important s\u0103 initia\u021bi o folie nou\u0103 la timp, dup\u0103 pauza de 7 zile, \u00een cazul \u00een care utiliza\u021bi folii cu 21 pastile fie s\u0103 nu face\u021bi pauze \u00een cazul utiliz\u0103rii foliilor cu 28 pastile.<\/p>\n<p>Riscul unei sarcini nedorite va creste \u00een dependen\u021b\u0103 de c\u00eete pastile a\u021bi uitat s\u0103 lua\u021bi.<\/p>\n<p>1. \u00cen cazul \u00een care a\u021bi uitat s\u0103 lua\u021bi o pastil\u0103, \u00eendat\u0103 ce v-a\u021bi adus aminte, lua\u021bi pastila.<br \/>\n2. \u00cen cazul \u00een care a\u021bi uitat s\u0103 lua\u021bi 2 sau 3 pastile:<\/p>\n<p style=\"padding-left: 30px;\">&#8211; Lua\u021bi ultima pastil\u0103 pe care a\u021bi omis-o.<br \/>\n&#8211; Pastila precedent\u0103 uitat\u0103 (prima) trebuie aruncat\u0103<br \/>\n&#8211; Utiliza\u021bi o metod\u0103 de contracep\u021bie suplimentar\u0103\u00a0\u00een urm\u0103toarele 7 zile<br \/>\n&#8211; \u00cen cazul \u00een care a\u021bi avut un contact sexual \u00een ultimele 5 zile, pute\u021bi utiliza contarcep\u021bie de urgen\u021b\u0103.<\/p>\n<p>\u00cen cazul \u00een care exemplele de mai sus nu se potrivesc cu situa\u021bia Dumneavoastr\u0103, v\u0103 rug\u0103m s\u0103 contacta\u021bi medicul, iar \u00eentre timp folosi\u021bi o metod\u0103 de barier\u0103 suplimentar\u0103, de exemplu prezervativul.<\/p>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t8\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c8\" aria-selected=\"false\" aria-expanded=\"false\"><strong>\u00centreb\u0103ri \u015fi r\u0103spunsuri despre contraceptivele orale combinate<\/strong><\/h3><div id=\"accordion-2-c8\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t8\" aria-hidden=\"true\">\n<p><strong>1. Trebuie femeia s\u0103 fac\u0103 o \u201epauz\u0103\u201d dup\u0103 ce utilizeaz\u0103 COC o perioad\u0103 de timp?<\/strong><br \/>\nNu. Nu exist\u0103 dovezi despre utilitatea \u201epauzei\u201d. De fapt, o \u201epauz\u0103\u201d \u00een timpul utiliz\u0103rii COC poate s\u0103 duc\u0103 la apari\u0163ia unei sarcini nedorite. COC pot fi utilizate \u00een siguran\u0163\u0103 timp de mul\u0163i ani f\u0103r\u0103 a fi necesar\u0103 oprirea lor periodic\u0103.<\/p>\n<p><strong>2. Dac\u0103 femeia a utilizat COC timp \u00eendelungat, va fi ea protejat\u0103 \u00eempotriva sarcinii \u015fi dup\u0103 ce opre\u015fte COC?<\/strong><br \/>\nNu. Femeia este protejat\u0103 doar at\u00e2t timp c\u00e2t ia pilulele cu regularitate.<\/p>\n<p><strong>3. C\u00e2t timp dureaz\u0103 ca femeia s\u0103 r\u0103m\u00e2n\u0103 \u00eens\u0103rcinat\u0103 dup\u0103 oprirea COC?<\/strong><br \/>\nFemeile care opresc utilizarea COC pot r\u0103m\u00e2ne \u00eens\u0103rcinate la fel de repede ca \u015fi femeile care opresc metode nehormonale. COC nu \u00eent\u00e2rzie revenirea fertilit\u0103\u0163ii femeii dup\u0103 ce ea opre\u015fte utilizarea lor. Dup\u0103 ce femeia opre\u015fte utilizarea pilulelor, \u00een general ea va avea s\u00e2nger\u0103ri menstruale similare celor avute \u00eenainte de utilizarea COC. La unele femei, s\u00e2nger\u0103rile vaginale obi\u015fnuite pot s\u0103 revin\u0103 doar dup\u0103 c\u00e2teva luni.<\/p>\n<p><strong>4. COC cauzeaz\u0103 avort?<\/strong><br \/>\nNu. Studiile asupra COC au ar\u0103tat c\u0103 acestea nu \u00eentrerup evolu\u0163ia unei sarcini deja existente. COC nu trebuie utilizate cu scopul de a \u00eencerca producerea unui avort. Ele nu vor produce avort.<\/p>\n<p><strong>5. COC cauzeaz\u0103 anomalii congenitale? Va d\u0103una f\u0103tului faptul c\u0103 femeia utilizeaz\u0103 accidental COC \u00een timpul sarcinii?<\/strong><br \/>\nNu. Conform unor dovezi clare, COC nu vor cauza anomalii congenitale \u015fi nu vor d\u0103una f\u0103tului dac\u0103 femeia r\u0103m\u00e2ne \u00eens\u0103rcinat\u0103 \u00een timp ce utilizeaz\u0103 COC sau dac\u0103 \u00een mod accidental \u00eencepe s\u0103 utilizeze COC atunci c\u00e2nd este deja \u00eens\u0103rcinat\u0103.<\/p>\n<p><strong>6. Pot COC cauza femeilor cre\u015fteri sau sc\u0103deri mari \u00een greutate?<\/strong><br \/>\nNu. Cele mai multe femei nu cresc \u015fi nu scad \u00een greutate datorit\u0103 COC. Greutatea se modific\u0103 \u00een mod firesc datorit\u0103 schimb\u0103rilor ce apar pe parcursul vie\u0163ii \u015fi datorit\u0103 \u00eenaint\u0103rii \u00een v\u00e2rst\u0103. Deoarece modific\u0103rile greut\u0103\u0163ii sunt at\u00e2t de frecvente, multe femei cred c\u0103 aceste cre\u015fteri sau sc\u0103deri \u00een greutate sunt produse de COC. Totu\u015fi, studiile arat\u0103 c\u0103, \u00een mod obi\u015fnuit, COC nu modific\u0103 greutatea. Pu\u0163ine femei prezint\u0103 modific\u0103ri bru\u015fte ale greut\u0103\u0163ii atunci c\u00e2nd utilizeaz\u0103 COC. Aceste modific\u0103ri sunt reversibile dup\u0103 oprirea utiliz\u0103rii COC. Nu se \u015ftie de ce aceste femei reac\u0163ioneaz\u0103 astfel la COC.<\/p>\n<p><strong>7. Pot COC cauza femeilor modific\u0103ri ale dispozi\u0163iei generale sau ale libidoului?<\/strong><br \/>\n\u00cen general, nu. Unele femei care utilizeaz\u0103 COC relateaz\u0103 aceste tulbur\u0103ri. Totu\u015fi, marea majoritate a utilizatoarelor de COC nu relateaz\u0103 acest tip de modific\u0103ri; unele relateaz\u0103 ameliorarea at\u00e2t a dispozi\u0163iei generale c\u00e2t \u015fi a libidoului. Este dificil de apreciat dac\u0103 asemenea modific\u0103ri sunt datorate COC sau altor cauze. Furnizorii pot ajuta clientele cu astfel de probleme. Nu exist\u0103 dovezi privind modificarea de c\u0103tre COC a comportamentului sexual al femeii.<\/p>\n<p><strong>8. Ce \u00eei poate spune furnizorul clientei care \u00eentreab\u0103 despre COC \u015fi cancerul de s\u00e2n?<\/strong><br \/>\nFurnizorul poate sublinia c\u0103 at\u00e2t utilizatoarele de COC c\u00e2t \u015fi femeile care nu utilizeaz\u0103 COC pot avea cancer de s\u00e2n. \u00cen studiile \u015ftiin\u0163ifice cancerul de s\u00e2n a fost ceva mai des \u00eent\u00e2lnit la femeile utilizatoare de COC \u015fi la cele care au utilizat COC \u00een ultimii 10 ani, comparativ cu alte femei.\u00a0Oamenii de \u015ftiin\u0163\u0103 nu \u015ftiu dac\u0103 COC au cauzat sau nu u\u015foara cre\u015ftere a num\u0103rului de cancere de s\u00e2n. Este posibil ca aceste cancere s\u0103 fi fost deja prezente \u00eenainte de utilizarea COC, dar au fost depistate mai\u00a0devreme la utilizatoarele de COC.<\/p>\n<p><strong>9. Pot COC s\u0103 fie utilizate ca test de sarcin\u0103?<\/strong><br \/>\nNu. Femeia poate prezenta o oarecare s\u00e2ngerare vaginal\u0103 (o \u201es\u00e2ngerare de priva\u0163iune\u201d) ca urmare a lu\u0103rii mai multor COC sau a unui ciclu complet de COC, dar studiile arat\u0103 c\u0103 aceast\u0103 practic\u0103 nu identific\u0103 cu precizie dac\u0103 femeia este sau nu \u00eens\u0103rcinat\u0103. Astfel, a da unei femei\u00a0COC pentru a vedea dac\u0103 va s\u00e2ngera sau nu ulterior nu se recomand\u0103 ca modalitate de diagnostic a sarcinii. COC nu trebuie oferite femeilor ca test de sarcin\u0103 deoarece rezultatele nu vor fi corecte.<\/p>\n<p><strong>10. Este necesar\u0103 examinarea ginecologic\u0103 \u00eenainte ca femeia s\u0103 \u00eenceap\u0103 utilizarea COC sau la consulta\u0163iile de control?<\/strong><br \/>\nNu. \u00cen schimb, punerea \u00eentreb\u0103rilor potrivite ne poate ajuta s\u0103 \u015ftim cu grad rezonabil de certitudine c\u0103 femeia nu este \u00eens\u0103rcinat\u0103. Nicio afec\u0163iune care ar putea fi depistat\u0103 prin examinare ginecologic\u0103 nu exclude utilizarea COC.<\/p>\n<p><strong>11. Pot femeile care prezint\u0103 vene varicoase s\u0103 utilizeze COC?<\/strong><br \/>\nDa. COC sunt sigure pentru femeile care prezint\u0103 vene varicoase. Venele varicoase sunt vase de s\u00e2nge cu diametru m\u0103rit, aproape de suprafa\u0163a pielii. Ele nu sunt primejdioase. Ele nu sunt cheaguri de s\u00e2nge \u015fi aceste vene nu sunt nici venele profunde ale membrelor inferioare unde un cheag de s\u00e2nge poate fi primejdios (tromboz\u0103 venoas\u0103 profund\u0103). Femeia care are sau a avut tromboz\u0103 venoas\u0103 profund\u0103 nu trebuie s\u0103 utilizeze COC.<\/p>\n<p><strong>12. Poate femeia s\u0103 utilizeze COC \u00een siguran\u0163\u0103 pe parcursul \u00eentregii ei perioade de fertilitate?<\/strong><br \/>\nDa. Nu exist\u0103 o v\u00e2rst\u0103 minim\u0103 sau maxim\u0103 pentru utilizarea COC. COC pot fi o metod\u0103 potrivit\u0103 pentru cele mai multe femei, de la debutul menstrua\u0163iei (menarha) p\u00e2n\u0103 la menopauz\u0103.<\/p>\n<p><strong>13. Pot femeile care fumeaz\u0103 s\u0103 utilizeze COC \u00een siguran\u0163\u0103?<\/strong><br \/>\nFemeile fum\u0103toare cu v\u00e2rsta sub 35 de ani pot utiliza COC cu doze mici de hormoni. Femeile fum\u0103toare care au 35 de ani sau au dep\u0103\u015fit aceast\u0103 v\u00e2rst\u0103 trebuie s\u0103 aleag\u0103 o metod\u0103 f\u0103r\u0103 estrogen sau, dac\u0103 fumeaz\u0103 mai pu\u0163in de 15 \u0163ig\u0103ri pe zi, injectabile lunare. Femeile mai \u00een v\u00e2rst\u0103 care fumeaz\u0103 pot utiliza pilule numai cu progestativ, dac\u0103 ele prefer\u0103 pilulele. Toate femeile care fumeaz\u0103 trebuie \u00eendemnate s\u0103 opreasc\u0103 fumatul.<\/p>\n<p><strong>14. Cum proced\u0103m dac\u0103 clienta dore\u015fte s\u0103 utilizeze COC dar nu putem \u015fti cu grad rezonabil de certitudine\u00a0<\/strong><strong>c\u0103 ea nu este \u00eens\u0103rcinat\u0103, dup\u0103 ce utiliz\u0103m lista de verificare a sarcinii?<\/strong><br \/>\nDac\u0103 testele de sarcin\u0103 nu sunt disponibile, femeia poate s\u0103 primeasc\u0103 COC, cu condi\u0163ia s\u0103 fie instruit\u0103 s\u0103 \u00eenceap\u0103 s\u0103 le utilizeze \u00een primele 5 zile dup\u0103 \u00eenceperea urm\u0103toarei ei menstrua\u0163ii. P\u00e2n\u0103 atunci, ea trebuie s\u0103 utilizeze o metod\u0103 contraceptiv\u0103 suplimentar\u0103.<\/p>\n<p><strong>15. Pot fi COC utilizate ca pilule pentru contracep\u0163ia de urgen\u0163\u0103 (PCU) dup\u0103 contact sexual neprotejat?<\/strong><br \/>\nDa. C\u00e2t mai cur\u00e2nd posibil, dar nu mai t\u00e2rziu de 5 zile dup\u0103 contactul sexual neprotejat, femeia poate utiliza COC ca PCU. Totu\u015fi, pilulele numai cu progestativ sunt mai eficiente \u015fi produc mai rar efecte secundare precum gre\u0163uri \u015fi v\u0103rs\u0103turi.<\/p>\n<p><strong>16. Care este diferen\u0163a \u00eentre pilulele monofazice, bifazice \u015fi trifazice?<\/strong><br \/>\nPilulele monofazice furnizeaz\u0103 aceea\u015fi cantitate de estrogen \u015fi progestativ prin fiecare pilul\u0103 cu hormoni. Pilulele bifazice \u015fi trifazice furnizeaz\u0103 cantit\u0103\u0163i diferite de estrogen \u015fi progestativ \u00een diferite perioade ale ciclului de pilule. La pilulele bifazice, primele 10 pilule con\u0163in o anumit\u0103 doz\u0103 de estrogen \u015fi progesteron, iar urm\u0103toarele 11 pilule o alt\u0103 doz\u0103. La pilulele trifazice, primele 7 pilule con\u0163in o anumit\u0103 doz\u0103 de estrogen \u015fi progesteron, urm\u0103toarele 7 pilule o alt\u0103 doz\u0103, \u015fi ultimele 7 pilule din nou o alt\u0103 doz\u0103. Toate previn sarcina \u00een acela\u015fi mod. Diferen\u0163ele \u00eentre ele, privind efectele secundare, eficien\u0163a \u015fi continuarea, par s\u0103 fie mici.<\/p>\n<p><strong>17. Este important ca femeia s\u0103 ia COC la aceea\u015fi or\u0103 \u00een fiecare zi?<\/strong><br \/>\nDa, din 2 motive. Unele efecte secundare pot fi ameliorate prin luarea pilulei la aceea\u015fi or\u0103 \u00een fiecare zi. De asemenea, luarea pilulei la aceea\u015fi or\u0103 \u00een fiecare zi poate ajuta femeile s\u0103-\u015fi aminteasc\u0103 s\u0103 ia pilulele consecvent. De asemenea, asocierea lu\u0103rii pilulei cu alt\u0103 activitate zilnic\u0103 le ajut\u0103 pe femei s\u0103-\u015fi aminteasc\u0103 s\u0103 ia pilulele.<\/p>\n<div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><div class=\"accordion-item\"><h3 id=\"accordion-2-t9\" class=\"accordion-title\" role=\"tab\" aria-controls=\"accordion-2-c9\" aria-selected=\"false\" aria-expanded=\"false\"><strong>Unde va adresa\u021bi<\/strong><\/h3><div id=\"accordion-2-c9\" class=\"accordion-content\" role=\"tabpanel\" aria-labelledby=\"accordion-2-t9\" aria-hidden=\"true\">\n<p>Pentru o consulta\u021bie \u00een planificarea familial\u0103:<\/p>\n<ul>\n<li>Adresa\u021bi-v\u0103 medicului de familie din cadrul institu\u021biei medicale din raionul Dvs de re\u0219edin\u021b\u0103 (vezi <strong><a href=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/09\/Lista-MF-instruiti-in-PF.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">aici<\/a><\/strong>). ATEN\u021aIE: daca apar\u021bine\u021bi unuia din grupurile social-vulnerabile (vezi <strong><a href=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/04\/ord-nr.-658-din-18.08.2015-Cu-privire-la-asigurarea-cu-contraceptive.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">aici<\/a><\/strong>) pute\u021bi beneficia de contraceptive gratuite!<\/li>\n<li>Adresa\u021bi-v\u0103 la <a href=\"http:\/\/new.neovita.md\/reteaua-cspt-2\/\" target=\"_blank\" rel=\"noopener noreferrer\">Centrele de S\u0103n\u0103tate Prietenoase Tinerilor<\/a><\/li>\n<li>Telefona\u021bi la Linia Fierbinte a CIDSR (apel gratuit \u0219i confiden\u021bial) &#8211; 0800-088-08<\/li>\n<li>Telefona\u021bi la CIDSR &#8211; 022355072 \/ 060903782 \/ 078306973<\/li>\n<li>Scrie\u021bi la adresa de e-mail CIDSR &#8211;<a href=\"mailto:cidsr2012@gmail.com\">cidsr2012@gmail.com<\/a><\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><div class=\"top\"><a href=\"#top\"><img decoding=\"async\" align=\"absmiddle\" width=\"11\" border=\"0\" height=\"12\" alt=\"page top\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/themes\/cidsr\/images\/ico_top.gif\"> \u00een sus<\/a><\/div><\/div><\/div><\/div>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/cidsr.mihaisiscanu.com\/planificarea-familiala\"><img decoding=\"async\" class=\"size-full wp-image-958 aligncenter\" src=\"https:\/\/cidsr.mihaisiscanu.com\/wp-content\/uploads\/2015\/09\/\u0441\u043a\u0430\u0447\u0430\u043d\u043d\u044b\u0435-\u0444\u0430\u0439\u043b\u044b.png\" alt=\"\u0441\u043a\u0430\u0447\u0430\u043d\u043d\u044b\u0435 \u0444\u0430\u0439\u043b\u044b\" width=\"100\" height=\"45\" \/><\/a>","protected":false},"excerpt":{"rendered":"<p>Ce sunt contraceptivele orale combinate? Pilule care con\u0163in doze mici din 2 hormoni \u2013 un <a class=\"read-more\" href=\"https:\/\/cidsr.mihaisiscanu.com\/ro\/contraceptivele-orale-combinate\/\">more>><\/a><\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-planificarea-single.php","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/pages\/879"}],"collection":[{"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/comments?post=879"}],"version-history":[{"count":14,"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/pages\/879\/revisions"}],"predecessor-version":[{"id":891,"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/pages\/879\/revisions\/891"}],"wp:attachment":[{"href":"https:\/\/cidsr.mihaisiscanu.com\/ro\/wp-json\/wp\/v2\/media?parent=879"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}