Гид по контрацепции: достоинства и недостатки

{"article":{"error":null,"payload":{"id":287,"slug":"gid-po-kontracepcii-plyusy-i-minusy","title":"Гид по контрацепции: достоинства и недостатки","description":"Оцениваем эффективность, удобство использования и побочные реакции.","href":"/news/gid-po-kontracepcii-plyusy-i-minusy/","published":{"display":"8 ноября 2017","rfc3339":"2017-11-08T13:55:11+00:00"},"image":{"isTouch":{"retina":"https://vseapteki.ru/cropping/thumbnails/250/246/phoneMedium_retina/","default":"https://vseapteki.ru/cropping/thumbnails/250/246/phoneMedium_default/"},"isFromTablet":{"retina":null,"default":null}},"modified":{"display":"8 ноября 2021, 15:07:15","rfc3339":"2021-11-08T15:07:15.391424+00:00"},"content":"\u003cp class=\"article-picture\" data-name=\"contentimage\" data-id=\"312\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/253/312/phoneMedium_retina/\" title=\"\"\u003e\u003c/p\u003e\n\u003cp\u003eИз-за обилия противоречивой информации существует много мифов о контрацепции. В этом гайде мы постарались все систематизировать.\u003c/p\u003e\n\u003cp\u003eКак коэффициент эффективности метода контрацепции мы будем использовать \u003cstrong\u003eиндекс Перля\u003c/strong\u003e, показывающий, сколько женщин из ста забеременели, используя тот или иной метод контрацепции на протяжении одного года. Чем он ниже, тем эффективнее метод.\u003c/p\u003e\n\u003ch2\u003eБарьерная контрацепция\u003c/h2\u003e\n\u003ch3\u003eМужской презерватив\u003c/h3\u003e\n\u003cp\u003eЛатексное или полиуретановое (для тех, у кого аллергия на латекс) изделие, покрытое тонким слоем смазки. Надевается на пенис перед половым актом. При правильном использовании не допускает попадания семенной жидкости во влагалище, предотвращая беременность.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eДостоинства\u003c/strong\u003e:\u003c/p\u003e\n\u003cul\u003e\u003cli\u003eСтоят недорого\u003c/li\u003e\u003cli\u003eЛегко достать\u003c/li\u003e\u003cli\u003eНе обязательна консультация с врачом перед применением\u003c/li\u003e\u003cli\u003eЗащищают от многих (но не всех) ИППП\u003c/li\u003e\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eНедостатки:\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\u003cli\u003eПри неправильном использовании может соскользнуть или порваться\u003c/li\u003e\u003cli\u003eСложно достать в нестандартных размерах\u003c/li\u003e\u003cli\u003eСнижают чувствительность\u003c/li\u003e\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eИндекс Перля:\u003c/strong\u003e 2-18\u003c/p\u003e\n\u003cul\u003e\u003cli\u003e\u003cstrong\u003eЧитайте также: \u003ca href=\"https://vseapteki.ru/news/pokupat_kondomy_my_stesnyalis_poetomu_skoro/\" target=\"_blank\"\u003e«Покупать кондомы мы стеснялись, поэтому скоро пришли за тестом на беременность» — 10 реальных историй о неловких покупках презервативов\u003c/a\u003e\u003c/strong\u003e\u003c/li\u003e\u003c/ul\u003e\n\u003ch3\u003eСпермициды\u003c/h3\u003e\n\u003cp\u003eВещества в различных формах, которые применяются для того, чтобы нейтрализовать сперматозоиды. Могут иметь вид пенки, геля, свечей, кремов и т.д. Вводятся во влагалище перед половым актом, действуют на протяжении 60-120 минут (иногда больше). Обычно их сочетают с другими средствами из-за низкой эффективности, например, покрывают ими поверхность презерватива или добавляют в \u003ca href=\"https://vseapteki.ru/product/94069-dyureks_gelsmazka_playhit_s_sogrevayuschim/\"\u003eсмазки\u003c/a\u003e для усиления эффекта. \u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eДостоинства:\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\u003cli\u003eСтоят недорого\u003c/li\u003e\u003cli\u003eЛегко достать\u003c/li\u003e\u003cli\u003eНе влияют на гормональный фон\u003c/li\u003e\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eНедостатки:\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\u003cli\u003eНадо применять за 10-15 минут до полового акта\u003c/li\u003e\u003cli\u003eЕсть риск аллергической реакции или раздражения\u003c/li\u003e\u003cli\u003eПлохо защищают от ИППП\u003c/li\u003e\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eИндекс Перля:\u003c/strong\u003e 18-28\u003c/p\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eСмазки и презервативы\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/catalog/41100-sredstva_kontratseptsii_gelismazki/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать цену\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cp\u003eЕсть еще несколько вариантов барьерной контрацепции, которые не имеют широкого распространения — женский презерватив, вагинальные диафрагмы, колпачки на шейку матки. Их эффективность и доступность ниже, а использовать их сложнее.\u003c/p\u003e\n\u003ch2\u003eВнутриматочная контрацепция \u003c/h2\u003e\n\u003ch3\u003eСпираль\u003c/h3\u003e\n\u003cp\u003eМиниатюрное устройство, которое помещается в полость матки и не позволяет оплодотворенной яйцеклетке имплантироваться в стенку матки. Спирали могут быть двух типов — с содержанием \u003ca href=\"https://vseapteki.ru/product/143253-spiral_vnutrimatochnaya_multiload_cu_375/\"\u003eметаллов\u003c/a\u003e (золото, медь, серебро) или \u003ca href=\"https://vseapteki.ru/product/142173-mirena_spiral_vnutrimatochnaya/\"\u003eгормоно-содержащие\u003c/a\u003e. \u003c/p\u003e\n\u003cp\u003eУ металлосодержащих спиралей на пластиковой основе намотана металлическая проволока. У гормональных дополнительно выделяются микродозы гормонов, которые блокируют овуляцию. \u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eДостоинства:\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\u003cli\u003eВысокая эффективность\u003c/li\u003e\u003cli\u003eНе требуют дополнительных усилий\u003c/li\u003e\u003cli\u003eДействуют до 5 лет \u003c/li\u003e\u003cli\u003eЭффект легко обратим — фертильность восстанавливается сразу после удаления ВМС\u003c/li\u003e\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eНедостатки:\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\u003cli\u003eСтоят дорого\u003c/li\u003e\u003cli\u003eЕсть противопоказания и побочные эффекты\u003c/li\u003e\u003cli\u003eУстанавливается только врачом\u003c/li\u003e\u003cli\u003eНе защищают от ИППП\u003c/li\u003e\u003cli\u003eМенструации могут стать более обильными или болезненными\u003c/li\u003e\u003cli\u003eЕсть риск выпадения или смещения спирали \u003c/li\u003e\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eИндекс Перля:\u003c/strong\u003e 0.1-0.5 (с содержанием гормонов), 0.6-3 (с содержанием металлов)\u003c/p\u003e\n\u003ch3\u003eМиф: спирали можно ставить только рожавшим женщинам\u003c/h3\u003e\n\u003cp\u003eГормональные спирали у нерожавших женщин могут помочь в решении определенных проблем со здоровьем. А если беременность не планируется в ближайшие 3-4 года — спираль удобнее и экономнее. \u003c/p\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eСредства для мужской потенции\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/list/vse_o_potentsii/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать больше\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003ch2\u003eГормональная контрацепция\u003c/h2\u003e\n\u003ch3\u003eОральные контрацептивы\u003c/h3\u003e\n\u003cp\u003e\u003ca href=\"https://vseapteki.ru/product/94456-klayra/\"\u003eКомбинированные препараты\u003c/a\u003e содержат гестагены и эстрогены. За счет содержания эстрогеновых компонентов они блокируют овуляцию. Яйцеклетки не созревают и оплодотворять просто нечего. Современные КОК содержат крайне низкую дозу гормонов. \u003c/p\u003e\n\u003cp\u003e\u003ca href=\"https://vseapteki.ru/product/97580-charozetta/\"\u003eМини-пили\u003c/a\u003e содержат только прогестероновые синтетические аналоги. Препараты делают слизь, которую вырабатывает шейка матки, более густой. Из-за этого она плохо пропускает сперматозоиды. Дополнительно они влияют на эндометрий (внутренний слой матки), делая его неподходящим для имплантации сперматозоидов. \u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eДостоинства:\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\u003cli\u003eВысокая эффективность\u003c/li\u003e\u003cli\u003eМогут помочь с акне\u003c/li\u003e\u003cli\u003eМогут снизить болезненность и обильность менструаций\u003c/li\u003e\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eНедостатки:\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\u003cli\u003eПринимать препараты нужно постоянно, по схеме, указанной на упаковке\u003c/li\u003e\u003cli\u003eСтоят дорого\u003c/li\u003e\u003cli\u003eЕсть противопоказания и побочные эффекты\u003c/li\u003e\u003cli\u003eНе защищают от ИППП\u003c/li\u003e\u003cli\u003eНесовместимы с некоторыми препаратами\u003c/li\u003e\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eИндекс Перля: \u003c/strong\u003e0.1-3 (может подниматься до 9 при типичном неправильном применении)\u003c/p\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eКак защитить себя от ЗППП?\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/list/kak_zashchitit_sebya_ot_zppp/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cp\u003eЕсть и другие гормональные методы контрацепции, их принцип действия схож с таблетками, отличается только форма.\u003c/p\u003e\n\u003ch3\u003eИнъекции\u003c/h3\u003e\n\u003cul\u003e\u003cli\u003eГормональные уколы, которые делаются в клинике \u003c/li\u003e\u003cli\u003eДелается раз в 3 месяца\u003c/li\u003e\u003cli\u003e\u003cstrong\u003eИндекс Перля: \u003c/strong\u003e0.2-1.4 (может подниматься до 6 при типичном неправильном применении)\u003c/li\u003e\u003c/ul\u003e\n\u003ch3\u003eВлагалищное кольцо\u003c/h3\u003e\n\u003cul\u003e\u003cli\u003eГибкое кольцо, которое самостоятельно вводится во влагалище\u003c/li\u003e\u003cli\u003eЗамена раз в месяц\u003c/li\u003e\u003cli\u003eМогут быть сложности с введением\u003c/li\u003e\u003cli\u003e\u003cstrong\u003eИндекс Перля:\u003c/strong\u003e 0.2-1 (может подниматься до 9 при типичном неправильном применении)\u003c/li\u003e\u003c/ul\u003e\n\u003ch3\u003eПластыри\u003c/h3\u003e\n\u003cul\u003e\u003cli\u003eГормональный пластырь, который наклеивается на кожу (на верхнюю часть руки, ягодицы, живот или бедро)\u003c/li\u003e\u003cli\u003eМеняется раз в неделю\u003c/li\u003e\u003cli\u003e\u003cstrong\u003eИндекс Перля:\u003c/strong\u003e 0.3-0.9 (может подниматься до 9 при типичном неправильном применении)\u003c/li\u003e\u003c/ul\u003e\n\u003ch3\u003eИмплантат\u003c/h3\u003e\n\u003cul\u003e\u003cli\u003eИмплантат вживляется под кожу\u003c/li\u003e\u003cli\u003eСрок действия — 3 года\u003c/li\u003e\u003cli\u003e\u003cstrong\u003eИндекс Перля:\u003c/strong\u003e 0.05-1.5\u003c/li\u003e\u003c/ul\u003e\n\u003ch4\u003e\u003cstrong\u003eВажно!\u003c/strong\u003e\u003c/h4\u003e\n\u003cp\u003eГормональные контрацептивы нужно подбирать совместно с врачом. Часто девушки, особенно подростки, стесняются обращаться с такой проблемой к доктору, но именно совет специалиста — единственно верный, к тому же приемы врача анонимны с 15-летнего возраста. Кстати, во многих центрах планирования семьи в подростковых кабинетах гинеколога девушки могут получить оральные контрацептивы бесплатно, в рамках программ по профилактике абортов.\u003c/p\u003e\n\u003ch3\u003eЧитайте также:\u003c/h3\u003e\n\u003cp\u003e\u003cstrong\u003e\u003ca href=\"https://vseapteki.ru/news/gajd-po-testam-na-beremennost/\" target=\"_blank\"\u003eНаучим разбираться в тестах на беременность: когда делать, от чего зависит точность, верить ли отрицательному результату и где покупать\u003c/a\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003ca href=\"https://vseapteki.ru/news/muzhskie_kontratseptivy_vse_sredstva_krome/\" target=\"_blank\"\u003eМужские контрацептивы. Все средства, кроме воздержания\u003c/a\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003ca href=\"https://vseapteki.ru/news/sluchaynyy_seks_kak_zaschitit_sebya_ot/\" target=\"_blank\"\u003eСлучайный секс: как защитить себя от последствий\u003c/a\u003e\u003c/strong\u003e\u003c/p\u003e"},"status":{"isError":false,"isInit":false,"isPending":false,"isSuccess":true,"isServer":true}},"basket":{"error":null,"payload":{"empty":true,"hasUnavailable":false,"products":[],"recentlyAdded":[],"info":{"countPharmacy":0,"deliveryTime":"","prescription":false,"checkout":false,"price":{"subtotal":"0","total":"0"},"quantity":{"position":0,"pack":0}},"delivery":{"method_of_obtaining":"PICKUP","address":null,"latitude":null,"longitude":null,"cost":null,"service_fee":null,"time":null,"store_id":null,"store_name":null,"chain_id":null,"checkout_url":null,"is_available":false,"prices":[],"token":null,"refresh_token":null,"secret":null,"cart_id":null,"discount_code":null}},"status":{"isError":false,"isInit":false,"isPending":false,"isSuccess":true,"isServer":true}},"basketEvents":{"eventsByProducts":{},"lastAddedProducts":null,"lastRemovedProducts":null},"catalogCategoryProducts":{"error":null,"status":{"isError":false,"isInit":true,"isPending":false,"isSuccess":false,"isServer":false}},"catalogCurrentCategory":null,"catalogStructure":{"error":null,"payload":{"39":{"id":39,"title":"Лекарства","url":"/catalog/39-lekarstva/","parent":null,"order":1,"empty":false},"40":{"id":40,"title":"Прочие 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