避孕新手必知手册

　　问题

　　I am taking several herbal supplements. Can these alter the effectiveness of my birth control pills?

　　我服用了几种中药，它们会影响避孕药的药效吗?

　　专家答疑

　　Research regarding potential conflicts between herbal supplements or natural remedies and prescription drugs is still in its infancy; however the list of herbal products associated with drug interactions is growing. The action of herbal remedies may be just as powerful as prescription drugs, so it’s important to inform your healthcare provider and pharmacist about any alternative medicines you may be taking. Little is known about the impact of herbal products on the effectiveness of the pill. One herbal product, which is known to interact with the pill, is St. John’s Wort. Otherwise known as “nature’s Prozac,” this herb is not recommended for pill users because it can alter the effectiveness of birth control pills. You can obtain more information on the relationship between prescription drugs and herbal remedies by visiting the site I’ve recommended

　　关于草本药或 与处方药的潜在相互作用尚不完全清楚，然而草本药与

　　草本药物的治疗作用与处方药的药效相似，因此让你的医生或药剂师了解你任何选用的药物是很重要的。关于草本药物对避孕药的影响我们了解的非常少。有一种草药叫St. John’s Wort，会影响避孕药的效果。其他药物，如nature’s Prozac,不推荐与口服避孕药同时服用，因为它会改变避孕药的药效。登陆我推荐的网站，你可以了解更多的关于处方药和草本药的相互作用。

　　http://www.mycontraceptive.com/answer.asp?display=111&segment=new

　　问题

　　Can I drink alcohol while taking the pill?

　　服用期间可以喝酒吗?

　　专家答疑

　　Moderate alcohol intake should have no effect on the effectiveness of the pill. That being said, some studies suggest that the pill may enhance the effects of alcohol. Opinions tend to vary on this point. One theory is that when females drink alcohol they tend to have a higher blood alcohol concentration (BAC) due perhaps to a difference in body mass compared to men (ref: mckinley). There is also some evidence that alcohol consumption may interfere with the metabolism of the hormones in the pill, resulting in an increased incidence of breakthrough bleeding. These effects are minor and may not necessarily occur in all pill users.

　　More important is the issue of heavy drinking, which can eventually lead to liver disease, one of the major restrictions to oral contraceptive use.

　　You can obtain further information on the effects of alcohol on the pill by visiting the site I’ve recommended.

　　适量饮酒不会影响避孕药的效果。一些研究表明避孕药会增强酒精的刺激。对此观点不一。妇女饮酒时，血液中酒精浓度增高， 有证据表明饮酒可以干扰避孕药中激素的代谢，导致突破出血的发生率增高。但这些作用很微小，不一定所有的服药者都会发生。重要的是过量饮酒，它可以引发肝病，这就限制了避孕药的服用。你可以通过推荐的网站了解更多的关于酒精对避孕药影响的知识。

　　Side Effect 副作用

　　http://www.mycontraceptive.com/answer.asp?display=11&segment=new

　　问题

　　How does the pill compare to other birth control methods in terms of risks vs. benefits?

　　与其他避孕方法相比，口服避孕药的风险及益处如何?

　　专家答疑

　　The pill is one of the most reliable, reversible methods of birth control, providing close to 100 percent protection against pregnancy when taken exactly as directed. In fact, pregnancy involves a higher health risk than taking the pill. Additionally, pill users have been shown to have a lower risk of ovarian and endometrial cancer, and fewer benign ovarian cysts, breast diseases, bleeding disorders and hot flushes when starting menopause than non-pill users. However, there are other factors you may want to consider when weighing the pros and cons of the pill versus other birth control methods.

　　The pill may be an appropriate choice if you’re looking for a method that:

　　· Is simple and effective

　　· Does not interfere with spontaneity during lovemaking

　　· Can be used from teenage years to menopause

　　· Makes periods lighter, more regular and less painful

　　· Allows you to become pregnant when you stop taking it

　　· The pill is a safe choice for healthy women, however, the pill is not suitable for you if:

　　· You are pregnant

　　· You suffer from unusual vaginal bleeding

　　· You have a history of blood clots, stroke, heart attack or suffer from chest pain

　　· You are smoker and over the age of 35

　　· You have cancer of the breast or sex organs

　　· You have liver disease or jaundice

　　· You have difficulty remembering to take a pill every day

　　Please remember, these are only guidelines. Each individual is unique. Your healthcare provider will be able to assess which birth control method carries the least risk and greatest benefits for you. To learn more about the risks and benefits of using the pill, visit Mircette's Web site or the other online resources I’ve recommended.

　　避孕药是最安全、可逆的避孕方法之一，如果按照说明书服用，避孕效果几乎为100%。实际上，与妊娠相关的风险要比服用避孕药的风险高。此外，与未服用避孕药者相比，口服避孕药者发生卵巢癌、内膜癌卵巢囊肿及乳腺疾病的几率低，经期不规则出血及潮热的发生率也低。然而，当权衡避孕药与其他的避孕方法的利弊时，也要考虑其他因素。

　　如果你要选择这样的避孕方法，避孕药则是合适的选择。

　　方便、有效。

　　不影响自然的性生活。

　　从青少年期到绝经期都可以服用

　　可减少经期出血、使经期变得更规则、缓解痛经。

　　停药后即可妊娠。

　　对健康妇女而言，选择避孕药是安全的，然而不适合有下面情况的人群：

　　妊娠

　　有不规则阴道出血者

　　有血块、中风、心脏病或胸痛史者

　　吸烟且年龄>35岁者

　　有乳癌或生殖道肿瘤者

　　· 有肝病或黄疸者

　　· 很难天天服药者

　　· 请记住，这只是一般性指导，要针对个体差异。医生会为你选择危险最小、最适合你的避孕方法。你可以登陆Mircette's Web site了解服用避孕药的风险及益处。

　　http://www.mycontraceptive.com/answer.asp?display=12&segment=new

　　问题 I suffer from monthly cramping. Will the pill help my cramps or make them worse?

　　我患有痛经，避孕药能减轻还是加重痛经呢?

　　答疑

　　Women often report that their periods are more regular and less painful when taking the birth control pill. Studies have shown that menstrual pain is 65 percent less common in pill usersthan in non-users since the pill regulates the menstrual cycle. Moreover, blood loss is usually lower in women who take the pill, which means those susceptible have less anemia.

　　Before taking the pill, you should see your healthcare provider to confirm that your cramps are normal and not due to an underlying medical condition. One strategy used to control monthly cramping is a continuous pill-taking regimen. This differs from the normal 21-day schedule in that there is no seven-day pill-free period. Please consult with your healthcare provider to determine whether or not such a regimen is right for you. You can obtain more information on how the pill might provide relief from monthly cramps by visiting the sites I’ve recommended.

　　服用避孕药以后，可使妇女经期变得规则且缓解疼痛。研究显示与未服药者相比，65%的服药者月经变规律，痛经减轻，甚至月经血也减少了，进一步可减轻贫血。

　　服药前应先做妇科检查，排除其他因素引起的痛经。持续服用避孕药是治疗痛经的良策。但与服用21片的方法不一样，因为治疗痛经时没有7天的停药期。请咨询医生，了解这种治疗方法是否适合你登陆我推荐的网站 ，可以查询避孕药缓解痛经的机理。

　　http://www.mycontraceptive.com/answer.asp?display=14&segment=new

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