避孕新手必知手册

　　问题

　　Is it better to use the pill for a short period of time rather than long-term to avoid complications or side effects?

　　是否应短期服用避孕药，而不应长期服药，以避免出现并发症或副作用呢?

　　Fifty years of research into the pill have shown there is no evidence of negative effects from long-term pill use. In fact, studies suggest that pill users have a 54 percent lower risk of ovarian cancer and a 67 percent lower risk of endometrial cancer after eight years of taking the pill. Moreover, 10 years after discontinuation, pill users and non-pill users show no difference in their risk for developing cancer or stroke. Pill users also report fewer bleeding disorders and hot flushes when starting menopause than non-pill users.

　　Generally speaking, once your system becomes accustomed to the pill, it’s advisable to stay on it, not only for continuous protection against pregnancy, but also to reap the non-contraceptive benefits

　　经过5年时间研究认为无证据表明长期服用避孕药会产生副作用。已证实，服用避孕药8年以上，可以降低54%的卵巢癌发生率及67%的内膜癌发生率。停服10年后，曾服药者与未服药者发生癌症或中风的发生率相同。一般来讲，一旦机体适应服药，继续服用是很明智的，不仅可以持续避孕，而且可以获得非避孕益处。

　　http://www.mycontraceptive.com/answer.asp?display=94&segment=new

　　问题

　　I am using a hormonal method of birth control. My partner has noticed that I am sometimes in a blue mood. Is it the hormones?

　　我现在使用激素类的避孕药，男朋友发现有时我的情绪低落，这是由激素引起的吗?

　　Feeling depressed or in a blue mood may be caused by any number of factors other than the birth control pill. Major studies have shown no link to the pill and serious psychiatric illness, including severe depression. Occasionally, minor feelings of depression may occur since the pill can potentially lower vitamin B6 levels in some women. In this case, supplementation with B6 may be necessary, but it’s important to see your healthcare provider first. If you’re experiencing side effects, such as headaches or loss of libido, these could all be reasons for your depressed mood and you should inform your Healthcare provider. He/she may decide to switch you to another type of pill, which may be better suited to you. Once you become established on your new pill, you may find that any bothersome side effects have subsided.

　　沮丧或抑郁，可以由避孕药以外的很多因素引起。大量的研究表明口服避孕药与严重的精神疾病(包括抑郁)无关。但是避孕药有潜在降低V6的作用，偶尔可以出现轻微的情绪低落。对这些妇女，补充V6是必要的，但首要的是看医生。

　　如果你出现头疼或性欲降低等副作用，可能是由于情绪沮丧引起的，应与医生沟通，医生可能会换一种更适合你的避孕药，一旦你适应新的避孕药，那些副作用会消失。

　　http://www.mycontraceptive.com/answer.asp?display=95&segment=new

　　问题

　　When is it appropriate to switch from one pill to another?

　　应在何时更换避孕药?

　　答疑

　　to another type of birth control pill unless you’re experiencing troublesome side effects from your current brand. Minor side effects, such as headaches, nausea, breakthrough bleeding and bloatedness, usually resolve after about three cycles. In the event that they persist, your doctor may consider switching you to a different pill formulation. Side effects many women experience are often due to the amount of estrogen in the pill. Estrogen amounts vary from between 20 mcg and 50 mcg depending on the brand. Your physician will likely start you on a low-dose combined pill that contains estrogen and progestin. Low-dose pills contain 35 mcg or less of estrogen and offer reliable birth control with minimal side effects

　　除非有麻烦的副作用才需更换目前使用避孕药的品牌。头疼、恶心、突破性出血和体重增加等轻微的副作用，一般会在服药3个周期后消失。如果有持久的副作用，医生会考虑为你更换其他的避孕产品。

　　大多数妇女出现的副作用是由于避孕药中的雌激素导致的。不同种类的避孕药雌激素的含量从20 mcg到50 mcg不等。医生开始会让你服用低剂量的、避孕可靠且副作用小的复方避孕药，其雌激素含量≤35 mcg。

　　http://www.mycontraceptive.com/answer.asp?display=97&segment=new

　　问题

　　How long will it take me to adjust to a new pill?

　　适应新的避孕药需多久时间?

　　答疑

　　This all depends on how well your body adapts to the particular type of pill your doctor has prescribed. These days, there are over 20 different kinds of birth control pills available, which make it easy for your doctor to tailor a pill to your individual needs. In many cases, it can take three to four cycles (packs) of pill before the body fully adjusts to the hormones contained in the pill. For many women, adjusting to a new pill may be easier since the side effects associated with their previous brand will hopefully be diminished in the new pill. You should try to stay on a particular pill for at least three cycles unless the side effects are too severe for you to tolerate.

　　这完全取决于机体对这种避孕药的适应能力。目前有20多种避孕药，这样方便医生根据你的需求选择适合你的产品。大部分产品，机体需要适应3-4个周期。对很多妇女而言，很容易适应新的避孕药，因为以前服用药时出现的副作用消失了。

　　除非副作用难以忍受，你最好坚持服用某种药3个周期以上。

　　http://www.mycontraceptive.com/answer.asp?display=99&segment=new

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