I-Estrogen ne-Progestin (Izindlela Zokuvimbela Inzalo Zobulili)

-Delile

• Ngaphambi kokusebenzisa iringi yesitho sangasese i-estrogen ne-progestin,
• I-Estrogen ne-progestin iringi yesitho sangasese sowesifazane ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Lezi zimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

Ukubhema ugwayi kukhulisa ubungozi bemiphumela emibi kakhulu evela kwindandatho yesitho sangasese sowesifazane i-estrogen ne-progestin, kufaka phakathi isifo senhliziyo, amahlule egazi nokushaywa unhlangothi. Le ngozi iphezulu kubantu besifazane abangaphezu kweminyaka engama-35 ubudala nababhemayo abasindayo (osikilidi abali-15 noma ngaphezulu ngosuku). Uma usebenzisa i-estrogen ne-progestin, akufanele ubheme.

Izindlela zokuvimbela inzalo ze-Estrogen ne-progestin zisetshenziselwa ukuvimbela ukukhulelwa. I-Estrogen (i-ethinyl estradiol) ne-progestin (i-etonogestrel noma i-segesterone) ngama-hormone amabili ocansi abesifazane. I-Estrogen ne-progestin basesigabeni semithi ebizwa ngokuthi inhlanganisela yokuvimbela inzalo yamahomoni (imithi yokulawula ukuzalwa). Ukuhlanganiswa kwe-estrogen ne-progestin kusebenza ngokuvimbela ama-ovulation (ukukhishwa kwamaqanda kuma-ovari). Zibuye ziguqule ulwelwesi lwesibeletho (isibeletho) ukuvimbela ukukhulelwa ekukhuleni futhi ziguqule amafinyila asemlonyeni wesibeletho (ukuvulwa kwesibeletho) ukuvimbela isidoda (amaseli okuzala abesilisa) ukungena. Izindandatho zesitho sangasese sowesifazane sokukhulelwa ziyindlela ephumelela kakhulu yokulawula ukubeletha, kepha azivimbeli ukusabalala kwegciwane lesandulela ngculazi (i-HIV, igciwane elibanga i-immunodeficiency syndrome [i-AIDS] nezinye izifo ezithathelwana ngocansi.

Izindlela zokuvimbela inzalo ze-Estrogen ne-progestin ziza njengendandatho eguquguqukayo yokubeka esithweni sangasese. Izindlela zokuvimbela inzalo ze-estrogen ne-progestin ngokuvamile zifakwa esithweni sangasese bese zishiywa endaweni yazo amasonto amathathu. Ngemuva kwamasonto amathathu usebenzisa iringi yesitho sangasese sowesifazane, susa iringi ikhefu lesonto elilodwa. Ngemuva kokusebenzisa i-Annovera^® iringi yesitho sangasese sowesifazane amasonto ama-3, uyihlanze ngensipho emnene namanzi afudumele, uyipotoze ngomile ngendwangu ehlanzekile noma ithawula lephepha, bese uyibeka esimweni esinikeziwe ngesikhathi sekhefu lesonto eli-1. Ngemuva kokusebenzisa iNuvaRing^® iringi yesitho sangasese sowesifazane amasonto ama-3, ungayilahla bese ufaka iringi entsha yangasese ngemuva kwekhefu leviki elilodwa. Qiniseka ukuthi ufaka iringi yakho yesitho sangasese sowesifazane ekupheleni kwekhefu leviki elilodwa ngosuku olufanayo nangesikhathi esifanayo ovame ukufaka noma ukukhipha iringi, noma ngabe awukayeki ukopha. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa iringi yokuvimbela inzalo njengoba nje kuqondisiwe.Ungalokothi usebenzise izindandatho zokuvimbela ezingaphezu kwesisodwa ngesikhathi futhi njalo ufake futhi ususe iringi ngokuya ngohlelo udokotela akunikeza lona.

Izindandatho zesitho sangasese sowesifazane sokuvikela ukukhulelwa ziza ngemikhiqizo ehlukene. Izinhlobo ezahlukahlukene zamasongo okuvikela ukukhulelwa ziqukethe imishanguzo noma imithamo ehluke kancane, zisetshenziswa ngezindlela ezihluke kancane, futhi zinezingozi nezinzuzo ezihlukile. Qiniseka ukuthi uyazi ukuthi yiluphi uhlobo lwendandatho yesisu sowesifazane oyisebenzisayo nokuthi kufanele uyisebenzise kanjani. Cela udokotela wakho noma usokhemisi ikhophi lemininingwane yomkhiqizi wesiguli bese ulifunda ngokucophelela.

Udokotela wakho uzokutshela ukuthi kufanele ufake nini indandatho yakho yokuqala yokukhulelwa. Lokhu kuncike ekutheni ngabe ubusebenzisa olunye uhlobo lokulawula ukubeletha ngenyanga edlule, ubungasebenzisi ukulawulwa kokubeletha, noma usanda kubeletha noma usikhiphile isisu noma ukukhulelwa. Kwezinye izimo, kungadingeka ukuthi usebenzise enye indlela yokulawula inzalo ezinsukwini zokuqala eziyi-7 osebenzisa iringi yokuvimbela inzalo. Udokotela wakho uzokutshela ukuthi ngabe udinga ukusebenzisa ukuvikela inzalo futhi uzokusiza ukhethe indlela, njengamakhondomu abesilisa kanye / noma ama-spermicides. Akufanele usebenzise i-diaphragm, ikepisi lomlomo wesibeletho, noma ikhondomu yabesifazane lapho iringi yokuvikela ukukhulelwa ikhona.

Uma usebenzisa i-NuvaRing^® indandatho yesitho sangasese sowesifazane, faka iringi entsha ngemuva kwekhefu lesonto eli-1; phinda umjikelezo wamaviki ama-3 wokusetshenziswa ngekhefu lesonto eli-1, usebenzisa iringi entsha yesitho sangasese sowesifazane kumjikelezo ngamunye.

Uma usebenzisa i-Annovera^® iringi yesitho sangasese sowesifazane, faka kabusha indandatho yesitho sangasese ehlanzekile ngemuva kwekhefu lesonto elilodwa; phinda umjikelezo wamaviki ama-3 wokusetshenziswa ngekhefu lesonto eli-1 kuze kube yimijikelezo eyi-13.

Iringi yokuvimbela inzalo ivamise ukuhlala esithweni sakho sangasese uze uyisuse. Ngezinye izikhathi kungaphuma lapho ususa i-tampon, ngesikhathi sokuya ocansini, noma lapho uqhutshwa ngamathumbu. Shayela udokotela wakho uma indandatho yakho yokuvimbela inzalo iphuma kaningi.

Uma i-NuvaRing yakho^® indandatho yokuvimbela inzalo iyaphuma, kufanele uyihlanze ngamanzi apholile noma asivivi (hhayi ashisayo) bese uzama ukuyishintsha kungakapheli amahora amathathu. Kodwa-ke, uma ngabe i-NuvaRing yakho^® iringi yokuvimbela inzalo iyaphuma futhi iphukile, iyilahle bese ifaka iringi entsha yesitho sangasese sowesifazane. Uma iringi yakho iwa futhi ilahleka, kufanele uyifakele indandatho entsha bese ususa iringi entsha ngasikhathi sinye obehlelelwe ngayo ukukhipha iringi ebilahlekile. Uma ungathathi indawo yeNuvaRing yakho^® iringi yesitho sangasese sowesifazane ngesikhathi esifanele, kufanele usebenzise indlela yokulondoloza inzalo engeyona eye-hormone (isb., amakhondomu ane-spermicide) kuze kube yilapho usuyitholile indandatho izinsuku eziyi-7 zilandelana.

Uma i-Annovera yakho^® indandatho yesitho sangasese sowesifazane esetshenzisiwe iyawa, uyigeze ngensipho emnene namanzi afudumele, hlambulula bese uyomisa ngethawula lendwangu elihlanzekile noma ithawula lephepha, bese uzama ukuyishintsha kungakapheli amahora amabili. Uma iringi yakho yesitho sangasese sowesifazane ingekho endaweni isikhathi esingaphezu kwamahora ama-2 ngaphezulu komjikelezo wamaviki ama-3 okuzofakwa iringi lesitho sangasese sowesifazane (isb., Kusukela ekuweni kanye noma kaningi), kufanele usebenzise okungewona owehomoni indlela yesipele yokulawula ukubeletha (isb., amakhondomu ane-spermicide) kuze kube yilapho usuyitholile indandatho izinsuku eziyi-7 zilandelana.

Hlola njalo ubukhona bendandatho yesitho sangasese sowesifazane ngaphambi nangemuva kocansi.

Izindandatho zesitho sangasese sowesifazane sokukhulelwa zizosebenza kuphela uma zisetshenziswa njalo. Ungayeki ukusebenzisa izindandatho zesitho sangasese sowesifazane ngaphandle kokukhuluma nodokotela wakho.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokusebenzisa iringi yesitho sangasese i-estrogen ne-progestin,

• Tshela udokotela kanye nosokhemisi wakho uma unegciwane ku-etonogestrel, i-segesterone, i-ethinyl estradiol, noma imiphi eminye imithi, noma iziphi izithako ezisesongweni sowesifazane i-estrogen ne-progestin. Buza usokhemisi wakho ukuthola uhlu lwezithako ezisendandeni yesitho sangasese sowesifazane i-estrogen ne-progestin.
• Tshela udokotela wakho uma uthatha inhlanganisela ye-ombitasvir, i-paritaprevir, ne-ritonavir (Technivie) ene-dasabuvir noma engenayo (eViekira Pak). Udokotela wakho mhlawumbe uzokutshela ukuthi ungasebenzisi iringi yesitho sangasese i-estrogen ne-progestin uma uthatha eyodwa noma ngaphezulu yale mithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokunganikezwa imishanguzo, amavithamini, nezithako zokudla okunomsoco okwenzayo. Qiniseka ukuthi usho noma yikuphi okulandelayo: i-acetaminophen (iTylenol, abanye); izinto zokuvikela ezifana ne-fluconazole (i-Diflucan), i-griseofulvin (i-Gris-Peg), i-itraconazole (i-Onmel, i-Sporanox), i-ketoconazole (i-Nizoral), i-miconazole (i-Oravig), ne-voriconazole (i-Vfend); i-aprepitant (Hlela); i-ascorbic acid (uvithamini C); i-atorvastatin (Lipitor); ama-barbiturates; i-boceprevir (i-Victrelis; ayisatholakali e-U.S.); i-bosentan (iTracleer); i-clofibric acid; i-cyclosporine (Gengraf, Neoral, Sandimmune); imishanguzo ye-HIV noma i-AIDS efana ne-atazanavir (Reyataz), i-darunavir (i-Prezista) ene-ritonavir (i-Norvir), i-delavirdine (i-Rescriptor), i-efavirenz (i-Sustiva), i-etravirine (i-Intelence), i-indinavir (i-Crixivan), i-lopinavir (i-Kaletra), i-nelfinavir (i-Virus) ), nevirapine (Viramune), ritonavir (Norvir), saquinavir (Invirase), kanye ne-tipranavir (Aptivus); morphine (Astramorph, Kadian, abanye); i-prednisolone (i-Orapred); i-rifabutin (i-Mycobutin); i-rifampin (i-Rifadin, i-Rimactane), i-rufinamide (i-Banzel); imishanguzo yokuquleka efana ne-carbamazepine (Tegretol, Teril, abanye), felbamate (Felbatol), lamotrigine (Lamictal), oxcarbazepine (Trileptal), phenobarbital, phenytoin (Dilantin, Phenytek), ne-topiramate (Topamax); i-telaprevir (Incivek; ayisatholakali e-U.S); i-temazepam (i-Restoril); theophylline (Elixophyllin, Theo-24, abanye); i-hormone yegilo; kanye ne-tizanidine (iZanaflex). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Ungadinga ukusebenzisa enye indlela yokulawula ukubeletha uma uthatha eminye yale mithi ngenkathi usebenzisa iringi yokuvimbela inzalo.
• utshele udokotela wakho ukuthi yimiphi imikhiqizo yamakhambi oyithathayo, ikakhulukazi imikhiqizo equkethe iSt John's wort.
• utshele udokotela wakho uma uke waba nomdlavuza webele noma omunye umdlavuza; isifo se-cerebrovascular (ukuvimba noma ukwenza buthaka imithambo yegazi ngaphakathi kobuchopho noma okuholela ebuchosheni); i-stroke noma i-mini-stroke; isifo semithambo yegazi (imithambo yegazi eminyene eholela enhliziyweni); ubuhlungu besifuba; isifo senhliziyo; amahlule egazi emilenzeni noma emaphashini akho; i-cholesterol ephezulu noma i-triglycerides; umfutho wegazi ophakeme; i-fibrillation ye-atrial; ukushaya kwenhliziyo okungajwayelekile; noma isiphi isimo esithinta ama-valve enhliziyo yakho (izingqimba zezicubu ezivuleka futhi zivale ukulawula ukugeleza kwegazi enhliziyweni); isifo sikashukela futhi baneminyaka engaphezu kwengu-35 ubudala; isifo sikashukela nomfutho wegazi ophakeme noma izinkinga ngezinso zakho, imithambo yegazi, amehlo, noma izinzwa; isifo sikashukela isikhathi esingaphezu kweminyaka engama-20; isifo sikashukela esithinte ukusakazeka kwakho; ikhanda eliza kanye nezinye izimpawu njengokushintshwa kombono, ubuthakathaka, nesiyezi; i-migraines (uma ungaphezu kweminyaka engama-35); izimila zesibindi noma isifo sesibindi; ukopha noma izinkinga zokuvala igazi; ukopha okungachazwanga kwesitho sangasese sowesifazane; noma i-hepatitis noma ezinye izinhlobo zesifo sesibindi. Udokotela wakho mhlawumbe uzokutshela ukuthi ungasebenzisi iringi ye-estrogen ne-progestin yangasese.
• utshele udokotela wakho uma usanda kuba nengane, isisu, noma ukukhipha isisu. Futhi, tshela udokotela wakho uma ngabe uke waba ne-jaundice noma (wake waphuphuka kwesikhumba noma kwamehlo); izinkinga zamabele ezifana ne-mammogram engajwayelekile noma i-x-ray yebele, amaqhubu amabele, isifo sesifuba se-fibrocystic; umlando womdlavuza webele womndeni; ukuquleka; ukucindezeleka; i-melasma (amabala ansundu ebusweni); isinye, isibeletho noma i-rectum eye yehla noma yagqabhuka esithweni sangasese; noma isiphi isimo esenza ukuthi isitho sakho sangasese sibe namathuba amaningi okucasuka; i-toxic shock syndrome (ukutheleleka ngamagciwane); i-angioedema yefa (isimo esizuzwe njengefa esidala iziqephu zokuvuvukala ezandleni, ezinyaweni, ebusweni, emoyeni, noma emathunjini); noma isifo sezinso, i-thyroid, noma isifo se-gallbladder.
• utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma ukhulelwa ngenkathi usebenzisa iringi yesitho sangasese i-estrogen ne-progestin, shayela udokotela wakho ngokushesha. Kufanele usole ukuthi ukhulelwe bese ushayela udokotela wakho uma uyisebenzise ngendlela efanele indandatho yokuvimbela inzalo futhi weqiwa yizikhathi ezimbili zilandelana, noma uma ungayisebenzisanga iringi yokuvimbela inzalo ngokuyalelwa futhi uphuthelwa isikhathi esisodwa. Akufanele uncelise ibele ngenkathi usebenzisa iringi yokuvimbela inzalo.
• uma uhlinzwa, tshela udokotela ukuthi usebenzisa iringi yesitho sangasese i-estrogen ne-progestin. Udokotela wakho angakucela ukuthi uyeke ukusebenzisa iringi yesitho sangasese sowesifazane okungenani amasonto ama-4 ngaphambili futhi kuze kube amasonto ama-2 ngemuva kokuhlinzwa okuthile.

Khuluma nodokotela wakho ngokuphuza ijusi lamagilebhisi ngenkathi usebenzisa le mithi.

Yonke inhlobo yendandatho yesitho sangasese sowesifazane esetshenziswayo inezinkomba ezithile okufanele zilandelwe mayelana nokuthi kufanele kususwe nini futhi / noma kufakwe iringi yokuvimbela inzalo. Funda ngokucophelela izikhombisi-ndlela kulwazi lomkhiqizi lwesiguli esize nendandatho yakho yokuvimbela inzalo. Uma ungafaki iringi yesitho sangasese sangasese ngokwemiyalo noma uphuthelwe umthamo, uzodinga ukusebenzisa indlela yokuzivikela yokulawula ukubeletha. Ungasebenzisi indandatho yesitho sangasese sowesifazane engaphezu kweyodwa ngesikhathi. Uma unemibuzo, shayela udokotela wakho noma usokhemisi.

I-Estrogen ne-progestin iringi yesitho sangasese sowesifazane ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukuvuvukala, ububomvu, ukucasuka, ukushisa, ukulunywa, noma ukutheleleka esithweni sangasese
• ukukhishwa kwesitho sangasese sowesifazane esimhlophe noma esiphuzi
• ukopha kwesitho sangasese sowesifazane noma ukubona lapho kungesona isikhathi sokuya esikhathini kwakho
• ubumnene besifuba obungavamile
• ikhanda
• isicanucanu
• ukuhlanza
• isifo sohudo
• ukuzuza kwesisindo noma ukwehla
• ubuhlungu besifuba, ubumnene, noma ukungaphatheki kahle
• ukungaphatheki kahle kwesitho sangasese sowesifazane noma ukuzwa komzimba wangaphandle
• ubuhlungu besisu
• induna
• izinguquko ezifisweni zocansi

Eminye imiphumela emibi ingaba mibi. Lezi zimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo shayela udokotela wakho ngokushesha:

• ubuhlungu emuva komlenze ongezansi
• ubuhlungu besifuba obukhali, obungazelelwe noma obucindezelayo
• isisindo esifubeni
• ukuphefumula ngokuzumayo
• ikhanda elibuhlungu ngokuzumayo, ukuhlanza, isiyezi, noma ukuquleka
• izinkinga ngokungazelelwe ngokukhuluma
• ubuthakathaka noma ukuba ndikindiki kwengalo noma komlenze
• umbono ophindwe kabili, ukufiphala kwamehlo, noma olunye ushintsho kumbono
• amabala amnyama esikhumba esiphongweni, ezihlathini, endebeni ephezulu, kanye / noma esilevini
• ukuphuzi kwesikhumba noma kwamehlo; ukulahlekelwa ukudla; umchamo omnyama; ukukhathala ngokweqile; ubuthakathaka; noma ukunyakaza kwamathumbu okukhanyayo
• ukushisa okukhulu okungazelelwe, ukuhlanza, isifo sohudo, ukuquleka noma ukuzwa ukuquleka lapho umile, ukuqubuka, ubuhlungu bemisipha, noma isiyezi
• ukucindezeleka; ubunzima bokulala noma ukulala; ukulahlekelwa amandla; noma ezinye izinguquko zemizwa
• ukuqubuka; ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi; isifuba; noma ukulunywa

Indandatho yesitho sangasese sowesifazane i-Estrogen ne-progestin ingakhuphula amathuba okuthi ube nezicubu zesibindi. Lezi zicubu akulona uhlobo lomdlavuza, kepha ziyakwazi ukugqashuka futhi zibangele ukopha okukhulu emzimbeni. Khuluma nodokotela wakho ngezingozi zokusebenzisa iringi yokuvimbela inzalo.

I-Estrogen ne-progestin iringi yesitho sangasese sowesifazane ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Ukugcine ekamelweni lokushisa kude nelanga eliqondile, ukushisa okweqile nomswakama (hhayi endlini yangasese). Musa ukuyifaka esiqandisini noma uyiqandise. Lahla iNuvaRing^® ngemuva kosuku lokuphelelwa yisikhathi uma kungasetshenziswanga esikhwameni esinikeziwe (isikhwama se-foil) bese kuba semgqonyeni kadoti. Ungafaki iringi lesitho sangasese sangasese phansi ethoyilethi.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Izimpawu zokudlula ngokweqile zingafaka:

• ukopha
• isicanucanu
• ukuhlanza

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Landela izinkomba zikadokotela wakho zokuhlola amabele akho; bika noma yiziphi izigaxa ngokushesha.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi belebhuthi ukuthi usebenzisa iringi yesitho sangasese i-estrogen ne-progestin.

Musa ukusebenzisa uwoyela osuselwa ku-oyela (kufaka phakathi okwenziwe ngo-silicone) nge-Annovera^® indandatho yesitho sangasese sowesifazane.

Ungavumeli omunye umuntu asebenzise imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• Annovera^® (equkethe i-Ethinyl Estradiol, Segesterone)
• NuvaRing^® (equkethe i-Ethinyl Estradiol, i-Etonogestrel)

• iringi yokuvimbela inzalo