Isebenza Kangakanani Indlela Yokukhipha, Ngempela?

-Delile

• Iyini Indlela Yokukhishwa?
• Iphumelela Kangakanani Indlela Yokukhishwa?
• Isebenza Kanjani Indlela Yokukhipha Lapho Senziwe Ngokuphelele?
• Ngabe Indlela Yokukhipha Iqhathaniswa Njani Nezinye Izinhlobo Zokulawulwa Kokuzalwa?
• Isikhumbuzi: Indlela Yokukhipha Ayisebenzi Ekulweni Nama-STI
• Ungayenza Kanjani Indlela Yokukhipha Iphumelele
• Iphuzu Eliyinhloko Endleleni Yokukhipha
• Buyekeza kwe-

Kwesinye isikhathi lapho abantu ababili bethandana kakhulu (noma bobabili beswayipha kwesokudla) ...

Kulungile, uyakuthola. Le nguqulo ehlanganisiwe ye-The Sex Talk ehlose ukuletha okuthile okungabazisayo ukuthi abantu abadala abasebenza ngezimbongolo bakwenza ekamelweni: besebenzisa indlela yokukhipha.

Ngokuya ngolwazi lwakho lomuntu siqu, ungafunga ngalo - noma ufunge ukuthi ngeke usaphinda. Kepha iphumelela kangakanani indlela yokukhipha, ngokusho kochwepheshe nesayensi? Nayi i-scoop.

Iyini Indlela Yokukhishwa?

Ukuqabuleka okuncane: Indlela yokukhipha kulapho, ngesikhathi socansi lobudoda-ngaphakathi-esithweni sangasese, umuntu onepipi akhiphe isitho sangasese ngaphambi kokukhishwa.

"Odokotela futhi bavame ukubiza lolu hlobo lokuvimbela inzalo ngokuthi 'i-coitus interruptus' noma 'indlela yokuhoxa,'" kusho uMary Jacobson, M.D., umqondisi wezokwelapha we-Alpha Medical, insizakalo yezempilo egxile ekunakekelweni kwezempilo kwabesifazane. Umbono uthi ukuphuma ngaphambi kokukhishwa kwe-ejaculation kuvimbela owesilisa ukuba ~ impova ~ yowesifazane, ngaleyo ndlela kuvimbele ukukhulelwa.

Kuyavela ukuthi kujwayelekile kakhulu: "Iphesenti labesifazane abake basebenzisa indlela yokuhoxa lingamaphesenti angama-65," kusho uDkt. Jacobson.

Kungani abantu abaningi besebenzisa indlela yokukhipha? Uma uyingxenye yalezi zingamaphesenti angama-65, kungenzeka usuyazi vele. "Mhlawumbe oyedwa noma bobabili abalingani abafuni ukusebenzisa ikhondomu noma babe nombono wokuthi iphazamisa ubumnandi, noma mhlawumbe umbhangqwana usebudlelwaneni bomuntu oyedwa futhi wenze lokho kukhetha," kuqagela uDkt. Jacobson. Noma, kungase kube ngenxa yokuthi "kubonakala kulula futhi/noma kutholakala kalula kunezinye izindlela zokuvimbela inzalo." (Isikhumbuzi esinobungane: Uma ukhathazekile ngokukhokhela izinto zokuvimbela inzalo, ungavakashela isikhungo sezempilo se-Planned Parenthood futhi uthole amakhondomu namadamu amazinyo mahhala.)

Kodwa ngenxa yokuthi ~wonke umuntu uyakwenza~ akusho ukuthi umqondo omuhle.

Iphumelela Kangakanani Indlela Yokukhishwa?

Ake siqonde ezinombolweni: "Indlela yokukhipha isebenza cishe ngamaphesenti angama-70 kuya kwangama-80," kusho u-Adeeti Gupta, MD, umsunguli we-Walk In GYN Care eNew York City. ICenters for Disease Control nayo ibika ukuthi izinga lokwehluleka kwendlela yokukhipha lingamaphesenti angama-22. Izinga lempumelelo yendlela yokukhipha elingamaphesenti angama-78 imisindo iphakeme impela - kepha khumbula, lokho kusho ukuthi cishe abantu abangama-22 kwabangu-100 bazokhulelwa besebenzisa indlela yokukhipha njengokuphela kwendlela yabo yokuvimbela inzalo.

Umsindo omubi? Ikona. Ngenkathi ukukhipha imisindo yokufaka kuqala kulula ngokwanele, empeleni kudinga i-finesse impela. "Kudinga ukulawula nesikhathi; uma umlingani wakho ebanjwa okwamanje, kungenzeka bangaphumi ngesikhathi," kusho u-Anna Klepchukova, M.D., isikhulu sesayensi neFlo Health, isibikezeli sokukhulelwa kwidijithali sabesifazane.

"Ngokungangabazeki, ngingakutshela ukuthi amanye amadoda azi ngempela uma esezokhipha isidoda, kanti amanye, hhayi kangako," kusho uJen Gunter, MD, ovame ukubizwa ngokuthi ngumhlali we-Twitter. "Futhi yilaboyenza yazi ingase ilahlekelwe lelo khono uma ikhandwe ngamatshe noma iphuze noma ezimbili." Iphuzu elihle.

Futhi noma ngabe umuntu elunge ngempela enqubeni yakhe yendlela yokukhipha, kuthatha kuphela ukuhoxa okuhamba kancane okungadala ukukhulelwa. Ukuze ukhulelwe, udinga isidoda esisodwa esinempilo nesisebenzayo ukuze silinde ishubhu le-fallopian (elixhumanisa isibeletho ne-ovary) lapho kuvela i-ovulation, ngokusho kwe-American Pregnancy Association. Ngenxa yokuthi isikhathi se-ovulation singahluka (kungenzeka noma kuphi phakathi kosuku lwe-11 nosuku lwama-21 lomjikelezo wakho wokuya esikhathini) futhi ngenxa yokuthi isidoda singaphila izinsuku ezingaphezu kwezinsuku ezinhlanu epheshaneni lokuzala labesifazane, ngokusho kwe-APA, lokhu kusho ukuthi kunefasitela elikhulu kakhulu. ukuze ukukhulelwa kwenzeke. Lokho kusho ukuthi ukudlala ngothando ngendlela yokukhipha ngesikhathi se-ovulation kuyingozi kakhulu, ngokombono wokukhulelwa. (Futhi, bewazi ukuthi amathuba akho okukhulelwa aphezulu nomlingani omusha?)

Isebenza Kanjani Indlela Yokukhipha Lapho Senziwe Ngokuphelele?

Noma ngabe indlela yokukhipha isetshenziswa ngokuphelele ngaso sonke isikhathi, ngokusho kukaDkt.Gunter, izinga lokuphumelela kwendlela yokukhipha lisengamaphesenti angama-96 kuphela, okusho ukuthi, kusekhona ithuba lamaphesenti amane lokuthi ungakhulelwa.

Lokho kungenxa yokuthi, noma ngabe umlingani ekhipha indlela ngaphambi kokukhipha umchamo, kunokuthile okuncane okubizwa nge-pre-cum (aka pre-ejaculate), okukhishwa ngaphambi kokukhishwa okusemthethweni, kuchaza uDkt Gupta. "Ucwaningo lukhombisa ukuthi, ngenkathi inani lesidoda ku-pre-cum liphansi kunaleli eliku-ejaculate, isidoda sisekhona - okusho ukuthi can ukhulelwe, "usho njalo.

Kodwa-ke, ucwaningo ngale ndaba luyashoda, ngakho-ke asazi ukuthi i-pre-cum "inamandla kangakanani". Okwamanje, ayikho indlela yokusho ukuthi imibhangqwana eyakhulelwa ngendlela yokukhipha yakhulelwa kusukela ku-pre-cum ngokwayo noma iphutha lomuntu (okubizwa ngokuthi ukuhoxiswa okubambezelekile). Nokho, kungakhathaliseki ukuthi yini imbangela, ukukhulelwa ukukhulelwa.

Ngabe Indlela Yokukhipha Iqhathaniswa Njani Nezinye Izinhlobo Zokulawulwa Kokuzalwa?

"Imibhangqwana eminingi (nodokotela bayo) iyamangala ukuthi le ndlela yokukhipha ingasebenza kangakanani," kusho uRob Huizenga, M.D., udokotela osaziwayo nombhali weUbulili, Amanga nama-STD. "Kodwa ingabe iphelele? Cha. Futhi emibhangqwaneni engakufisi ngempela ukukhulelwa, izinkinga ziyinto okufanele igcinwe engqondweni."

Ikakhulukazi kusukela, ngaphandlekonke ezinye izinketho zokulawula inzalo Ubuzali obuhleliwe bubala njengezindlela zokuvimbela inzalo ezisebenzayo (eziyi-18 sezizonke), indlela yokukhipha ikleliswe endaweni yokugcina. "Ayisebenzi kangako kunezinye izindlela ezithandwayo zokulawula inzalo," kusho uDkt. Jacobson. Ngomongo:

"Kunamaphesenti angu-18 okwehluleka kwamakhondomu, amaphesenti ayi-9 ephilisi, isichibi, neringi, kanti angaphansi kwephesenti elilodwa kwi-IUD, ukufakelwa, ukuhlanganiswa kwamathumbu omabili, kanye ne-vasectomy."

UMary Jacobson, MD, umqondisi wezokwelapha we-Alpha Medical

Ngaseceleni, ukuqhathanisa isilinganiso sokuhluleka kwekhondomu vs izinga lokwehluleka ukukhipha kungakwenza ufune ukujikijela imisele - kepha khumbula ukuthi, uma isetshenziswa kahle futhi ngaso sonke isikhathi, amakhondomu asebenza kakhulu (amaphesenti angama-98). (Ingabe usebenzisa amakhondomu ngendlela efanele? Bheka la maphutha ekhondomu asabekayo okungenzeka uyawenza.)

Isikhumbuzi: Indlela Yokukhipha Ayisebenzi Ekulweni Nama-STI

Noma ulungile ukuthi indlela yokukhipha isebenza kahle kangakanani ekuvimbeleni ukukhulelwa, kunezinye izinto okufanele ukhathazeke ngazo, futhi. Okungukuthi, "indlela yokukhipha ayivikeli ezifweni ezithathelwana ngocansi (STIs)," kusho uDkt. Jacobson. "Izifo ezithathelwana ngocansi (ezifana ne-HIV, i-chlamydia, i-gonorrhea, ne-syphilis) zingasakazwa ngoketshezi lwangaphambi kwe-ejaculate." (Okuhlobene: Ungazinikeza Yini I-STI?)

Ngokwengeziwe, ukuthintana okuqondile kwesikhumba nesikhumba (noma ngabe akukho ukungena) kungadlulisa amanye amagciwane afana ne-herpes yesitho sangasese, i-HPV, nezintwala ze-pubic, usho kanjalo. (Uma usebenzisa umuthi wokuvimbela inzalo ongelona ikhondomu njenge-IUD noma amaphilisi okulawula inzalo khumbula ukuthi usengazithola usungenwa yilezi zifo zocansi.)

"Kaningi kunokuthambekela kwabantu ekubukeleni phansi ubungozi bokuthola izifo ezithathelana ngokocansi futhi baze babe nomqondo ongekho wokunganqobeki uma kuziwa engcupheni yokuchayeka ezifweni," kusho uNesochi Okeke-Igbokwe, MD, MS, waseNew York Udokotela ozinze edolobheni kanye nochwepheshe bezempilo yabesifazane.

Yingakho kubalulekile ukuthi zombili izinhlangothi zisekhasini elilodwa maqondana nokushada nomuntu oyedwa kanye nesimo sempilo. "Xhumana futhi uhlolwe ngaphambi kokuzama indlela yokukhipha ukuze izinhlangothi zombili zivumelane nesimo futhi akukho okumangalisayo," kusho uDkt. Gupta. Uma kungenjalo, kufanele wenze ngokuzikhandla kwakho futhi usebenzise umgoqo wokuzivikela ngesikhathi socansi. (Okuhlobene: Nakhu ukuthi ungakhuluma kanjani nozakwenu mayelana nokuhlolwa)

Ungayenza Kanjani Indlela Yokukhipha Iphumelele

Ngenkathi izinga lokwehluleka lamaphesenti angama-22 lingalungile, indlela yokukhipha ayisebenzi ngokuphelele. Ngaleso sizathu, uDkt. Gunter uthi abantu abaningi bangasebenzisa indlela yokukhiphaplus ezinye izindlela zokulawula ukubeletha ukuqhubeka nokunciphisa amathuba okukhulelwa.

Eqinisweni, kulinganiselwa ukuthi amaphesenti angama-24 abesifazane asebenzisa indlela yokukhipha eceleni kwekhondomu noma yehomoni noma yokulawula ukubeletha okuhlala isikhathi eside, ngokusho kocwaningo oluthile olushicilelwe kulo magaziniUkuvimbela inzalo. Nakuba lokhu kukuhle ngokombono wokuvimbela ukukhulelwa, kusabalulekile ukukhumbula ukuthi indlela yokukhipha, amahomoni, nezinye izinhlobo ezihlala isikhathi eside zokulawula ukuzalwa azizivikeli kuma-STI, kusho uDkt. Gunter. (Isidoda singaphinda silahle i-pH yakho yangasese, ngakho-ke indlela yokukhipha ingase ikufanelekele ukuxosha izinto ezifana nezifo ze-yeast kanye ne-bacterial vaginosis - ethonywa izinguquko endaweni yakho yangasese - futhi.)

"Sibona futhi abantu abaningi behlanganisa indlela yokukhipha nokulawulwa kokubeletha okunesikhathi, noma indlela yokushadi," kusho uDkt. Gunter. Ngokuyisisekelo, lokho kufaka ukusebenzisa uhlelo lokulandela ngomkhondo isikhathi, ikhalenda lephepha, ubuhlalu bomjikelezo, noma uhlelo lokusebenza lwemijikelezo yemvelo ukulandelela umjikelezo wakho nobungozi bokukhulelwa. I-ICYDK, uwena ovunde kakhulu phakathi nomjikelezo wakho, uma u-ovulating. (Lokhu kungahluka ngokuya ngokuthi umjikelezo wakho uvame kangakanani noma ungajwayelekile.) Ngendlela yokwenza ishadi, unganquma ukungabi ocansini obungena phakathi naleso sikhathi senyanga (hheyi, ezinye izinto ezifana nezinto zesandla noma ucansi lomlomo zisetafuleni! ), noma ukusebenzisa amakhondomu ngaphezu kwendlela yokukhipha ukusiza ukuvimbela ukukhulelwa. Okunye okubi kakhulu ngale ndlela yokuchofoza ukuthi azinangqondo: "Ithembele ekuzigedleni ngezikhathi ezithile ukuze isebenze ngempumelelo, abantu abangayenza noma abangathandi ukuyenza," kusho uDkt. Gunter. "Futhi ezinye zalezi zinhlelo zokusebenza zingaba ezinganembile futhi zidinge ukukhuthala kwabantu." Iqiniso - yize amaphilisi okulawula ukubeletha adinga ukukhuthala ukuze nawo asebenze kahle. (Okuhlobene: Kungani Wonke Umuntu Eya Ekulawuleni Ukuzalwa kwe-RN?)

Esihlokweni sezinhlobo ezimbili zokulawulwa kokuzalwa: UDkt.Gunter uphakamisa ukuthi uma umlingani wakho ekhipha sekwephuze kakhulu futhi ungazami ukukhulelwa, ungacabanga ukuthatha umuthi ophuthumayo wokuvimbela inzalo. "Kodwa uma kuzodingeka uthathe u-Ella noma uHlelo B kanye ngenyanga, ungacabanga ukuthi ngabe le yindlela efanele yokulawula inzalo kuwe." Ngaphezu kwalokho, kukhona iqiniso lokuthi izinto zokuvimbela inzalo eziphuthumayoakuzona ikhulu lamaphesenti elisebenzayo noma. (Okuhlobene: Kubi Kangakanani Ukuthatha Uhlelo B Njengendlela Evamile Yokuvimbela Ukukhulelwa?)

Iphuzu Eliyinhloko Endleleni Yokukhipha

Ngakho-ke kusebenza kahle kangakanani ukuphuma? Konke kubuyela ezingeni lokuphumelela lendlela yokukhipha kanye nezinga lokwehluleka: Isebenza cishe ngamaphesenti angama-78 esikhathi, kepha kusesenethuba elingamaphesenti angama-22 lokuthi ungakhulelwa.

“Kukonke, akuthembeki kakhulu futhi ngeke kukuvikele ezifweni zocansi, kepha uma ungafuni ukukhulelwa kungcono kunokuthile,” kusho uDkt. Klepchukova. "Noma kunjalo, ngingathanda ukunxusa abantu ukuthi bacabangele elinye ifomu elithembekile."

Futhi kufanelekile ukusho ngokusobala: Ngoba incike kumlingani nepipi likhipha ngesikhathi, omunye umuntu unamandla okulawula ukuthi umlingani wakhe uhoxa yini ngesikhathi - into embi kakhulu ochwepheshe abayigcizelela kaninginingi. (#ukhetho lwakho)

Uma ufuna ukufunda kabanzi ngenye indlela yokuvimbela inzalo, hlola lo mhlahlandlela wama-IUD nalolu lwazi ekutholeni indlela engcono kakhulu yokulawula ukubeletha.

Buyekeza kwe-