Kwayar maganin hana haihuwa ta ƙunshi hana ovulation godiya ga hormones daban-daban waɗanda zasuyi aiki akan axala hypotalamic-pituitary, axis na sarrafa ovaries, kansu a asalin asalin ɓoyayyun ƙwayoyin hormonal na sake zagayowar ovulatory. Wannan aikin yana juyawa da zaran an daina kwaya, ba tare da la'akari da tsawon lokacin amfani da shi ba. Koyaya, wani lokacin muna lura da “lalaci” lokacin da aikin hypotalamo-pituitary axis da ovaries suka dawo (1). Wannan lamari ya bambanta ƙwarai a tsakanin mata, ba tare da la'akari da tsawon lokacin shan kwaya ba. Wasu za su sake dawo da ovulation da zaran sake zagayowar bayan dakatar da kwaya, yayin da a wasu, zai ɗauki 'yan watanni don sake dawo da sake zagayowar al'ada tare da ovulation.

A baya, wasu kwararrun likitocin mata sun ba da shawarar a jira watanni 2 ko 3 bayan dakatar da kwaya don samun ingantacciyar kwayar halitta da rufin mahaifa. Koyaya, waɗannan ƙayyadaddun lokutan ba a kafa su a likitanci ba. Babu wani binciken da ya sami damar nuna ƙaruwa a yawan munanan halaye ko ɓarna, ko yawan ciki a cikin matan da suka sami juna biyu lokacin da aka daina kwaya (2). Don haka yana da kyau a dakatar da kwaya daga lokacin da kuke son juna biyu. Haka kuma, ba lafiya ba ne likita ya ɗauki “hutu” yayin shan kwaya don kiyaye haihuwa.

Yana faruwa cewa kwaya, wanda ke haifar da ƙa'idodin wucin gadi ta hanyar zubar da jini (ta hanyar raguwar homon a ƙarshen fakitin), yana da rikicewar ɓarkewar ovulation, wanda. zai sake bayyana lokacin da ka daina shan kwaya. Abubuwan da ke haifar da su shine hyperprolactinemia, polycystic ovary syndrome (PCOS), anorexia nervosa ko gazawar ovarian (3).

Ofaya daga cikin manyan damuwar da mata ke sha game da kwaya shine tasirin da zai iya haifarwa ga haihuwa, musamman idan aka ci gaba da sha har tsawon shekaru. Aikin kimiyya yana ba da tabbaci a kan batun.

Wani bincike (4) da aka gudanar a cikin tsarin Euras-OC (shirin Turai don sa ido sosai kan maganin hana haihuwa) da ya haɗa da mata 60 da ke ɗaukar maganin hana haihuwa ya nuna cewa watan da ya biyo bayan dakatar da maganin, 000 % daga cikinsu suna da juna biyu. Wannan adadi yayi daidai da na haihuwa na halitta, yana nuna tabbatar da cewa kwaya ba ta shafar haihuwa da damar samun ciki. Wannan binciken ya kuma nuna cewa tsawon lokacin shan kwaya kuma ba shi da wani tasiri kan yuwuwar samun ciki: 21% na matan da suka sha maganin na kasa da shekaru biyu sun sami juna biyu a cikin shekara guda, idan aka kwatanta da kashi 79,3% na matan da suka yi amfani da su. shi fiye da shekaru biyu.

Idan babu jinkiri tsakanin tsayar da kwaya da farkon gwajin ɗaukar ciki, duk da haka an ba da shawarar sosai a tuntuɓi likitan mata, babban likita ko ungozoma kafin dakatar da kwaya. don shawarwarin riga-kafin. Wannan shawarar, wanda Haute Autorité de Santé (5) ya ba da shawarar, ya haɗa da:

• tambaya akan likita, tiyata, tarihin haihuwa
• jarrabawar asibiti
• gwajin cutar dysplasia na mahaifa idan ya wuce shekaru 2 zuwa 3
• gwaje -gwajen gwaje -gwaje: ƙungiyoyin jini, bincika agglutinins marasa daidaituwa, serology don toxoplasmosis da rubella, da yiwuwar yin gwajin HIV, hepatitis C, B, syphilis
• kariyar folic acid (bitamin B9)
• allurar rigakafin cutar rubella, tsutsotsi, idan ba su sabunta ba
• rigakafin haɗarin rayuwa: shan taba, barasa da shan miyagun ƙwayoyi