Msika wa kulera umayimilidwa ndi chiwerengero cha mankhwala osokoneza bongo, ndipo amasiyana kuchokera kwa wina ndi mzake mu maonekedwe a mahomoni. Pali mitundu yotsatira ya kulera kwachinsinsi: kuphatikiza, progestin ndi postcoital.
Njira zabwino zothandizira pakamwa zimagwirizanitsidwa. Kuphatikizidwa kwa njira zothandizira kulumikiza pamimba kunaphatikizapo mahomoni - progesterone ndi estrogen. Amagawidwa m'magulu atatu: monophasic, magawo awiri ndi magawo atatu. Mtundu wa monophasic ndi pamene mahomoni sangasinthe panthawi yonseyi, ndipo mitundu iŵiri ndi itatu ya magawo ali ndi mitundu yosiyanasiyana ya mahomoni.
Mankhwala opatsirana a progestin okhawo ali ndi progestin mu hormone. Ngakhale kuti mphamvu zawo ndizochepa kwambiri kuposa zomwe zimagwirizanitsidwa, koma zili ndi ubwino wina. Mankhwalawa amalembedwa kwa amayi omwe amatsutsana mosiyana: kwa amayi pambuyo pa makumi anai, amayi oyamwitsa, ndi zina zotero.
Mankhwala opatsirana pogwiritsira ntchito mankhwala ovomerezeka a Postcoital amalembedwa pa nkhaniyi pamene kugonana kosatetezeka kwachitika kale. Mtundu uwu ndi mtundu wa thandizo ladzidzidzi. Zitha kukhala zambiri: kondomu yabwera, pakugwiriridwa kapena ngati mwaiwala kuti mutetezedwe. Mitunduyi imakhala yovulaza kwambiri, chifukwa zimaphatikizapo mahomoni ochulukirapo ndipo amawalangiza m'makalata ofulumira kwambiri.
Zina mwazomwe zili pamwambazi zili ndi ubwino ndi zamwano. Chophatikizapo chachikulu ndi chakuti ndizothandiza kwambiri, makamaka kuphatikiza. Zowonjezera zina ndizochizira: amaletsa kusamba, kuthandiza ndi kusabereka, komanso amathandizira kupweteka pamene akusamba. Mankhwala ogwiritsira ntchito pakamwa amathandizira pa matenda akuluakulu: osteoporosis, endometrium ndi khansa ya ovari. Kafukufuku wasonyeza zotsatira zabwino mu alopecia, kuwonjezeka kwa tsitsi, nyongolotsi.
Nthawi zovuta ndizinso zambiri. Mankhwala opatsirana ammimba amafuna akazi omwe ali ndi bungwe lalikulu ndipo ngati pali kuphwanya nthawi, pangakhale chiopsezo chokhala ndi pakati. Chotsatira chachiwiri ndi chakuti pamene mukuyanjana ndi mankhwala ena, akhoza kuchepetsa zotsatira zake. Cholinga chachikulu chotenga kuvuta ndikutaya kwawo kudziteteza ku matenda osiyanasiyana opatsirana pogonana, kuphatikizapo Edzi. Mankhwala opatsirana ammimba amakhalanso ndi zosiyana ndi zotsatira zake. Mwachitsanzo, kulera kwa mahomoni kumatsutsana mosiyana kwa amayi omwe ali ndi shuga, osuta fodya, omwe ali ndi matenda oopsa omwe ali ndi mitsempha yambiri. Chowopsa kwambiri ndi chakuti kugwiritsa ntchito mankhwala opatsirana pakamwa kungayambitse mapangidwe a thrombus, omwe angayambitse magazi.
Chinthu chinanso chovuta kwambiri, chomwe amayi amazindikira, ndi kuchepa kwa chilakolako chogonana. Akatswiri amatsindika kuti izi zimachepa chifukwa chakuti mahomoni amapezeka pakamwa pakamwa.
Kutsika kwakukulu ndi kuwonjezeka kwa kulemera. Koma sikuti amayi onse amalemera pambuyo powagwiritsa ntchito mankhwala osokoneza bongo, omwe amalephera kulemera - zonse zimadalira kuti munthu akhale woleza mtima. Makamaka amai ovuta kwambiri.