Emva kweminyaka engama-40, owesifazane angathatha kokubili ukukhulelwa kwe-hormonal kanye nokwelashwa kwe-hormone. Kodwa amalungiselelo e-hormonal, ikakhulukazi ngemva kweminyaka engama-40, akwazi ukudala imiphumela emibi engekho esemncane, ngakho-ke uma kunqunywa, umuntu kufanele akhumbule ngokungahambisani nalokhu:
- izicubu ezinonya zezibeletho, izingxubevange, izilonda ezincelisayo;
- i-thrombosis ne-thromboembolism;
- i-endometriosis;
- isifo esinamandla sesibindi;
- ukuphuma kwegazi lomzimba we- etiology engaqondakali;
- ukwephulwa kwamafutha we-metabolism.
Ukwelashwa kwe-hormonal emva kuka-40: igama lezidakamizwa
Nakuba esekhulile kaningi kukhona ukuphazamiseka kwe-hormonal, noma izifo eziphazamisa ukuqala kokukhulelwa okujwayelekile, nethemba lokuthi iminyaka isivele isisu, akufanelekile. Ukwelashwa kwe-hormonal emva kweminyaka engama-40 kuvame ukusetshenziswa kwezidakamizwa ze-gestagenic. Kusukela emva kweminyaka engama-35 abesifazane abanconywa ukuba basebenzise amalungiselelo ahlangene aqukethe ama-estrogen futhi akhuthaze ukwanda kwegazi, kanye nokuphazamisa isibindi nesimiso senhliziyo, ikakhulu uma owesifazane ephuza.
Kuzokwelapha izisu ze-gestagenic, abesifazane abaneminyaka engama-40 ubudala bangancoma ukujova kwezidakamizwa ze-hormonal (Depo-Provera), izimila ze-hormone (Norplant), noma izinkinga zokubeletha zomlomo ze-hormonal eziqukethe ama-gestagens kuphela - ama-mini-peels (Ovret, Continuin, Micronor, Eksluton). Kungenzeka futhi ukusebenzisa i-hormonal intrauterine ukuvunguza i-Mirena , okuyinto nsuku zonke idonsa inani elihlelekile lama-progestins. Kodwa uma kukhona ukuphikisana, lo wesifazane kuyodingeka asebenzise ezinye izisu zokuvimbela ukuvimbela ukuvimbela ukukhulelwa.