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      "author": "dra.estrano",
      "body": "*Hace varios años decidí planificarme con métodos anticonceptivos, ya  tenía varios años con mi pareja y siempre habíamos usado preservativos pero me sentí lista para usar otro método, por lo que me dispuse a buscar en internet y en el mercado la mejor opción.\nMe sentí súper abrumada con tantas opciones ya que hay pastillas, métodos de barrera, métodos mecánicos y métodos hormonales no orales, entonces me día la tarea de ir al médico y probar que me iba bien. Por lo que en este post les hablare sobre mi experiencia y el correcto uso de los anticonceptivos orales*\n\n![ilustracion aco.png](https://cdn.steemitimages.com/DQmSb9bPCmFpPShkMbchv2vges9YXkAhoxqFrZQPXiiwJjP/ilustracion%20aco.png)\n\nBueno como les decía, mi búsqueda empezó investigando en internet un poco, qué son los métodos anticonceptivos orales, que no son más que píldoras las cuales tienen por principio activos hormonas, estas hormonas son el estrógeno y la progesterona, ellas actúan en el ciclo menstrual y estas se liberan gracias a otras hormonas que son la FSH (Folículo estimulante) la cual hace que se libere estrógeno y maduren los folículos para la ovulación y la LH (hormona leutinizante), la cual mantiene vivo al cuerpo lúteo luego de la ovulación.\n\nAcá les dejo un esquema para que se ubiquen mejor.\n\n\n![aco 3b.png](https://cdn.steemitimages.com/DQmYGMaAdaxrB3P8P3P522zR8eWYcMze4TUpnT3SNsTeeUN/aco%203b.png)\n\nEntonces al tomar la píldora le digo a mi cerebro que hay progesterona y estrógeno entonces el no secreta FSH, ni LH suficiente como para ovular, por lo que no ovulamos...ahora esto suena maravilloso -sí método estas píldoras no ovulare!-  sin embargo hay que tomarlas al pie de la letra para que esto sea así ya que debemos simular que nuestro cuerpo es que le dice al hipotálamo que hay estas hormonas y que todo está bien, para que este no, nos haga pasar a la siguiente fase y ocurra la ovulación.  Por esa razón es importantísimo que tomemos la píldora a la misma hora, sin olvidar ninguna, además que al iniciar el tratamiento debemos empezar el día número 1 del ciclo, el cual como ven es el primer día de a menstruación.\n\n*Ahora teniendo en cuenta esto hablemos de los tipos de píldoras*\n\nHay muchísimas píldoras pero acá solo abordare solo las de uso más común.\nlas primera que hablare será la que es de 21 días, que en su mayoría están a base de etenilestradiol el cual es un estrógeno junto a un progestágeno, se toman igual como les decía, el primer día de menstruación y el resto nos las tomamos 1 por día a la misma hora durante 21 días tomando un descanso de 7 días, el descanso es para cumplir con los 28 días, y al no tomar las píldoras en ese tiempo disminuye la carga hormonal por lo que se produce un sangrado que interpretamos como menstruación. \nLas segundas son las de 28 días por lo general tienen la misma composición de las primeras o son solo a base de progestágeno y los 7 días de descanso se remplazan por 7 placebos, esto se hace con el fin de tener una rutina y no olvidar tomarlas.\n\nLuego tenemos a la píldora de emergencia a la mundialmente famosa \"píldora del día después\" esta tiene mayor dosis de estas hormonas por lo que  si  la tomamos antes de que ocurra la ovulación, la frenamos pero nos condicionamos a tener manchados o un retraso porque alteramos el equilibrio hormonal, debemos siempre tener en cuenta que:\n 1- es solo para emergencias, no hay que toarla como caramelos.\n2-  tenemos que tomarlas antes de las 72 horas luego del coito sin protección\n3- esta solo tendrá eficacia si y solo si aún no se ha llevado a cabo la ovulación, ya que sí nos la tomamos el día en el cual ovulamos no va a parar ningún ovulo ya que este ya está maduro y esta rumbo a las trompas de Falopio. La cultura popular dice que son como un abortivo por lo que evitan la implantación y déjenme decirles que NO, es progesterona y la progesterona es la hormona del embarazo por lo tanto no va a frenar que se implante el embrión.\nTomando en cuenta esto debemos pensar bien antes de usarla.\n\nHay píldoras de emergencia de una sola pastilla y de dos, ambas tienen la misma concentración por lo que está en la paciente si la que trae 2 píldoras la toman de una vez o como dice la caja, si tomas 1 ahora y la otra a las 12 horas, dependiendo lo que diga la caja o su ginecólogo .\n\n\n![aco 2.png](https://cdn.steemitimages.com/DQmbUpdyZrAuSUpbpaMZEz98mfZ3oUf6ytkUPc4ntXb9h7o/aco%202.png)\n\nEn fin... son un buen metodo pero hay que ser constantes y no olvidarte tomarlas,  ayudan mucho si tienes un ciclo muy irregular porque permite tener control del mismo, disminuye el sangrado, mejora la piel si tienes problemas con el acne. \n\nRecuerden siempre, siempre, siempre preguntarle a su medico especialista y no tomar estos medicamentos a la ligera.\n\nbueno... este fue mi articulo espero les haya sido de ayuda.\nun abrazo :)",
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      "author": "onexel",
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      "author": "elpausero",
      "body": "Muy bonita historia, lo deja a uno pensando, siempre hay que preguntar para que es la pastilla que le dan las %&#* a uno, le salió barata la jugada al viejo, bien podrían dormirle y quitarle los riñones. Ta weno el post y me gusta como escribes, se siente muy natural, como hablar con una panita. Una que otra imagen separadora o algo no caería mal, pero ya queda de tu parte, salu2 doc.",
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      "body": "Puede llegar a ser una historia divertida si lo piensas, sobre todo porque una erección provocó el divorcio de ese matrimonio.  Como consejo seria que utilices medicamentos legalmente avalados y conocidos a ingerir algo que no sabes ni siquiera lo que es.",
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      "author": "dra.estrano",
      "body": "*ER tales from a medical student, as a medical student I have been on some many weird situations, this career give me any sorts of comic situations and crazy acnetods, I will be sharing some of then in this space hope you like it and found it interesting here we go.*\n \n*A few months ago I arrived at the emergency service at the hospital where I had my internships, a 43 year old man who came with his wife because of pain in the genital area and shows an increase in volume of it (if you know what it means), he said that he had been like that for four whole days, and he was not explaining how it happened. The resident told us that we have to examined him  first and after that  he will be checking the patient later.*\n\n![priapismo.jpg](https://cdn.steemitimages.com/DQmRjHxpn3gL6w6RsKuLuAG29iMYCTyAuBCg2phiiU7ftPJ/priapismo.jpg)\n\n#Checking the patient \n \nWell ... we asked the wife to leave the room and we started to ask the man what happened to him, he tells us that four days ago he went with a woman who wasn’t his wife to a hotel and she gave him a psychotropic substance which, she never revealed to him what it was and he didn’t know what he took, he only knew it was a drug that would help him  \"to have more fun\", he told us  that he had a big time (of course he have) the whole day and that night, - \"the big buddy never let him down!” (referring to his penis) that day , but the problem came later so I put my best poker face and asked, What happened next? he answers, - my erection never went off, I did everything, “I masturbated several times ... I put ice and nothing made it to went down, it was horrible because I went to work and the pain was unbearable”. But as a good macho he only  went  to the doctor, when it was purpleish, almost black, and he couldn’t  handle that torture anymore and had to told his family that he had to go to the hospital.\n \nThe resident checked him and  asks us -What do you think it is? The interns look at him with our best scare face and we say that it looks like a priapism and then he asks us what is a priapism and how is it classified? I answered that priapism is a continuous erection that does not seat with masturbation, not even with coitus  and it is also painful, and that the classification was investigated, he laughs and says -yes, it is a priapism that is probably veno-occlusive. enter him that you have to do a couple of exams and a procedure.\n \n#Now the clinical part of the story (Warning nerdy medical stuff)\n \nWe entered the patient, who tells us - please do not tell my wife that she was with another woman. In the end we  enter him for a hematology, biochemistry and coagulation times tests  without findings. Gasometry of cavernous bodies was performed with the following values: PO2: 0.6mmHg; PCO2: 124; pH: 6.79 being compatible with low flow or veno-occlusive priapism.\n \nAs a first therapeutic measure, under electrocardiographic and blood pressure monitoring, puncture-aspiration of intracavernous blood and subsequent intracavernous injection of phenylephrine (5 injections of phenylephrine 0.5mg every 5 minutes) and finally wash with 0.9% physiological solution. %, the face of the gentleman showed that he was scare from start to finish but  all of this got to end the torturous inflammation, that is to say that  it went flaccid again, after that the patient was kept in hospitalization with local ice in the affected área and analgesics for a week. That man was a case, he flirted with all the nurses in the service. After a week we had discharged him ...\n\n#Moral \n \nThe moral is do not take something that you don’t know what it is, besides that karma comes in one way or another and this time went upwards.\n \n * If you ask me what happened next with the man, I saw him again in the outpatient clinic and well .... Now he is separated and has erection problems. *",
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      "author": "elcabronpaisa",
      "body": "hay formas sin que entres directamente sin ver nada grafico",
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      "body": "¡Bienvenida @dra.estrano!\nEspero estar viendo muy pronto tus publicaciones por este medio, te estaré leyendo muy pronto.",
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      "author": "partiko",
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