Darmiyani umar mein family planning

Darmiyani umar mein family planning, jise English mein contraception kehte hain, ka matlab hai un barson mein hamal se bachna jab bachcha paida karne ki salahiyat kam ho rahi ho magar khatam na hui ho. Women's Health Concern, jo British Menopause Society ka aam auraton ke liye hissa hai, kehta hai ke bohat si auratein samajhti hain ke 40 ki dahai mein family planning chhor sakti hain, kyunke bachcha paida karne ki salahiyat kam ho gayi hai aur mahwari beqaida ho gayi hai, aur yeh andaza ghalat hai. Auratein 40 ki dahai ke aakhir aur 50 ki dahai mein bhi hamila hoti hain.

World Health Organization kehta hai ke perimenopause mein bhi hamal ho sakta hai. International Menopause Society ki 2026 ki sifarishaat kehti hain ke baghair mansoobe ke hamal ka khatra khud menopause tak rehta hai.

Is baare mein Pakistan ka jo wahid number hamein mila, woh 40 saal aur us se bari auraton ke aik survey se hai, jo Pakistan Menopause Society ki August 2026 ki conference mein pesh kiya gaya. Jin 91 auraton ne kaha ke woh perimenopause mein hain, un mein se 48.4 feesad samajhti thin ke family planning ki zaroorat nahin, aur 29.7 feesad koi bhi tareeqa istemaal kar rahi thin. Yeh online kiya gaya aik chhota survey hai, aur conference ka khulasa (abstract) hai, shaya shuda research paper nahin, magar is se pata chalta hai ke yeh khayal kitna aam hai.

Perimenopause mein kisi mahine ande dani se anda nikalta hai aur kisi mahine nahin, aur mahwari se yeh pata nahin chalta ke kis mahine nikla. Women's Health Concern kehta hai ke isi liye mahwari ka hisaab rakh kar family planning (natural family planning), jo baqaida mahwari par chalti hai, ab bharose ke qabil nahin rehti. Woh yeh bhi kehta hai ke jinsi taalluq ke dauran mard ka peeche hat jana (withdrawal) bharose ka tareeqa nahin, chahe 40 ki dahai mein bohat se miyan biwi isi par chalte hon.

Is umar mein hamal ke khatre bhi zyada hain. International Menopause Society hamal zaya hone, bachedani se bahar hamal (ectopic pregnancy) aur bachche ki nashonuma mein masail ka zikr karti hai, aur Women's Health Concern un mein high blood pressure aur sugar ka izafa karta hai.

Family planning kab chhor sakti hain

Zaraye kisi aik usool par muttafiq nahin, is liye apne doctor se poochein ke aap par kaun sa laagu hota hai.

• World Health Organization kehta hai ke lagataar 12 mahine mahwari ke baghair guzarne tak family planning jaari rakhein.
• Pakistan Menopause Society (section 5.13), NHS ki website aur Women's Health Concern kehte hain ke agar aap 50 se kam hain to aakhri mahwari ke baad do saal, aur 50 se bari hain to aik saal.
• International Menopause Society, 40 se bari auraton ke liye Bartaniya ki aik hidayat ki buniyad par, kehti hai ke family planning zyada se zyada 55 par chhori ja sakti hai, kyunke us ke baad hamal bohat hi kam hota hai. Women's Health Concern bhi 55 batata hai, chahe kabhi kabhaar mahwari ab bhi aa rahi ho.

Aap ka tareeqa yeh bhi chhupa sakta hai ke aap kis marhale par hain. NHS ki website kehti hai ke sirf progestogen wali goli, hormone wali coil, implant aur injection mahwari ko beqaida ya band kar sakte hain, aur yeh ke mushtarka goli (combined pill) jab tak lein, har mahine khoon laati hai. Women's Health Concern kehta hai ke sirf progestogen wale tareeqe par khoon na aana us tareeqe ka side effect hai, menopause ka saboot nahin. Pakistan Menopause Society kehti hai ke in hormones ke dauran menopause pehchanne ke liye FSH ka khoon ka test istemaal na kiya jaye (Table 3). Kya menopause ka koi test hai? batata hai ke kyun.

40 ke baad kaun se tareeqe theek rehte hain

Women's Health Concern aur International Menopause Society aik aik kar ke tareeqe batate hain:

• Mushtarka goli, patch ya ring (estrogen aur aik progestogen). Donon kehte hain ke yeh 50 tak sehatmand auraton ke liye theek hain, aur Women's Health Concern woh khatre batata hai jin mein yeh theek nahin, jaise cigarette noshi, motapa, high blood pressure aur aura wali migraine. Donon kehte hain ke yeh bhaari ya beqaida mahwari ko sambhaal sakte hain, haddiyon ki hifazat mein madad kar sakte hain aur hot flush (achanak garmi lagna) kam kar sakte hain. NHS ki website kehti hai ke 50 se mushtarka goli ka mashwara nahin diya jata, kyunke aam taur par is ke khatre faidon se zyada hote hain. Mahwari ki migraine batata hai ke aura kyun aham hai.
• Sirf progestogen wali goli aur implant. Yeh un zyada tar auraton ke liye theek hain jo mushtarka tareeqa istemaal nahin kar saktin, aur donon zaraye kehte hain ke yeh 55 tak jaari reh sakte hain.
• Injection. International Menopause Society kehti hai ke is se haddiyon ki mazbooti kam ho sakti hai, aur 50 tak ise band karne ka mashwara deti hai. Women's Health Concern kehta hai ke 40 se bari jin auraton mein haddiyon ki kamzori (osteoporosis) ke khatre hon, woh koi aur tareeqa sochein, aur warna yeh 50 tak jaari reh sakta hai, aur us ke baad sirf doctor ke saath achhi tarah soch samajh kar.
• Hormone wali coil. Donon zaraye kehte hain ke yeh bhaari khoon kam karti hai. Women's Health Concern kehta hai ke yeh mahwari ka dard bhi kam karti hai, aur batata hai ke 40 ki dahai mein kitni auratein bhaari mahwari aur bohat zyada khoon aane se guzarti hain.
• Copper coil. Hormone ke baghair, aur bohat moassar. Women's Health Concern kehta hai ke is se mahwari zyada bhaari ya zyada takleef wali ho sakti hai, is liye agar mahwari pehle hi masla hai to shayad yeh aap ke liye theek na ho. Donon zaraye kehte hain ke agar yeh 40 ya us ke baad lagayi jaye to menopause tak lagi reh sakti hai.
• Condom. Har umar mein theek, aur yeh jinsi taalluq se lagne wali bimariyon se bhi bachate hain.
• Operation se hamesha ke liye family planning (sterilisation). Women's Health Concern kehta hai ke 40 ki dahai mein miyan biwi sab se zyada yehi tareeqa apnaate hain, magar yeh hamesha ke liye hai aur implant, injection ya coil se kam moassar hai. International Menopause Society kehti hai ke lambe arse wale woh tareeqe jo wapas liye ja sakein, zyada achha kaam karte hain, aur is umar mein, jab bachcha paida karne ki salahiyat pehle hi kam ho rahi hai, hamesha wala tareeqa kam hi faida deta hai.

Women's Health Concern mazeed kehta hai ke emergency family planning (emergency contraception) ke liye umar ki koi aakhri hadd nahin.

Yeh sab kisi dukaan ki shelf nahin jis se aap khud kuch utha lein. World Health Organization ke medical eligibility criteria for contraceptive use, jin ka chhata edition November 2025 se hai, batate hain ke kaun sa tareeqa kin sehat ke masail aur halaat wali auraton ke liye mehfooz hai. Yehi woh jaanch hai jo aap ka doctor aap ke saath karta hai.

Family planning aur HRT ko aapas mein mila dena aasaan hai, aur kuch jagahon par yeh aik doosre se milti bhi hain.

• HRT family planning nahin hai. NHS ki website aur Women's Health Concern donon yehi kehte hain. Agar HRT (hormone ki dawa) shuru karte waqt aap ki mahwari band nahin hui thi, to Women's Health Concern kehta hai ke us ke saath family planning ka koi tareeqa bhi chahiye, aur 55 tak jaari rakhne ka mashwara deta hai, kyunke kuch HRT har mahine khoon laati hai, jis se yeh pata lagana mushkil ho jata hai ke aap ki apni mahwari kab band hui.
• Aik coil, do kaam. Pakistan Menopause Society (section 5.12), International Menopause Society aur Women's Health Concern, teenon kehte hain ke hormone wali coil family planning bhi karti hai aur HRT ka progestogen wala hissa bhi banti hai, jo estrogen lete waqt bachedani ki androoni teh ki hifazat karta hai. Progesterone ki qismein batata hai ke jis aurat ki bachedani ho, use yeh hifazat kyun chahiye.
• 50 se pehle, HRT ki jagah mushtarka tareeqa. International Menopause Society kehti hai ke 50 se kam umar ki woh auratein jin ke liye yeh theek ho, hot flush qaabu mein rakhne ke liye HRT ki jagah mushtarka family planning istemaal kar sakti hain.
• HRT ke saath chalne wale tareeqe. International Menopause Society sirf progestogen wali goli, implant, copper coil aur condom ka zikr karti hai.

Aap ke liye kaun sa milaap theek hai, yeh aap ki sehat, aap ki mahwari aur aap ke iraadon par munhasir hai. Yeh faisla aap ka doctor aap ke saath mil kar kare ga.

Family planning ki baat usi appointment par karein jis mein baqi alamaat ki baat ho, khaas taur par agar mahwari badal rahi hai, bhaari ya beqaida hai, ya aap HRT ke baare mein soch rahi hain. Zyada tar auraton ke liye yeh baat kisi gynae doctor ya family doctor se shuru hoti hai.

Women's Health Concern kehta hai ke agar sirf progestogen wale tareeqe par lambe arse mahwari na aane ke baad khoon aaye to doctor ko dikhayen, taake wajah ki jaanch ho sake. Pakistan Menopause Society jinsi taalluq ke baad khoon aane, do mahwariyon ke darmiyan bila wajah khoon aane, aur achanak bohat bhaari ya lambi mahwari ko khatre ki nishaniyan kehti hai, jin ki doctor ko jaanch karni chahiye (section 2.3).

Bohat se gharon mein 40 ke baad family planning ki baat hoti hi nahin, ya phir yeh aisi baat hai jis par poore khandaan ki koi na koi raaye hoti hai. Auratein poochti hain ke koi tareeqa, khaas taur par hamesha wala, un ke deen ke saath kaisa hai, aur hormone wale tareeqe par aane wala khoon namaz aur roze ke liye kya maani rakhta hai. Unhein seedha jawab kam hi milta hai. Yeh sawal kisi mustanad aalim se poochne ke hain. Kaun sa tareeqa aap ke jism ke liye mehfooz hai, yeh sawal aap ke doctor ka hai.

Family planning kab chhorni hai, yeh faisla apne shohar ke saath mil kar, aur donon ke saamne poori maloomat rakh kar, karna aasaan hota hai.