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Sick leave, also known as L4, is a document that allows an employee to take a break from work due to illness. It is not only an option, but also a right available to those covered by health insurance. Although it is most commonly used by those employed under a contract of employment, those employed under civil law contracts can also apply for L4 under certain conditions. In addition, this right is available to those who have to care for sick children.

L4 has the function of protecting both the employee's own health and that of those around him or her at work. In the event of illness, the exercise of this right should not be avoided, as continuing to work in a weakened state is detrimental to both the organisation and ourselves.

When can sick leave be obtained?

Sick leave is available in many different health situations. If our health problems make it difficult or impossible to perform our duties, it is worth considering using L4. Examples of such situations are infectious diseases, digestive problems, injuries or pregnancy complications. Respiratory, osteoarticular or muscular conditions may also warrant leave. E-exemption can also cover people suffering from poisoning, cancer or other serious ailments.

What does the sick leave contain?

Each sick leave contains a disease code, according to the International Classification of Diseases (ICD-10). This information is transmitted to the ZUS, but the patient does not see it on his or her copy of the document. This code informs the doctor of recommendations related to the patient's treatment, such as whether the patient needs to lie down or can leave the house for medical appointments.

It is worth remembering that while you are on sick leave, you cannot be gainfully employed. The Social Insurance Institution and the employer have the right to check that the leave is being used as intended.

How long does sick leave last?

The standard period of sick leave is a maximum of 182 days, but in some cases, such as tuberculosis or pregnancy, it can be extended up to 270 days. In addition, employees are entitled to 14 days for the care of sick family members and up to 60 days for the care of a child under 14 years of age.

Who can issue sick leave?

In Poland, sick leave is issued electronically (e-ZLA). The doctor, regardless of specialisation, can issue the exemption both during an in-person visit and a tele-treatment. The document goes directly to ZUS, and the patient can monitor his or her exemption via the Platform for Electronic Services (PUE).

Is remuneration payable during L4?

Yes, employees on sick leave are paid a salary, usually amounting to 80% of the assessment base. Pregnant women, people after accidents and organ donors receive 100% of salary. For the first 33 days, payment is provided by the employer, after which responsibility is assumed by the Social Security. In the case of hospitalisation, the remuneration can be 70% unless there are special indications.

Skin allergies, which belong to the group of dermatoses, can manifest themselves in a variety of ways, including pimples, pustules or other skin changes. Although these are the most noticeable symptoms, allergies can also cause other complaints that affect the quality of daily life. What are the most common symptoms of skin allergies and how do you deal with them?

What are skin allergies?

Skin allergies are reactions of the body to a variety of factors that manifest themselves with symptoms such as itching, redness, rashes, blisters, dry and flaky skin, as well as swelling and pain. These symptoms can significantly impede daily functioning and, in more severe cases, can lead to social or psychological problems.

A detailed medical history, physical examination and appropriate skin tests are required to make a diagnosis of skin allergy. Treatment depends on the cause and severity of the symptoms, ranging from avoidance of contact with the allergen to the use of topical preparations and immunotherapy.

One of the key elements in the fight against skin allergies is proper care - regular moisturising, using mild cosmetics and avoiding irritants.

What causes skin allergies?

Various factors can cause skin allergies. Among the most common are:

• Food (e.g. dairy, eggs, cereals)
• Animal hair
• Cosmetics (fragrances, dyes)
• Insect venom
• Solar radiation
• Metals (e.g. nickel in jewellery)
• Some plants (e.g. poison ivy)

Most common allergic skin diseases

Atopic dermatitis (AD)

A chronic disease manifested by dry, itchy skin and eczema, with periods of exacerbation and remission.

Urticaria

The sudden appearance of itchy blisters, red patches or swellings, often as a reaction to food allergens, medication or insect stings.

Contact dermatitis

Skin reaction to direct contact with an irritant such as cosmetics, latex, metals or chemicals.

Allergic eczema

An inflammatory condition of the skin resulting from contact with allergens, manifested by itching, blistering and peeling of the skin.

Allergic conjunctivitis

Symptoms include red, itchy and watery eyes, usually caused by inhalant allergens such as pollen or dust.

Allergy to drugs

Some drugs can cause allergic reactions, leading to the appearance of hives, swellings or other skin lesions.

Treatment of skin allergies

Treatment of skin allergies requires an individual approach. In addition to avoiding allergens, it is important to consult a dermatologist or allergologist to select the appropriate medication and skin care regimen. Treatment options include:

• Antihistamines
• Topical preparations (creams, ointments)
• Phototherapy
• Immunotherapy (in specific cases)

If you notice symptoms of a skin allergy, it is worth seeing a specialist as soon as possible to get a proper diagnosis and treatment plan. There is also the option of an online consultation, which can speed up the process of diagnosis and referral for allergy tests.

Today's telemedicine solutions make it possible to do many things without leaving the house - including obtaining sick leave. As of December 2018, e-clearance is available, so that the employee does not have to deliver the sick leave to their employer in person. The entire process takes place online and the doctor issues an electronic sick leave (e-ZLA), handling the paperwork electronically.

What is an e-call?

The e-leave, like the traditional paper leave, confirms the employee's inability to work due to illness. The employer, on the basis of this document, is obliged to pay the employee sick pay. This is usually 80% of the standard salary, although in certain cases, such as pregnancy or accidents at work, the employee may receive the full salary. Who pays sick pay depends on the number of employees employed and the type of employment contract.

Employee rights during sick leave

Any employee covered by health insurance who has received sick leave is entitled to sick pay or sickness benefits. However, being on sick leave also entails complying with the doctor's instructions and the restrictions imposed by the illness. The main purpose of sick leave is to recover quickly, so undertaking other activities, such as gainful employment or recreational outings, can lead to negative consequences.

While on sick leave, the employee should follow the doctor's instructions and usually stay at home. Failure to do so, such as leaving home without justification or taking on extra work, can lead to sanctions such as loss of entitlement to sick pay or even dismissal.

Employer's obligations in respect of e-credits

E-discharge has significantly simplified the process of informing employers about incapacity. Thanks to the electronic system, the employer receives automatic notification that the sick leave has been issued, eliminating the need to deliver the document in person. The employer is obliged to pay wages in accordance with the applicable legislation and to respect the employee's rights in relation to his or her sick leave.

Additional information can be obtained by using the medical e-consultation, which is available at any time.

Contraception is a subject that is highly controversial and surrounded by many myths. In order to better understand its effects and dispel ambiguities, it is worth taking a look at what exactly contraception is. Its history dates back to the 1960s, and it played a key role in the sexual revolution of the 1970s.

Contemporary methods of contraception

Modern methods of contraception fall into several main categories, such as hormonal, mechanical and natural methods of preventing pregnancy. Hormonal contraception, which includes the popular contraceptive pill, not only protects against pregnancy, but can also help treat conditions such as endometriosis and irregular menstrual cycles.

However, as is often the case with controversial topics, contraception has been riddled with numerous myths. Below you will find a discussion of some of them:

Facts and myths about contraception

1. Contraceptive pills reduce menstrual pain - TRUE

The use of hormonal contraception can alleviate menstrual symptoms such as pain and excessive bleeding. Many women use these contraceptives not only to prevent pregnancy, but also to regulate their cycle and relieve menstrual discomfort.

2. No smoking while on hormonal contraception - TRUE

The combination of smoking and hormonal contraception can increase the risk of serious health problems, such as blood clots. Therefore, women using these measures should avoid smoking.

3. Contraception protects against sexually transmitted diseases - MIT

It is a myth. Hormonal contraception only prevents pregnancy, but does not protect against sexually transmitted diseases such as HIV, chlamydia or HPV. Additional forms of protection, such as condoms, are needed to protect against infections.

4. birth control pills give 100% protection against pregnancy - MIT

Although hormonal contraception is very effective, no method provides 100% protection. Even the pill, taken regularly, can sometimes fail. The only fully reliable way to prevent pregnancy is sexual abstinence.

5. hormonal contraception causes weight gain - MIT

Studies do not confirm a direct link between the use of hormonal contraception and weight gain. In some cases there may be a slight change in weight, but this is most often due to other factors such as diet or lifestyle.

6. Hormonal contraception leads to infertility - MIT

This is one of the most commonly repeated myths, which is completely untrue. Once hormonal contraception is discontinued, most women quickly return to full fertility. These contraceptives have no negative impact on future ability to get pregnant.

More information can be obtained by using the medical e-consultation available at any time.

In today's fast-paced life, many people struggle with problems resulting from stress, exhaustion and lowered mood. Daily challenges and pressures can negatively affect both physical and mental health. In such cases, the question often arises - can an employee receive L4 due to fatigue or ill-health?

Can a doctor issue a L4 due to exhaustion?

Yes, the GP is entitled to issue sick leave on the basis of exhaustion if he or she considers that the patient's condition requires it. Fatigue can seriously affect your health, reducing your productivity and impairing your quality of life. During the visit, the doctor will assess the patient's level of fatigue based on a medical history and examination to determine whether the patient needs rest and sick leave.

Is it possible to receive L4 due to stress?

Yes, an L4 can also be issued for excessive stress, which negatively affects health. Long-term stress can lead to serious health problems such as heart disease, depression or gastrointestinal problems. If stress makes it difficult to perform your professional duties, your doctor may decide to issue sick leave.

Can you get a L4 for malaise?

Feeling unwell, resulting from ailments such as infections, colds or allergies, can be grounds for L4. In situations where ill health prevents daily functioning, a doctor may issue a sick leave, although in less serious cases he or she may only recommend rest and over-the-counter medication.

Symptoms of body fatigue

Fatigue can manifest itself in a variety of ways. The most common symptoms are:

• Extreme fatigue and lack of energy
• Concentration and memory problems
• Sleep disorders (insomnia or excessive sleepiness)
• Headaches and muscle pains
• Decrease in efficiency at work
• Changes in appetite
• Irritability, anxiety and depression
• Mood swings

If you are experiencing many of these symptoms and they are affecting your daily life, it is worth seeing your doctor for further diagnosis.

How to deal with fatigue?

In order to effectively counteract fatigue, it is important to introduce healthy habits to aid recovery:

• Regular sleep: Ensure you get enough sleep by going to bed and getting up at regular times.
• Healthy diet: Ensure a balanced diet, rich in vitamins and minerals.
• Physical activity: Regular exercise improves fitness and helps to combat stress.
• Rest and relaxation: Find time for relaxation techniques such as meditation or yoga.
• Stress management: Use stress-reduction techniques such as deep breathing and walking outdoors.

How to deal with stress?

Stress management is key to maintaining mental and physical health. Here are some effective methods:

• Planning and organisation: organise your responsibilities to avoid feeling overwhelmed.
• Time for yourself: find time for relaxation and activities that make you happy.
• Support: Talk to loved ones and seek professional help if the stress becomes too intense.
• Healthy habits: Take care of your diet, physical activity and sleep to increase your resistance to stress.
• Relaxation techniques: Use meditation, deep breathing and other mindfulness techniques.

Can a doctor issue a L4 due to exhaustion or stress?

Yes, your GP can issue sick leave if you are overtired, stressed or feeling unwell, if your condition prevents you from functioning normally. It is worth remembering that mental and physical health are equally important, so if you have health problems, it is worth consulting your doctor and taking the appropriate steps to recover.

More information can be obtained by starting a medical e-consultation at any time.

In the age of modern technology, e-counselling, e-prescriptions and e-referrals are becoming increasingly popular. During the pandemic in particular, telemedicine has become indispensable, allowing patients to access medical care without having to leave home. Nowadays, if you are unable to work due to illness or need to care for a child, you can easily obtain sick leave online.

How do I get an e-call?

If you are experiencing a deterioration in your health, the first step is to find a doctor who offers to issue an e-discharge. It is important to prepare your test results, which can be crucial for your doctor in deciding whether to issue a release. It is usually sufficient to hand over the documents during the e-consultation and the doctor will assess the appropriateness of issuing a L4.

During the consultation, as during the in-patient visit, the doctor will ask about the medications you are taking, co-morbidities and other relevant information. If he or she deems it necessary, sick leave will be issued electronically. Once the procedure is complete, the e-leave will be automatically sent to your employer and the Social Insurance Institution (ZUS).

What are the benefits of e-clearance?

The biggest advantage of e-recall is time saving. Patients do not have to visit clinics, wait in queues or make appointments in person. E-clearance is available 24 hours a day from many online specialists. The process is simple and fast - from the consultation, to issuing the exemption, to sending the documents to the Social Insurance Institution.

In addition to e-recall, patients can also obtain an e-prescription, which further facilitates the treatment process.

How does the e-call work and who can issue it?

Any doctor, regardless of specialisation, can issue sick leave online. The procedure is not automatic - the doctor must carefully assess the patient's condition based on the information provided and the consultation carried out, which can take place by telephone or video conference.

In some cases, the doctor may ask for additional test results, such as:

• X-RAY, ECG, TK, RM, EEG
• Urine and faecal tests
• Morphology

Once the results have been verified, if the doctor deems it appropriate, an e-certificate will be issued and sent to the relevant institutions.

Why use e-clearance?

There are a number of advantages to using e-consent, including:

• Security: In an era of pandemics, being able to get a dispensation without leaving home is an extremely valuable solution. You gain professional medical assistance without the risks associated with direct contacts.
• Speed: The whole process, from the moment of notification to the issuing of the release, is quick and usually takes about 30 minutes. The doctor may also recommend preventive care or additional examinations.
• Easy access: E-records are available 24 hours a day, so you don't have to wait for appointments or stand in queues.
• Professionalism: The e-call service is offered by a number of qualified doctors, ensuring that you receive quality medical care.

More information can be obtained by using the medical e-consultation, available at any time.

Oral contraceptive pills are one of the most effective and convenient methods of preventing pregnancy. Regular and correct use of these contraceptives can ensure almost 100 per cent effectiveness. Until recently, an in-person visit to the gynaecologist was required to obtain a prescription for contraception, which many women found stressful and time-consuming. With e-prescriptions and online consultations, the whole process has become much simpler and more accessible.

Contraception over the internet

Thanks to advances in technology, women can now obtain an e-prescription for hormonal contraception without leaving home. Modern telemedicine allows this to be dealt with quickly and conveniently online. Gynaecological e-consultations are the perfect solution for women who do not have the time to make a traditional visit to a specialist. Getting the right contraceptive is now easier and faster than ever.

E-consultation and contraception

By using an e-consultation, you are assured that each prescription is issued by an experienced specialist. This not only saves time, but is also convenient - you avoid long queues and office visits. Being able to get advice online makes the process stress-free and extremely simple.

Security and anonymity

Online contraception guarantees complete safety and anonymity. All prescriptions are issued by registered medical practitioners and contraceptives come from reputable pharmaceutical manufacturers. The entire process is fully legal and ordered medicines are delivered in discreet packages directly to the patient's home.

How to obtain an e-prescription?

Obtaining an e-prescription for contraceptive pills online is a quick and simple process. All you need to do is fill in a medical form, based on which your doctor will assess your condition and issue the appropriate prescription. The whole procedure is fast, discreet and convenient, and the e-prescription can be filled at any pharmacy without the need to print the document.

Emergency contraception

In emergency cases, when classic methods of contraception have failed, there is the option of emergency contraception. After an e-consultation, the doctor can issue a prescription for the so-called 'morning-after pill'. This is a quick and effective way of avoiding an unplanned pregnancy, which can also be obtained without leaving home.

Process for obtaining an e-prescription

The e-consultation for online contraception consists of a few simple steps:

• Choice of complaints (contraception).
• Completion of the medical form.
• Verification of the form by the doctor, who will issue an e-prescription for the appropriate contraceptive.
• Fulfilment of the e-prescription at the pharmacy without printing the document.

More information can be obtained by starting a medical e-consultation at any time.

Telemedicine consultations, or remote meetings with a doctor, are gaining popularity both in Poland and around the world. In this article, we will discuss what a telemedicine consultation is, what benefits it offers and what the process of meeting a doctor online looks like.

What is a telemedicine consultation?

A telemedicine consultation is a medical service that allows patients to contact a doctor or specialist without having to visit an office in person. Thanks to modern technology, patients can obtain medical advice, diagnoses, as well as prescriptions or test referrals, without having to leave home.

What does a teleconsultation look like?

A teleconsultation is similar to a traditional medical visit, but it takes place remotely, usually via video, chat or telephone platforms. During the visit, the doctor takes a medical history, analyses the symptoms and makes a diagnosis. In some cases, the doctor may order simple diagnostic tests that the patient can perform on their own at home.

How does the online consultation work?

The online consultation process may vary depending on the platform and form of communication, but the standard process is as follows:

• Registration: The patient creates an account on the telemedicine platform, makes an appointment, providing details and a description of the health problem.
• Choice of doctor: The patient chooses a specialist based on his/her speciality or the opinions of other patients.
• Online visit: At the appointment, the patient connects with the doctor via a video or chat application.
• Medical history: The doctor takes a history, asking questions about symptoms, medical history and other relevant information.
• Diagnosis and recommendations: Based on the information gathered, the doctor makes a diagnosis and recommends treatment, tests or prescribes a prescription.
• E-prescription: If necessary, the doctor issues an e-prescription that can be filled at any pharmacy.

Is it possible to get a L4 via chat?

Yes, it is possible to obtain a sick leave (L4) after an online consultation. There are online clinics in Poland that, after analysing the patient's condition, can issue an e-leave. However, the decision to issue a L4 depends on the patient's state of health and the doctor's diagnosis.

Advantages of telemedicine consultations

Telemedicine consultations offer a number of benefits for both patients and doctors:

• Accessibility and convenience: Patients can consult a doctor from anywhere and at any time, eliminating the need to visit a clinic.
• Quick access to specialists: Online consultations allow quick contact with a doctor, which is particularly valuable in emergencies.
• Continuation of treatment: Patients can regularly monitor their treatment, receive recommendations and subsequent prescriptions.
• Cost reduction: Telemedicine can be a cheaper option compared to traditional visits, especially when it does not require a physical examination.

Safety of telemedicine consultations

To ensure the legality and safety of telemedicine consultations in Poland, several important aspects need to be kept in mind:

• Legal platform: Use a platform that is certified and authorised to provide online medical services.
• Security of personal data: Ensure that the platform complies with the data protection requirements of the RODO.
• Documentation: Keep e-prescriptions, referrals and other recommendations received during the consultation.

Telemedicine consultation - applications

Telemedicine consultations are a modern form of contact with a doctor, providing quick access to medical care without having to leave home. Telemedicine eliminates the need for in-patient visits, offering convenience, time savings and complete safety.

More information can be obtained from our doctors by starting a medical e-consultation at any time.

Technology is significantly changing our lives and healthcare is not lagging behind. More and more people are looking for quick and convenient solutions, one of which is the possibility of renewing prescriptions online. In this article, we explain how the process works, what conditions need to be met and the benefits of e-prescription.

Can a prescription be renewed online?

Yes, extending a prescription for many medicines is possible, but it depends on the doctor's judgement. The specialist must make sure that it is safe and necessary to continue using the medicine. In the past, patients had to visit the doctor's office in person to obtain a new prescription. Nowadays, thanks to the development of telemedicine, this can be done remotely, which saves time and eliminates the need to visit the clinic.

What is an online e-prescription?

An e-prescription is a digital form of a traditional prescription, issued by a doctor through an electronic system. It contains all the necessary information but does not require a paper form - it can be filled at any pharmacy without printing.

Key advantages of e-prescription:

• Possibility to extend the prescription without an office visit.
• Access to treatment history and prescription fulfilment at any pharmacy.
• Environmental protection through going paperless.

How do I get a prescription online without seeing a doctor?

Today, many medical platforms offer the option to obtain an e-prescription without a physical visit. The process is simple and usually looks like this:

• Registration: The patient creates an account on the medical platform, providing basic information about his/her condition.
• Filling in the form: Patient answers questions about health and symptoms.
• Consultation with a doctor: The doctor assesses the patient's condition via chat or video call.
• Issuing an e-prescription: After assessment, the doctor issues a prescription that the patient can fill at the pharmacy.

Such services are available on a number of medical platforms, such as www.xmedica.pl.

How long is an e-prescription valid?

A standard e-prescription in Poland is valid for 30 days from the date of issue. For some medicines, especially those used for the treatment of chronic diseases, the doctor can extend the validity of the prescription up to 365 days. This provides patients with the convenience of a prescription, especially for long-term treatment.

Advantages of renewing prescriptions online

Online prescription renewal brings a number of benefits for both patients and the healthcare system:

• Saving time: Patients do not need to visit the doctor in person to renew their prescription.
• Security: The renewal of online prescriptions is carried out in accordance with strict data protection standards.
• No queues: Avoiding clinic visits means no waiting in line, which is particularly important during periods of increased sickness.
• Availability: For people with mobility difficulties or who live far from larger health centres, renewing prescriptions online is extremely convenient.

Summary

Online prescription renewals are a fast and convenient way to continue treatment without having to visit a doctor. With e-prescriptions, patients can avoid unnecessary office visits, saving time and stress. However, it is important to remember that the renewal of the prescription depends on the doctor's judgement, who must assess whether the continued use of the medicine is advisable and safe. E-prescribing is an innovative solution that makes it easier for patients to access the medicines they need.

More information can be obtained by starting a medical e-consultation at any time.

The morning-after pill is a form of emergency contraception that can be used after intercourse when there is a risk of pregnancy. Although it is an effective method of preventing pregnancy in an emergency, it should not be used as a regular form of contraception.

How does the morning-after pill work and when to use it?

The morning-after pill works by inhibiting ovulation or preventing a fertilised egg from implanting in the uterus. It is most effective within 24 hours of intercourse, but can be taken up to 72 hours (Escapelle) or even 120 hours (EllaOne) after intercourse. It is used in emergency situations such as condom breakage or unprotected intercourse.

How often can the morning-after pill be taken?

The morning-after pill should not be used as a regular method of contraception. It is only intended for emergency situations. Its frequent use can lead to hormonal disorders, irregular menstrual cycles and other health problems. It is recommended to avoid frequent use of this form of contraception and to choose more stable methods such as condoms or the contraceptive pill, which are safer for long-term use.

Side effects and safety

Like any medication, the morning-after pill can cause side effects such as nausea, abdominal pain, headaches, changes in the menstrual cycle or spotting. It is worth remembering that although it is effective in preventing pregnancy, it does not protect against sexually transmitted diseases and should not be considered as a long-term method.

Where to buy the morning-after pill?

In Poland, pills such as Escapelle and EllaOne are only available by prescription. Before purchasing them, it is necessary to consult a doctor, who will assess whether the use of this form of contraception is advisable.

Cautions and recommendations

The morning-after pill is an effective method of emergency contraception, but should not be abused. It should be treated as a last resort and not as a standard method of contraception. Regular methods of pregnancy prevention, such as condoms or the contraceptive pill, are less invasive and more suitable for long-term use.

Although taking the morning-after pill in emergency situations is acceptable, frequent use can negatively affect a woman's hormonal health. If there is a frequent need for this form of contraception, it is advisable to consult your doctor to find a more suitable long-term method.

More information can be obtained by starting a medical e-consultation at any time.

Premature ejaculation is a common sexual problem that affects many men at different stages of life. It can cause frustration and embarrassment, but it is important to remember that this problem can be effectively treated. Below, we will discuss what premature ejaculation is, its causes and available treatments.

What is premature ejaculation?

Premature ejaculation is a disorder where ejaculation is achieved too quickly - often before intercourse begins or shortly after it starts. This problem can negatively affect the sexual satisfaction of both parties and intimate relationships.

Causes of premature ejaculation

The causes of premature ejaculation can be both psychological and physical. Here are the most common ones:

• Stress and anxiety: Emotional problems, such as concerns about partner/partner satisfaction, can impair ejaculatory control.
• Penis hypersensitivity: Over-sensitivity to stimuli can lead to rapid ejaculation.
• Endocrine disruption: Changes in hormone levels, especially serotonin, can interfere with the ejaculatory process.
• Health problems: Conditions such as prostate disorders or diabetes can affect the ability to control ejaculation.
• Pelvic floor muscles: Excessive tension or weakness of these muscles can contribute to premature ejaculation.

Types of premature ejaculation

• Primary premature ejaculation: Appears from the beginning of sexual activity, often linked to genetic factors.
• Acquired premature ejaculation: Occurs in men who have not previously had problems with ejaculatory control, and may result from sudden health or psychological changes.
• Generalised premature ejaculation: Applies to men who consistently experience rapid ejaculation, regardless of the circumstances.
• Situational premature ejaculation: Occurs only in certain situations, e.g. in a new relationship or under stress.

Effects of premature ejaculation

• Frustration and stress: The problem can lead to stress, lowered self-esteem and emotional tensions.
• Sexual insufficiency: Reduced intercourse time can result in dissatisfaction for both parties.
• Relationship problems: Lack of control over ejaculation can lead to difficulties in partner relationships.
• Avoiding sex: Some men may avoid sexual contact for fear of failure, further exacerbating the problem.

Treatment methods for premature ejaculation

Treatment depends on the causes and severity of the problem. Here are the most commonly used methods:

• Kegel muscle exercises: Strengthen the pelvic floor muscles, which helps to control ejaculation.
• Psychological therapy: Effective when the problem is due to anxiety, stress or emotional problems.
• Pharmacotherapy: Medications such as selective serotonin reuptake inhibitors (SSRIs) or anaesthetic creams can help delay ejaculation.
• Hormone therapy: If the problem is due to an endocrine disorder, treatment may involve regulating hormone levels.
• Behavioural therapy: Helps to identify and change habits that influence ejaculation. Techniques such as the stop-start method are effective in increasing control over ejaculation.

Summary

Premature ejaculation is a common but often embarrassing problem that can be treated effectively. There are many treatments available, from exercise to psychological therapy to pharmacotherapy. It is important not to delay seeking help and to talk openly about the problem with your doctor to find the best solution tailored to your needs.

More information can be obtained from our doctors by starting a medical e-consultation at any time.

Contraception, i.e. the various methods of preventing pregnancy, has both advantages and disadvantages, which you should consider well before deciding to use it. Below you will find a discussion of both the positive and negative aspects of hormonal contraception, especially the contraceptive pill.

Positive sides of contraceptive drugs:

• Effectiveness: The contraceptive pill offers a very high level of protection against pregnancy of approximately 99%, provided it is used regularly and correctly.
• Regulation of the menstrual cycle: Many women appreciate the contraceptive pill for its ability to regulate their cycle. For those struggling with irregular periods, this is a significant benefit.
• Reduction of PMS symptoms: Hormonal pills can alleviate symptoms of premenstrual syndrome (PMS), such as menstrual pain, mood swings and swelling.
• Protection against certain diseases: Regular use of hormonal contraception can reduce the risk of ovarian cysts, uterine cancer or pelvic inflammatory disease.
• Better control over family planning: Contraception enables women to have more control over their pregnancy planning, which can help with professional and personal plans.

Negative sides of contraceptive drugs:

• Side effects: Some women may experience adverse effects such as nausea, headaches, weight gain, breast tenderness or mood changes. Usually these symptoms disappear after a few months, although they may persist in some.
• Risk of serious complications: Although rare, the contraceptive pill may increase the risk of thrombosis, heart attack or stroke, especially in women who smoke or suffer from blood clotting problems.
• Regularity of intake: The effectiveness of hormonal contraception depends on regularity of intake. Skipping one or more doses can reduce the level of protection against pregnancy.
• No protection against STIs: The contraceptive pill does not protect against sexually transmitted infections (STIs). If there is a risk of such infections, additional methods of protection, such as condoms, must be used.
• Available by prescription only: In Poland, contraceptive pills are only available by prescription, which can be a barrier for some women, especially those with limited access to a doctor.

Summary

The contraceptive pill is one of the most effective forms of preventing pregnancy, but like any method, it has its advantages and disadvantages. Before opting for this form of protection, it is worth consulting your doctor to choose the option that best suits your lifestyle and health.

More information can be obtained by starting a medical e-consultation at any time.