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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.

Erectile dysfunction (erectile dysfunction) is a problem that affects many men of different ages and can have a variety of causes, from psychological to physical. It is crucial to identify the source of the problem in order to tailor appropriate treatments. Here are the most important treatments for erectile dysfunction that can help improve your sex life.

1. pharmacological treatment

The most common treatment for erectile dysfunction is oral medication, which increases blood flow to the penis. Popular drugs include:

• Sildenafil (Viagra): Increases blood flow to the penis, enabling an erection to be achieved after sexual stimulation.
• Tadalafil (Cialis): It works similarly to sildenafil, but its effects last longer - up to 36 hours.
• Vardenafil (Levitra): Another effective erectile dysfunction drug that works on a similar principle to sildenafil.

These drugs block the action of the enzyme phosphodiesterase type 5 (PDE5), leading to vasodilation and improved blood flow to the penis.

2. treatment of physical causes

Erectile dysfunction can be a symptom of other diseases. Treatment of underlying health problems can improve erectile function:

• Hypertension: Blood pressure treatment often restores sexual performance.
• Heart diseases: Improved circulation through treatment of heart disease can increase the ability to achieve an erection.
• Diabetes: Maintaining healthy blood sugar levels is key, as diabetes can lead to nerve and blood vessel damage, which negatively affects erections.
• High cholesterol levels: Treatment of hypercholesterolaemia improves blood circulation, which may benefit sexual function.

3. Lifestyle changes

Many cases of erectile dysfunction can be improved by changing daily habits. Here are some key changes that can help:

• Smoking cessation: Smoking can significantly reduce the quality of circulation, which affects erection.
• Alcohol restriction: Alcohol abuse has a negative impact on sexual function.
• Healthy diet: A proper diet, rich in vegetables, fruit and healthy fats, benefits overall health and circulation.
• Regular physical activity: Exercise supports circulation and heart health, which is key to a proper erection.
• Stress reduction: Stress is one of the main causes of psychological disorders. Relaxation techniques, meditation and stress management can improve sex life.

4. psychotherapy and behavioural therapy

Psychological problems such as stress, anxiety, depression or low self-esteem can cause erectile dysfunction. Psychological therapy can help to deal with these problems. Sometimes a partner is invited to therapy, which improves communication and strengthens the relationship.

5. other treatment methods

• Hormone therapy: In men with low testosterone levels, hormone therapy may be considered to improve erectile function.
• Penile injections: In some cases, penile injections are used to dilate the blood vessels, making it possible to achieve an erection.
• Vacuum pumps: Mechanical devices can help to achieve an erection by increasing blood flow to the penis.
• Surgical operations: If other methods fail, penile implant surgery is an option.

Low intensity shock wave therapy (LI-ESWT)

A modern treatment for erectile dysfunction is shockwave therapy, which improves blood circulation and stimulates the regeneration of blood vessels. It is a non-invasive procedure that is becoming increasingly popular.

Summary

Erectile dysfunction is a common problem that can be treated effectively. It is important not to ignore the problem and to consult a doctor who can help you choose the right treatment method - from pharmacotherapy to lifestyle changes to psychological therapy. Every case is different, which is why an individual approach is so important.

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