[et_pb_section fb_built=”1″ _builder_version=”4.27.4″ use_background_color_gradient=”on” background_color_gradient_stops=”rgba(0,0,0,0.18) 0%|rgba(0,0,0,0.18) 100%” background_color_gradient_overlays_image=”on” background_image=”https:\/\/verloskundigenpraktijkmargriet.nl\/wp-content\/uploads\/2022\/11\/newborn-baby-feet-on-creamy-blanket-mom-and-her-c-2021-08-26-20-11-48-utc-scaled-1.jpg” custom_padding=”25px||55px||false|false” bottom_divider_style=”wave” bottom_divider_color=”#f9f8f2″ locked=”off” global_colors_info=”{}”][et_pb_row use_custom_gutter=”on” gutter_width=”2″ make_equal=”on” _builder_version=”4.18.1″ width=”98%” width_tablet=”90%” width_phone=”90%” width_last_edited=”on|tablet” max_width=”1170px” max_width_tablet=”90%” max_width_phone=”90%” max_width_last_edited=”on|tablet” custom_margin_tablet=”120px||||false|false” custom_margin_phone=”120px||||false|false” custom_margin_last_edited=”on|tablet” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.27.4″ text_font=”|||||on|||” text_text_color=”#ffffff” text_font_size=”20px” header_font=”Playfair Display|||on|||||” header_text_color=”#ffffff” header_font_size=”50px” header_letter_spacing=”3px” header_line_height=”1.5em” header_2_text_color=”#FFFFFF” header_2_font_size=”45px” text_orientation=”center” max_width=”800px” module_alignment=”center” custom_padding=”53px||” header_font_size_tablet=”” header_font_size_phone=”25px” header_font_size_last_edited=”on|phone” global_colors_info=”{}”]<\/p>\n
Do\u011fum sonras\u0131 do\u011fum kontrol\u00fc: 7 g\u00fcvenli se\u00e7enek<\/p>\n
[\/et_pb_text][et_pb_divider color=”#ffffff” _builder_version=”4.18.0″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_divider][et_pb_menu menu_id=”44″ active_link_color=”#ffffff” dropdown_menu_line_color=”#993300″ dropdown_menu_text_color=”#000000″ dropdown_menu_active_link_color=”#993300″ mobile_menu_text_color=”#000000″ disabled_on=”on|on|off” _builder_version=”4.19.0″ _module_preset=”default” menu_font=”|||||on|||” menu_text_color=”#ffffff” menu_font_size=”17px” background_enable_color=”off” positioning=”relative” text_orientation=”center” width=”100%” global_colors_info=”{}”][\/et_pb_menu][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Header” _builder_version=”4.18.1″ use_background_color_gradient=”on” background_color_gradient_direction=”90deg” background_color_gradient_stops=”rgba(210,218,228,0.38) 45%|#ffffff 45%” background_color_gradient_start=”rgba(210,218,228,0.38)” background_color_gradient_start_position=”45%” background_color_gradient_end=”#ffffff” background_color_gradient_end_position=”45%” background_image=”https:\/\/verloskundigenpraktijkmargriet.nl\/wp-content\/uploads\/2022\/11\/wed-bg-3.png” custom_margin=”||||false|false” custom_padding=”54px|0px|54px|0px|true|false” global_colors_info=”{}”][et_pb_row column_structure=”1_4,3_4″ _builder_version=”4.18.1″ _module_preset=”default” width=”90%” max_width=”1400px” module_alignment=”center” locked=”off” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.18.1″ _module_preset=”default” global_colors_info=”{}”][et_pb_text disabled_on=”on|on|off” _builder_version=”4.27.4″ _module_preset=”default” link_font=”|600||||on|||” link_text_color=”#000000″ link_font_size=”16px” ul_text_color=”#ffffff” header_font=”|||on|||||” header_font_size=”22px” background_color=”rgba(214,185,148,0.87)” background_enable_image=”off” background_size=”contain” background_position=”bottom_center” custom_padding=”20px|10px|20px|10px|true|true” sticky_position=”top” sticky_offset_top=”15px” hover_enabled=”0″ border_radii=”on|15px|15px|15px|15px” box_shadow_style=”preset1″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n
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[\/et_pb_text][\/et_pb_column][et_pb_column type=”3_4″ _builder_version=”4.18.1″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.4″ _module_preset=”e598b17a-9229-42f6-b238-019d6094332e” header_font=”|700||||on|||” header_text_align=”left” header_text_color=”#000000″ header_font_size=”35px” header_line_height=”1.1em” custom_margin=”||10px||false|false” custom_padding_tablet=”” custom_padding_phone=”|5px||5px|false|true” custom_padding_last_edited=”on|phone” header_font_size_tablet=”50px” header_font_size_phone=”30px” header_font_size_last_edited=”on|phone” header_line_height_tablet=”1.2em” header_line_height_phone=”1.2em” header_line_height_last_edited=”on|desktop” locked=”off” global_colors_info=”{}”]<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=”4.27.4″ text_font=”|300|||||||” text_text_color=”#000000″ text_font_size=”16px” text_line_height=”1.8em” header_font=”Yeseva One||||||||” header_text_color=”#3c1c20″ header_font_size=”47px” header_line_height=”1.2em” custom_margin=”-13px||” locked=”off” global_colors_info=”{}”]<\/p>\n
Do\u011fumdan sonra do\u011furganl\u0131\u011f\u0131n\u0131z bazen bekledi\u011finizden daha h\u0131zl\u0131 geri gelebilir \u2014 emzirirken bile. Bu sayfada ne zaman tekrar do\u011furgan olabilece\u011finizi, hangi y\u00f6ntemlerin g\u00fcvenli oldu\u011funu (emzirme s\u0131ras\u0131nda da), ne zaman ba\u015flayaca\u011f\u0131n\u0131z\u0131 ve bunu Den Haag b\u00f6lgemizde nas\u0131l organize etti\u011fimizi okuyabilirsiniz. <\/p>\n
Ki\u015fisel tavsiye mi istiyorsunuz veya hemen bir \u015fey mi ayarlamak istiyorsunuz? Kolayca [\/et_pb_text][et_pb_text module_id=”wv” _builder_version=”4.27.4″ text_font=”|300|||||||” text_text_color=”#000000″ text_font_size=”16px” text_line_height=”1.8em” header_font=”Yeseva One||||||||” header_text_color=”#3c1c20″ header_font_size=”47px” header_line_height=”1.2em” header_3_font=”|600||||on|||” text_orientation=”justified” custom_margin=”-13px||” locked=”off” global_colors_info=”{}”]<\/p>\n \u0130lk yumurtlama<\/span> ilk adet kanaman\u0131zdan \u00f6nce ger\u00e7ekle\u015febilir. Bu do\u011fum kontrol y\u00f6ntemi yaln\u0131zca \u00fc\u00e7<\/span> ko\u015fulun t\u00fcm\u00fc<\/span> ge\u00e7erli oldu\u011funda g\u00fcvenilirdir (yakla\u015f\u0131k %98<\/span>):<\/p>\n Bu \u00fc\u00e7\u00fcnden biri de\u011fi\u015fti\u011finde, ek do\u011fum kontrol\u00fcne ihtiyac\u0131n\u0131z olur. Bu y\u00f6ntemi genellikle \u00f6nermiyoruz veya ba\u015fka bir do\u011fum kontrol y\u00f6ntemiyle birlikte kullan\u0131lmas\u0131n\u0131 \u00f6neriyoruz. <\/p>\n [\/et_pb_text][et_pb_text module_id=”abf” _builder_version=”4.27.4″ text_font=”|300|||||||” text_text_color=”#000000″ text_font_size=”16px” text_line_height=”1.8em” header_font=”Yeseva One||||||||” header_text_color=”#3c1c20″ header_font_size=”47px” header_line_height=”1.2em” header_3_font=”|600||||on|||” background_color=”rgba(243,219,195,0.34)” text_orientation=”justified” width_tablet=”” width_phone=”” width_last_edited=”on|phone” custom_margin=”||||false|false” custom_padding=”25px|25px|25px|25px|true|true” border_radii=”on|15px|15px|15px|15px” box_shadow_style=”preset1″ box_shadow_blur=”2px” locked=”off” global_colors_info=”{}”]<\/p>\n Prezervatifler<\/span> \u2013 hemen<\/span> kullan\u0131labilir; s\u00fct \u00fcretimini etkilemez.<\/p>\n<\/li>\n Bak\u0131r spiral (Cu-IUD)<\/span> \u2013 do\u011fumdan hemen sonra veya 4-6 hafta<\/span> sonra<\/span> yerle\u015ftirilebilir; hormonsuz<\/span>.<\/p>\n<\/li>\n Hormon spiral (LNG-IUD) \u2013 <\/span>4-6 hafta<\/span> sonra; emzirme s\u0131ras\u0131nda g\u00fcvenli; genellikle <\/span>daha az kanama.<\/span><\/p>\n<\/li>\n Hormon \u00e7ubu\u011fu (implant)<\/span> \u2013 do\u011fumdan hemen<\/span> sonra<\/span> veya daha sonra yerle\u015ftirilebilir; emzirme s\u0131ras\u0131nda g\u00fcvenli; 3 y\u0131l<\/span> etkilidir.<\/p>\n<\/li>\n Progesteron hap\u0131 (mini hap)<\/span> \u2013 hemen<\/span><\/span> ba\u015flanabilir; her g\u00fcn ayn\u0131 saatte al\u0131nmal\u0131d\u0131r.<\/p>\n<\/li>\n Do\u011fum kontrol i\u011fnesi (DMPA)<\/span> \u2013 emzirme durumunda genellikle 6 hafta<\/span> sonra<\/span>; her enjeksiyon 12 hafta etkilidir.<\/p>\n<\/li>\n \u00d6strojen i\u00e7eren kombinasyon y\u00f6ntemler<\/span> (hap\/yama\/halka) \u2013 tromboz riski ve olas\u0131 s\u00fct \u00fcretiminde azalma<\/span> nedeniyle do\u011fum sonras\u0131 6 hafta<\/span> \u00f6nce<\/span> kullan\u0131lmaz; genellikle 6 hafta sonra<\/span> (veya daha ge\u00e7) ve yaln\u0131zca durumunuza uygunsa.<\/p>\n<\/li>\n Do\u011fal y\u00f6ntemler \/ ov\u00fclasyon uygulamalar\u0131<\/span> \u2013 \u00f6ng\u00f6r\u00fclemeyen d\u00f6ng\u00fcler nedeniyle ilk aylarda g\u00fcvenilmez<\/span><\/span>.<\/p>\n<\/li>\n Acil do\u011fum kontrol\u00fc<\/span> \u2013 a\u015fa\u011f\u0131da a\u00e7\u0131klanm\u0131\u015ft\u0131r; emzirme s\u0131ras\u0131nda da kullan\u0131labilir.<\/p>\n<\/li>\n<\/ul>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_4,1_2,1_4″ _builder_version=”4.27.4″ _module_preset=”default” width=”90%” max_width=”1400px” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_text module_id=”am” _builder_version=”4.27.4″ text_font=”|300|||||||” text_text_color=”#000000″ text_font_size=”16px” text_line_height=”1.8em” header_font=”Yeseva One||||||||” header_text_color=”#3c1c20″ header_font_size=”47px” header_line_height=”1.2em” header_3_font=”|||||on|||” text_orientation=”justified” custom_margin=”||||false|false” locked=”off” global_colors_info=”{}”]<\/p>\n [\/et_pb_text][et_pb_text module_id=”abl” _builder_version=”4.27.4″ text_font=”|300|||||||” text_text_color=”#000000″ text_font_size=”16px” text_line_height=”1.8em” header_font=”Yeseva One||||||||” header_text_color=”#3c1c20″ header_font_size=”47px” header_line_height=”1.2em” header_3_font=”|600||||on|||” text_orientation=”justified” custom_margin=”-13px||” locked=”off” global_colors_info=”{}”]<\/p>\n Hormonsuz, hemen kullan\u0131labilir, nihai se\u00e7iminize kadar ge\u00e7ici bir \u00e7\u00f6z\u00fcm olarak da kullan\u0131labilir. CYBE’lere kar\u015f\u0131 etkilidir. Dezavantaj: kullan\u0131c\u0131 hatas\u0131 riski. <\/p>\n Bak\u0131r spiral (Cu-IUD) hormonsuz ve 5-10 y\u0131l etkilidir (t\u00fcr\u00fcne ba\u011fl\u0131 olarak). Kanama biraz daha fazla\/kramp \u015feklinde olabilir. \u00dcst kolun derisi alt\u0131na yerle\u015ftirilen ince bir \u00e7ubuk. 3 y\u0131l etkilidir, h\u0131zl\u0131 geri d\u00f6n\u00fc\u015f\u00fcml\u00fcd\u00fcr, emzirme s\u0131ras\u0131nda g\u00fcvenlidir ve do\u011fumdan hemen sonra yerle\u015ftirilebilir. \u0130lk aylarda lekelenmeye neden olabilir. ‘\u0130mplanon’ marka ad\u0131yla da bilinir. <\/p>\n \u00d6strojen i\u00e7ermez ve emzirme s\u0131ras\u0131nda uygundur; do\u011fumdan hemen sonra ba\u015flanabilir. \u0130yi bir g\u00fcvenilirlik i\u00e7in her g\u00fcn ayn\u0131 saatte al\u0131nmal\u0131d\u0131r. <\/p>\n Her 12 haftada bir enjeksiyon. Zamanla genellikle az adet g\u00f6r\u00fcl\u00fcr. Emzirme durumunda genellikle do\u011fumdan 6 hafta sonra ba\u015flan\u0131r. B\u0131rakt\u0131ktan sonra do\u011furganl\u0131\u011f\u0131n yava\u015f geri d\u00f6nmesi (bazen aylar s\u00fcrebilir) g\u00f6z \u00f6n\u00fcnde bulundurulmal\u0131d\u0131r. <\/p>\n Etkili ve bilinen, ancak do\u011fum sonras\u0131 ge\u00e7ici olarak artm\u0131\u015f tromboz riski vard\u0131r. Ancak iyile\u015fme sonras\u0131 ve dikkatli \u00f6l\u00e7\u00fcm ile; ilk aylarda de\u011fi\u015fen anatomi ve \u00f6ng\u00f6r\u00fclemeyen ov\u00fclasyonlar nedeniyle daha az g\u00fcvenilirdir.<\/p>\n [\/et_pb_text][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_text][et_pb_image src=”https:\/\/verloskundigenpraktijkmargriet.nl\/wp-content\/uploads\/2025\/10\/anticonceptie.png” alt=”do\u011fum kontrol\u00fc” title_text=”do\u011fum kontrol\u00fc” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_text][et_pb_image src=”https:\/\/verloskundigenpraktijkmargriet.nl\/wp-content\/uploads\/2025\/10\/Female-holding-arm-up-showing-implanon-insertion.webp” alt=”implanon” title_text=”Kad\u0131n-kolunu-kald\u0131rarak-implanon-yerle\u015fimini-g\u00f6steriyor” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_text][et_pb_image src=”https:\/\/verloskundigenpraktijkmargriet.nl\/wp-content\/uploads\/2025\/10\/nuvaring-vpm.png” alt=”nuvaring” title_text=”nuvaring-vpm” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_4,3_4″ _builder_version=”4.18.1″ _module_preset=”default” width=”90%” max_width=”1400px” module_alignment=”center” locked=”off” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.18.1″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_column][et_pb_column type=”3_4″ _builder_version=”4.18.1″ _module_preset=”default” global_colors_info=”{}”][et_pb_text module_id=”abl” _builder_version=”4.27.4″ text_font=”|300|||||||” text_text_color=”#000000″ text_font_size=”16px” text_line_height=”1.8em” header_font=”Yeseva One||||||||” header_text_color=”#3c1c20″ header_font_size=”47px” header_line_height=”1.2em” header_3_font=”|600||||on|||” text_orientation=”justified” custom_margin=”-13px||” locked=”off” global_colors_info=”{}”]<\/p>\n Bak\u0131r spiral:<\/span> en etkili; korunmas\u0131z cinsel ili\u015fkiden sonra 5 g\u00fcne kadar<\/span> yerle\u015ftirilebilir ve sonras\u0131nda sabit do\u011fum kontrol<\/span> y\u00f6nteminiz olur.<\/p>\n<\/li>\n Levonorgestrel hap\u0131 (ertesi g\u00fcn hap\u0131): m\u00fcmk\u00fcn olan en k\u0131sa s\u00fcrede al\u0131n (<\/span>72 saate kadar); <\/span>emzirmeye devam edilebilir.<\/span><\/p>\n<\/li>\n Ulipristal hap\u0131: <\/span>120 saate kadar etkilidir; <\/span>prospekt\u00fcse g\u00f6re emzirmeye ge\u00e7ici olarak ara verilmelidir.<\/span><\/p>\n<\/li>\n<\/ul>\n Tavsiye i\u00e7in bizi aray\u0131n; en iyi se\u00e7ene\u011fi<\/span> h\u0131zl\u0131ca alman\u0131z\u0131 sa\u011flar\u0131z.<\/p>\n [\/et_pb_text][et_pb_text module_id=”aeb” _builder_version=”4.27.4″ text_font=”|300|||||||” text_text_color=”#000000″ text_font_size=”16px” text_line_height=”1.8em” header_font=”Yeseva One||||||||” header_text_color=”#3c1c20″ header_font_size=”47px” header_line_height=”1.2em” header_3_font=”|600||||on|||” text_orientation=”justified” custom_margin=”-13px||” locked=”off” global_colors_info=”{}”]<\/p>\n Progesteron y\u00f6ntemleri (spiral, \u00e7ubuk, mini hap) emzirme ile \u00e7ok iyi uyumludur<\/span>. \u00d6strojen<\/span> erken lohusal\u0131k d\u00f6neminde s\u00fct \u00fcretimini<\/span> azaltabilir; bu nedenle kombinasyon y\u00f6ntemlerini genellikle erteleriz<\/span>. S\u00fct \u00fcretiminiz konusunda \u015f\u00fcpheniz mi var? Bize bildirin \u2014 birlikte bakar\u0131z ve gerekirse laktasyon dan\u0131\u015fman\u0131\/hastane ile koordine ederiz. <\/p>\n \u0130steklerinizi genellikle kontroller<\/a> s\u0131ras\u0131nda veya son kontrolde<\/a> konu\u015furuz. Bir\u00e7ok se\u00e7ene\u011fi birinci basamakta organize edebiliriz (re\u00e7ete veya yerle\u015ftirme), bazen hastane ile i\u015fbirli\u011fi i\u00e7inde (\u00f6rn. do\u011fum servisinde do\u011frudan spiral yerle\u015ftirme veya \u00f6zel t\u0131bbi endikasyonlar). Haagse VSV zincirinde (HMC\/Haga vb.) ulusal k\u0131lavuzlara uyuyoruz ve emzirme, ba\u015flang\u0131\u00e7 zamanlar\u0131 ve riskler konusunda tutarl\u0131 anla\u015fmalar uyguluyoruz. Se\u00e7iminizi ve plan\u0131n\u0131z\u0131 dosyan\u0131za a\u00e7\u0131k\u00e7a kaydederiz, b\u00f6ylece herkes ne kararla\u015ft\u0131r\u0131ld\u0131\u011f\u0131n\u0131 bilir. <\/p>\nNe zaman tekrar do\u011furgan olursunuz?<\/span><\/h2>\n
LAM y\u00f6ntemi (Laktasyonel Amenore Y\u00f6ntemi)<\/span><\/h3>\n
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K\u0131sa se\u00e7im rehberi<\/span><\/h2>\n
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Do\u011fum kontrol y\u00f6ntemleri<\/span><\/h2>\n
1. Prezervatifler<\/span><\/h3>\n
2. Spiraller<\/span><\/h3>\n
Hormon spiral (LNG-IUD) lokal olarak progesteron salg\u0131lar; 3-8 y\u0131l etkilidir (t\u00fcr\u00fcne ba\u011fl\u0131 olarak) ve genellikle daha az kanamaya neden olur.
Zamanlama: Do\u011fumdan hemen sonra (48 saat i\u00e7inde) veya 4-6 hafta sonra yerle\u015ftirilebilir. Hemen yerle\u015ftirildi\u011finde at\u0131lma riski biraz daha y\u00fcksektir; bu konuda ki\u015fisel tavsiye veririz. <\/p>\n3. Hormon \u00e7ubu\u011fu (etonogestrel implant)<\/span><\/h3>\n
4. Progesteron hap\u0131 (mini hap)<\/span><\/h3>\n
5. Do\u011fum kontrol i\u011fnesi (DMPA)<\/span><\/h3>\n
6. \u00d6strojen i\u00e7eren kombinasyon y\u00f6ntemler (hap\/yama\/halka)<\/span><\/h3>\n
\u2022 Emzirmiyorsan\u0131z: genellikle 3-6 hafta sonra, risk fakt\u00f6rlerine ba\u011fl\u0131 olarak.
\u2022 Emziriyorsan\u0131z: s\u00fct \u00fcretimi ve VTE riski nedeniyle \u22656 haftaya kadar (bazen daha uzun) ertelenir.
Bunu bireysel olarak de\u011ferlendiririz.<\/p>\n7. Diyafram\/servikal ba\u015fl\u0131k ve do\u011fal y\u00f6ntemler<\/span><\/h3>\n
Acil do\u011fum kontrol\u00fc (bir \u015feyler ters gittiyse)<\/span><\/h2>\n
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Do\u011fum kontrol\u00fc ve emzirme<\/span><\/h2>\n