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gaBa- QaarNa ko naaO maasa kI
kala– AvaiQa maoM haonao vaalao kYTaoM¸ janma ko baad iSaSau ko
laalana–palana kI ijammaodarI tqaa
p`janana xamata kao banaae rKnao ko ilae ‘maaisak–caË’ (mentrual
cycle) ka ivaSaoYa inayama p`kRit nao
maihlaaAaoM ko Kato maoM Dalaa hO. samaya ko saaqa saaqa Aaja jaba maihlaaeM
p`janana ko Aitir@t Anaok rcanaa%mak kamaaoM maoM pu$YaaoM ko saaqa kama kr rhI
hOM [sa inayama sao mau@t haonao ko ]payaaoM kI Kaoja BaI Sau$ hao gayaI hO.
vaastva maoM [sa caË ka ca@kr
p`kit nao s~I ko AMDaSaya (ovary)
sao
p`itmaah AaOsatna ek iDMba (ovum)
ko ]%padna ko ]_oSya sao calaayaa hO. ]saI ko SarIr maoM isqat gaBaa-Saya (uterus)
ko fOlaaoipyana T\yaUba maoM [sa iDMba ko inaYaocana (fretilisation)
ko baad ivakisat hao rho iSaSau kI lagaBaga naaO maasa ko BUa`NaIya ivakasa (embryological
development) kI vyavasqaa BaI
yahIM kI ga[- hO. [sako ilae AavaSyak hO ik inaYaocana ko kuC hI idnaaoM ko AMdr
ivakisat hao rho Ba`UNa kao gaBaa-Saya ko BaItrI dIvaar ‘enDaoimaiT/yama’
maoM p`itsqaaipt kr [sako paoYaNa kI vyavasqaa kr
dI jaaya Anyaqaa paoYaNa ko ABaava maoM [sako ivakasa kI p`iËyaa tao $k
hI jaaegaI¸ saaqa hI saaqa gaBaa-Saya sao baahr inaklanao ko baad saurxaa ko
ABaava maoM yah naYT hao BaI jaaegaa.
inaYaoicat
Ba`UNa (embryo)
kao gaBaa-Saya maoM p`itsqaaipt krnao ko ilae iDMba ]%padna kI p`iËyaa (ovulation)
ko samaanaantr enDaoimaiT/yama kI saMrcanaa maoM BaI pirvat-na haota rhta hO.
yahaÐ na[- kaoiSakaAaoM ka ]%padna haota hO ijasako flasva$p [sakI maaoTa[-
baZ,nao lagatI hO¸saaqa hI na[- r> vaaihinayaaoM ko inamaa-Na ko karNa r>
saMcaar BaI baZ, jaata hO. kuC kaoiSakaeÐ ek p`kar ko icapicapo d`va
‘myaUksa’ ka sa`ava kr enDaoimaiT/yama kI baahrI sath kao kafI nama banaa
dotI hOM. inaYaocana ko pScaat\ ivakisat hao rha Ba`UNa¸ lauZ,kto hue jaba
fOlaaoipyana T\yaUba sao gaBaa-Saya maoM phuÐcata hO¸ tao [sa myaUksa maoM fÐsa
kr yahIM $k jaata hO. kuC hI idnaaoM maoM [sa ivakisat hao rho Ba`UNa tqaa
enDaoimaiT/yama kI ivaBaaijat hao rhI kaoiSakaeÐ r> vaaihinayaaoM ko saaqa
imala kr ‘PlaOsaoMTa’ ka inamaa-Na kr BaU`Na ko paoYaNa kI vyavasqaa s~I ko
SarIr sao hI kr dotI hOM.
mauiSkla
yah hO ik iDMba ka ]%padna tao hr maah haota hO prMtu hr baar [saka inaYaocana
nahIM saMBava hO. inaYaocana ko ilae nar SarIr sao SauËaNau (spermatozoa)
kI AavaSyakta haotI hO AaOr vah BaI tba jaba AMDaSaya sao inakla kr iDMba
gaBaa-Saya ko fOlaaoipyana TyaUba maoM phuÐca gayaa hao. iDMba yahaÐ Sauka`Nau
kI p`tIxaa maoM $ka nahI rhta. yah lauZ,kto hue fOlaaoipyana T\yaUba sao Aagao
iKsato hue gaBaa-Saya maoM Aata hO AaOr ifr ek –dao idna ko AMdr SaOnaoÁ –
SaOnaoÁ SarIr sao baahr inakla jaata hO. yaid [saI saIimat AvaiQa maoM SauËaNau
]plabQa h¸O tBaI inaYaocana saMBava hO Anyaqaa iDMba ka ]%padna vyaqa- hao
jaata hO.
inaScaya
hI inaYaocana na haonao kI isqait maoM BaavaI Ba`UNa ko gaBaa-Saya maoM
p`itsqaapnaa kI p`%yaaSaa maoM enDaoimaiT/yama maoM hue pirvat-na BaI vyaqa- hao
jaato hOM. qaaoD,o hI idnaaoM maoM [samaoM TUT–fUT Sau$ hao jaatI hO AaOr [sao
gaBaa-Saya sao baahr inakalanao kI p`iËyaa p`arMBa haotI hO. enDaoimaiT/yama kI
baahrI sath maoM TUT–fUT ko saaqa yahaÐ kI bahut saI navainaima-t r>
vaaihinayaaÐ BaI Kula jaatI hOM ijasako karNa Alaga hu[- enDaoimaiT/yama ko
baahrI sath kI kaoiSakaAaoM ko saaqa–saaqa r> sa`aava BaI haota hO. yah
r> sa`ava saamaanyatÁ 3 sao 5 idna tk calata hO AaOr ifr svatÁ $k jaata hO.
[sa p`iËyaa kao maaisak Qama- ko
naama sao jaanaa jaata hO.
iDMba–]%padna
tqaa maaisak Qama- ko p`arMBa
ko baIca lagaBaga 14 idna ka AMtrala haota hO.maaisak Qama- ko p`arMBa ko saaqa
hI AMDaSaya maoM nae iDMba ko ]%padna kI p`iËyaa AarMBa hao jaatI hO jaaoo
lagaBaga 14 idnaaoM tk calatI hO t%pScaat\ iDMba ka ]%padna haota hO. lagaBaga
[saI ko samaanaantr¸ maaisak Qama- kI samaaiPt ko saaqa hI enDaoimaiT/yama ko
punaina-maa-Na kI p`ikyaa BaI Sau$ hao jaatI hO¸ jaao lagaBaga Agalao
dsa idna tk calatI hO Aqaa-t\ nae iDMba ko ]%padna ko samaya tk eMDaoimaiT/yama
inaYaoicat iDMba ko PlaOsaoMToSana ko ilae punaÁ tOyaar hao jaata hO.
[sa
p`kar lagaBaga 28 idna ko AMtrala pr yah maaisak caË sadOva calata rhta hO¸
ijasakI Sau$Aat
(menopause)
haonao
lagata hO. daonaaoM hI isqaityaaoM maoM iDMba ka ]%padna $k jaata hOÂ flatÁ
enDaoimaiT/yama ko baar–baar punaina-maa-Na AavaSyakta hI nahIM rhtI.
s~I
ko SarIr maoM yah saara D/amaa p`kRit kuC ivaSaoYa rsaayanaaoM kI sahayata sao
rcatI hO¸ ijanhoM ha^maao-nsa khto hOM. esT/aojaonsa tqaa p`aojaosTora^na naamak
ha^maao-nsa p`mauK hOM. yao daonaaoM ha^maao-nsa AMDaSaya maoM hI banato hOM.
AMDaSaya maoM bahut saaro kaoiSaka–gaucC (follicles) pae jaato hOM. saamaanyatÁ
p`itmaah ek hI fa^ilaikla saiËya haota hO. [sakI ek kaoiSaka ka ivakasa tao
iDMba ko $p maoM haota hO prMtu SaoYa kaoiSakaeÐ maistYk mao isqat ipyaUiYa
ga`Miqa (pituitary
gland) sao sa`aivat ek Anya
ha^maao-na ‘fa^ilikla isTmauulaoiTMga ha^maao-na’ ko p`Baava sao
esT/aojaonsa ka sa`ava krnao lagatI hOM¸ jaao iDMba ]%padna kI p`iËyaa ko
inayaM~Na ko saaqa–saaqa enDaoimaiT/yama maoM haonao vaalao pirvat-naaoM kao
BaI inayaMi~t krto hO. iDMba ]%padna ko pScaat\ [sa fa^ilaikla kI bacaI hu[-
kaoiSakaAaoM kao ‘ka^rpsa lyaUiTyama’ khto hOM. yah saMrcanaa ipyaUiYa
ga`Miqa ko ek Anya ha^maao-na ‘lyauiTnaa[ij,ana ha^maao-na’ ko p`Baava maoM
p`aojaosTora^na tqaa kuC Anya esT/aojaonsa ka sa`ava krnao lagatI hO. yao
ha^maao-nsa enDaoimaiT/yama kao AaOr ivakisat krnao tqaa inaYaoicat iDMba
kao gaBaa-Saya kI dIvaar ‘eMDaoimaiT/yama’ maoM p`itsqaaipt krnao mao
sahayak haoto hOM. yahI nahIM¸gaBa-QaarNa kI Avasqaa maoM ‘ka^rpsa
lyaUiTyama’ pUro samaya saiËya rhta hO tqaa [sako Wara sa`aivat
p`aojaosTora^na gaBaa-vasqaa kao banaae rKnao evaM Agalao iDMba ]%padna kI p`iËyaa kao raoko rKnao maoM mau#ya BaUimaka inaBaata hO.
gaBa-QaarNa
na haonao kI isqait maoM¸ ka^rpsa lyaUiTyama QaIro–QaIro inaiYËya haonao
lagata hOÂ flasva$p p`jaosTora^na kI maa~a kma haonao l`agatI hO. [sakI GaTtI
maa~a nae fa^ilikla kao saiËya banaatI hO tqaa enDaoimaiT/yama ko xaya maoM BaI
sahayak haotI hO¸ jaaoo AMttÁ maaisak Qama- ko $p maoM pirlaixat haota hO. nae
saiËya fa^ilikla sao sa`aivat esT/aojaona kI baZ,tI maa~a iDMba
]%padna tqaa enDaoimaiT/yama kI na[- sath ko inamaa-Na maoM sahayak haotI hO.
[sa p`kar [na daonaaoM ha^maao-nsa kI satt pirvat-naSaIla maa~a evaM [nako sahI
saMtulana ko Wara maaisak caË ka inayamana haota rhta hO.
jaba
p`kRit [na saba p`iËyaaAaoM ka inayamana [tnaI baarIkI evaM saTIk ZMga sao krtI
hO tao ifr samasyaa @yaa hOÆ AiQakaMSa maihlaaAaoM ko ilae yah caË ek p`kar ka
kucaË hI hO. AiQakaMSa maihlaaeÐ [sa p`iËyaa ko calato naanaa p`kar ko SaarIirk¸
maanaisak evaM
manaaovaO&ainak proSaainayaaoM sao gaujartI hOM. [namaoM sao kuC ko laxaNa maaisak sa`ava ko 4–5 idna phlao hI dIKnao lagato hOM ijanhoM ‘p`I
maoMsT/yauAla isanD/aoma’ (PMS) khto
hOM. SarIr ko ivaiBanna
ihssaaoM maoM panaI jamaa haonao lagata hO ijasako flasva$p vajana ka baZ,naa¸
%vacaa
maoM Asaamanya pirvat-na¸ stna maoM kD,opna tqaa dd- ko saaqa–saaqa SarIr ka
fUla jaanaa Aaid saamaanya laxaNa hOM.
[sako
Aitir> $laa[- Aanaa¸ Akolaapna¸ vyaga`ta¸ baocaOnaI¸ icaD,icaD,ahT¸
pirvat-naSaIla manaaodSaa¸
]dasaI¸ tnaava¸ jyaada yaa kma Kanao kI [cCa Aaid eosao tmaama laxaNa hOM jaao
kmaao–baoSa p``ayaÁ saBaI maihlaaAaoM maoM payao jaato hOM. maaMsapoiSayaaoM maoM eoMzna¸ sar dd- tqaa ]dr ko inacalao ihssao maoM iksaI–iksaI maihlaa maoM AsahnaIya pID,a BaI doKnao kao imalatI
hO. [namaoM sao
bahutoro laxaNa maaisak sa`ava ko idnaaoM BaI banao rhto hOM. jaIvana ko
]<araQa- Aqa-at\ 45 sao 50 vaYa-
kI ]ma` tk phuÐcato –phuÐcato maaisak caË samaaiPt
(menopause) kI idSaa maoM
Aga`sar haonao lagata hO.[sa samaya BaI k[- Asaamanya laxaNa yaqaa– A%yaiQak
r>–sa`ava¸ gamaI- laganaa¸ psaInaa Aanaa¸ mauTapa Aaid ko saaqa AisqayaaoM maoM
kOilSayama kI kmaI ko karNa Aa^isTyaaopaoraoisasa ko laxaNa BaI idKa[- pD, sakto
hOM.
@yaa
yao saba proSaainayaaÐ AiQakaMSa maihlaaAaoM ko saamaanya jaIvana tqaa dOinak iËyaa–klaapaoM maoM vyavaQaana nahIM ]pisqat krtIMÆ cailae maana ilayaa
jaaya ik iksaI–iksaI maoM yao laxaNa nahIM BaI ]%pnna haoto hOM¸ tao BaI
@yaa 4–5 idnaaoM ko r> –sa`ava kI p`iËyaa svayaM maoM ]nako dOinak
jaIvana kao Asahja nahIM kr dotIÆ AaOr tao AaOr¸ bahutoro pirvaar¸ samaaja
tqaa Qamaa-valaMbaI [na idnaaoM [nhoM ek p`kar sao ACUt maana laoto hOM.
rsaao[-Gar sao lao kr Qaaima-k
AnauYzanaaoM tk maoM [naka p`vaoSa vaija-t kr idyaa jaata hO. @yaa
yah saba maanaisak yaatnaa ko karNa nahIM hao saktoÆ
yaid
Avasar imalao tao Balaa eosaI kaOna saI maihlaa haoogaI jaao maaisak Qama- ko
[sa ca@kr
sao CuTkara nahIM panaa caahogaI. Sat- [tnaI hI haogaI ik [sako baMd haonao
sao SarIr pr iksaI p`kar ka duYp`Baava na pD,o tqaa maatR%va ko gaaOrva sao
vaMicat na haonaa pD,o.
gaBa-inaraoQak
gaaoilayaaoM ka p`calana tao bahut phlao sao hI hO. Aaja–kla kI AiQakaMSa
gaaoilayaaoM maoM kRi~ma $p sao inaima-t esT/aojaonsa tqaa p`aojaoisTna ka
saMtuilat imaEaNa haota hO. esT/aojaona ko p`Baava sao SarIr kao Ba`aint rhtI hO
ik yah gaBa-QaarNa kI isqait hO Â flatÁ iDMba ka ]%padna baMd rhta hO.
p`aojaoisTna¸ jaao p`aojaosTora^na ka kRi~ma $p hO¸ gaBaa-Saya ko mauK
(cervix) pr pae jaanaoo vaalaI
SlaoYmaa (mucous) kao kafI gaaZ,a kr dota hO
ijasako karNa SauËaNauAaoM kao iDMba tk phuÐcanao maoM id@kt
AatI hO.
saamanyatÁ
yao gaaoilayaaÐ AT\za[sa idna ko maaisak caË` ko AaQaar pr Ka[- jaatI hOM.
maaisak sa`ava ko phlao idna sao lao kr [@kIsavaoM idna tk saiË`ya
gaaoilayaaoM ka saovana ikyaa jaata hO prMtu Agalao saat idna inaiYËya
gaaoilayaaÐ laI jaatI hO. jaba tk saiËya gaaoilayaaÐ laI jaatI hOM tba tk
AMDaSaya sao iDMba ka ]%padna baMd rhta hO evaM SauËaNau BaI gaBaa-Saya tqaa
fOlaaoipyana T\yaUba tk AasaanaI sao phÐucanao maoM Asamaqa- haoto hOM.
pirNaama
sva$p gaBa-QaarNa kI saMBaavanaa nahIM rhtI. saaqa hI [@kIsa idna tk saiËya
gaaoilayaaoM maoM ]pisqat ha^maao-nsa ko p`Baava sao enDaoimaiT/yama kI maaoTa[-
maoM nyaUnatma vaRiw haotI hO. Agalao saat idna idna tk ha^maao-na riht inaiYËya
gaaoilayaaoM ka saovana enDaoimaiT/yama kI vaRiw raok dota hO AaOr Aba ]samaoM
TUT–fUT AarMBa hao jaatI hO. yah sath maaisak sa`ava ko samaya r> ko saaqa
inaYkaisat kr dI jaatI hO¸ jaao ek p`kar sao p`akRitk maaisak Qama- kI nakla maa~
haotI hO. yah p`iËyaa maihlaaAaoM evaM ]nako icaik%sakaoM kao gaBa-QaarNa na
haonao ko saMbaMQa maoM AaSvast krtI hO tqaa p`itidna gaaolaI laonao kI Aadt kao
banaae rKtI hO. saaqa hI eMDaoimaiT/yama kI lagaatar maaoTa[- baZ,to rhnao sao
haonao vaalaI proSaainayaaoM sao BaI bacaatI hO.
baaja,ar
maoM trh –trh kI gaBa-inaraoQak gaaoilayaaoM kI Barmaar hO prMtu [namaoM sao
kao[- BaI eosaI nahI hO ijasako saa[D[fo@T\sa na haoM. [nako lagaatar saovana
sao )dyaaGaat¸r> maoM qa@ka
bananao jaOsao KtraoM ko saaqa inayaimat maaisak caË ko baIca maoM Acaanak
r> sa`ava (beakthrough
bleeding) kI saMBaavanaa BaI
baZ, jaatI hO. phlao laaoga saaocato qao ik yah stna kOMsar ka karNa BaI hao
sakta hO¸ prMtu hala ko AQyayana sauJaato hOM ik [saka Ktra nyaUnatma hO. [na
KtraoM tqaa [nasao jauD,I Anya samasyaaAaoM ko baad BaI gaBa-inaraoQak
gaaoilayaaoM ka saovana krnao vaalaI maihlaaeÐ bahutayat maoM hOM.
maaisak
caË ko [sa kucaË tqaa [sasao jauD,I tmaama proSaainayaaoM sao CuTkaro yaa ifr
kuC saImaa tk [samaoM raht panao kI qaaoD,I–bahut saMBaavanaa [nhIM
gaaoilayaaoM maoM iCpI hu[- hO. bahutoro
icaik%sak dSakaoM sao saiËya gaaoilayaaoM ko lagaatar saovana kI salaah ]na
maihlaaAaoM kao doto rho hMO jaao iknhIM vyai@tgat
karNaaoM vaSa baIca–baIca maoM maaisak sa`ava sao bacanao kI [cCuk rhI haoM.
[saI
idSaa maoM ek kdma Aagao baZ,to hue nyaUyaa^k- isqat baar laObaaoroTrI nao
‘saIja,naola’ ko naama sao ek na[- gaBa-inaraoQak gaaolaI baaja,ar maoM
]tarI hO. [sao Amaoirka ko fUD eoMD D/ga eDimainasT/oSana kI svaIkRit imala caukI
hO AaOr saMBavatÁ A@TUbar
ko AMt tk yah ]pBaao@taAaoM kao
]plabQa hao jaaegaI. [sa gaaolaI maoM BaI Anya gaaoilayaaoM kI trh esT/aojaona
tqaa p`aojaoisTna ka saiMmaEaNa hO¸ prMtu ]nakI tulanaa maoM bahut hI qaaoD,I
maa~a maoM.‘eiqainala esT/oiDyaa^la’ naamak esT/aojaona tqaa
‘laovaaonaa^rjaosTola’ naamak p`aojaoiTna ko saimaEaNa sao banaI yah gaaolaI
21 idnaaoM ko bajaaya 84 idnaaMo tk
lagaatar laI jaa saktI hO Aaor [sako baad Agalao saat idnaaoM tk inaiYËya
gaaolaI ka saovana ikyaa jaa sakta hO. [sakI kaya- p`NaalaI BaI Anya gaBa-
inaraoQak gaaoilayaaoM ko samaana hI hO. basa¸ AMtr kovala [tnaa hI hO ik yah
eMDaoimaiT/yama kI vaRiw kao
lagaBaga PaUrI trh dbaa dogaI¸ ijasako karNa
gaBa-–QaarNa
kI saMBaavanaa AaOr BaI kma hao jaae gaI. saaqa hI r> sa`ava BaI kafI hlka
hao jaae gaa.
Aba
caÐUik [sao 84 idnaaoM tk lagaatar ilayaa jaa sakta hO tao inaScaya hI
saamaanya Avasqaa maoM [tnao idnaaoM tk maaisak r> sa`ava tao baMd hI rhogaa
AaOr Agalao 7 idna inaiYËya gaaoilayaaoM ko saovana ko baad hI p`arMBa haogaa.
yaid ihsaaba ikyaa jaaya tao vaYa- ko 365 idnaaoM maoM maa~ caar maaisak caËÑ
vaYa- maoM 12 ko badlao
kovala 4 baar maaisak caË ka saamanaa krnaa
saMBavatÁ iksaI maihlaa ko ilae vardana hI saaibat haogaa. kma maaisak
caË ka Aqa-¸ [sasao jauD,I Anya samasyaaAaoM maoM ]saI Anaupat maoM kmaI Aanaa
BaI hO. hO na raht kI baatÆ magar Afsaaosa¸ yah gaaolaI BaI pUrI trh saurixat
nahIM hO.
prIxaNa
ko daOrana payaa gayaa ik Anya gaaoilayaaoM ka saovana krnao vaalaI maihlaaAaoM
kI tulanaa maoM [sa gaaolaI ka saovana krnao vaalaI maihlaaAaoM maoM Acaanak
haonao vaalao r> sa`ava (breakthrough
bleeding) ka
Ktra lagaBaga duganaa haota hO.haÐlaaik [sako lagaatar saovana sao
QaIro–QaIro yah Ktra kma hao sakta hO. yahI nahIM¸ ikSaaoiryaaoM ko ilae yah
AaOr BaI kma saurixat hO. [sako saovana sao ]namaoM )dyaaGaat¸ r> maoM qa@ka
bananao tqaa stna kOMsar ka Ktra kuC jyaada hI hao sakta hO.
rasaayainak
saMgazna maoM saIja,naola sao imalatI–jaulatI ek AaOr gaaolaI
hO–‘yaaismana’.balao-@sa laObaaoroTrIja Wara inaima-t [sa gaaolaI maoM .3
imalaI
ga`ama
‘D/a^ispronaaona’ naamak p`aojaoisTna tqaa ,03
imalaI
ga`ama ‘eiqainala
esT/oiDyaa^la’ naamak esT/aojaona ka saimaEaNa haota hO. kOilafaoina-yaa
yauinavaisa-TI maoM lagaBaga 700 maihlaaAaoM pr ike gae AQyayana
ko pScaat\ Da^• rOiPkna ka inaYkYa- hO ik yah gaaolaI gaBa-inaraoQa ko
saaqa–saaqa p`ImaoMsT/uAla isaMD/aoma (PMS) tqaa maaisak
caË sao jauD,o
Anya tmaama tklaIfdoh laxaNaaoM maoM p`BaavakarI kmaI laata hO. [sa p`yaaoga maoM
72 p`itSat maihlaaeÐ pI em
aesa ko laxaNaaoM sao ga`isat qaIM. [sa gaaolaI ko saovana koo pScaat vao
baohtr tqaa Aqa-pUNa- jaIvana jaI pa rhI hOM¸ saaqa hI ]nakI kaya- xamata maoM
BaI ]llaoKnaIya sauQaar huAa hO. caUÐik [sa gaaolaI maoM ha^maao-nsa kI maa~a
saIja,naola kI trh hI bahut kma hO¸ flatÁ [sako inamaa-taAaoM ka khnaa hO ik
[sako saa[D [fo@T\sa BaI kafI kma haoMgao.
dUsarI
Aaor pona sToT ko imalTna esa hSao- maoiDkla saoMTr maoM Aa^bsaToir@sa
eoMD gaayanaoka^laa^jaI ko AsaaoiSayaoT p`aofosar ircaD-
esa laoga`ao ko t%vaaQaana maoM ek CÁ maasaIya AQyayana kI AvaiQa maoM
[sa baat ka ivastar sao pta lagaanao ka p`yaasa ikyaa jaa rha hO ik eosaI saiËya gaBa-inaraoQak gaaoilayaaoM ka lagaatar saovana AMDaSaya tqaa
eMDaoimaiT/yama ko iËyaa–klaapaoM kao iksa p`kar p`Baaivat krta hO evaM [sako
Ktro AaOr laaBa @yaa–@yaa hOMÆ maihlaa ka SarIr eosaI gaaoilayaaoM ko
lagaatar saovana sao iksa saImaa tk tala–maola baOza sakta hOÆ eosaI
gaaoilayaaoM ko lagaatar saovana kI AvaiQa maoM Acaanak haonao vaalao r>
sa`ava (
breakthrough bleeding) kI
AavaRit @yaa hOÆ
[na
jaOsao tmaama p`Snaao ko ]<ar pa kr BaivaYya maoM saMBavatÁ eosaI gaaolaI ka
ivakasa ikyaa jaa sakogaa jaao na kovala baohtr gaBa-inaraoQak ka kaya- krogaI¸
bailk maihlaaAaoM kao sada ko ilae maaisak caË ko kucaË sao CuTkara BaI idlaa
sakogaI AaOr vah BaI ibanaa iksaI saa[D [fo@T\sa ko. gaaolaI ka saovana baMd kr
[icCt samaya pr gaBa-QaarNa kr maatR%va ka gaaOrva BaI p`aPt ikyaa jaa sakogaa.
prMtu idllaI ABaI bahut dUr hO. [sa saMbaMQa maoM ABaI BaI kafI gahna
AQyayana evaM AnausaMQaana kI AavaSyakta hO¸ t%pScaat hI iksaI eosaI pirpUNa-
gaaolaI ko ivakasa kI AaSaa kI jaa saktI hO. AaSaa pr hI tao yah saMsaar iTka
hO. ek idna yah AaSaa BaI AvaSya pUrI haogaI.
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