oh my God what is that there's not much
天哪，那里没有太多的
information out there you have to do
信息，你必须
your own research a lot of the time
自己做研究，很多时候
you're just told to wait it out for many
你只是被告知要等待，对于
of us contraception is a struggle and
我们许多人来说，避孕是一场斗争，而且
it's a struggle that goes on for decades
这场斗争持续了几十年
but a conversation is growing about the
但关于
lack of support and the lack of
缺乏支持和缺乏
information but where are we going
信息的讨论越来越多，但我们哪里
wrong I'm going to meet simp Sani a
做错了，我要去见
contraception and sexual health nurse
避孕和性健康护士
consultant I use the Marena as my
顾问 Simp Sani，我使用 Marena 作为
progestin for my HRT so let's talk about
我的 HRT 的孕激素，所以让我们谈谈
that first I think people think that
首先，我认为人们认为
it's massive it's not massive at all but
它很大，其实一点也不大，但
that's actually a Kina so it's a smaller
实际上它是基纳，所以它是
version of the marina it lasts for 5
玛丽娜的较小版本，它可以
years like the marina except that it has
像玛丽娜一样持续 5 年，只是它的
lower hormones this is a copper coil all
激素较低，这是一个铜线圈，所有的
that works changes the environment
工作原理都会发生变化
within the uterus um which makes it
子宫内的环境嗯，这使得
harder for sperm to survive but there's
精子更难存活，但
no hormones in this one hormones in that
这个里面没有激素，
one why would somebody not want to use a
为什么有人不想使用
copper coil it can make your perod a
铜线圈，它可以让你的月经
little bit more heavy and a little bit
更重一点，
more painful what is that so that's the
更 痛苦 那是什么 那是
vaginal ring do you have to fit it over
阴道环，你必须把它套在什么
something do you have to so you
东西上面吗？你必须这样吗？你
literally just squeeze it and then you
只需挤压它，然后
push it into the vagina as high as
尽可能高地将其推入阴道，
possible so that's the contraceptive
这就是避孕
implant it's tiny and sits on the inside
植入物，它很小，位于
of your arm and it's nice and discreet
手臂内侧， 它很好，很谨慎
DEA so this is an injectable method
DEA 所以这是一种注射方法，
that's the combined contraceptive patch
即联合避孕贴片，
you stick it anywhere on the skin except
你可以把它贴在皮肤的任何地方，
for the breast area that's not
除了乳房区域，它不是
translucent is it no it so not good for
半透明的，不是吗，所以不适合
all skin colors it's not at all I mean
所有肤色，一点也不，我的意思是
you wouldn't want to wear that right
你不会 不想穿那个，对吧，
it's not very inclusive but the most
它不是很包容，但最
commonly used conception are your
常用的受孕方式是
conceptive
pills even on the NHS website it's sort
避孕药，即使在 NHS 网站上，它也有点
of limited there's not much information
有限，那里没有太多的信息，
out there social media is now available
社交媒体现在可用，
now there's Tik Tok Instagram so there's
现在有 Tik Tok Instagram，所以有
different Avenues and information online
不同的途径 和网上的信息，
you have to do your own research I had
你必须自己做研究，我
to go and find an Instagram page to find
不得不去寻找一个 Instagram 页面来
out what was available to me Brooke is a
了解我能得到什么 Brooke 是一个
sexual health charity with a strong
性健康慈善机构，主要
focus on improving education around
致力于提高
contraception over a quarter of young
避孕教育，超过四分之一的年轻人
adults in the UK Source their news from
英国成年人的新闻来源是
Tik Tock so that's where I've pulled
Tik Tock，所以我从那里提取了
this content
这些内容，
from did you know that being on
你知道吗，服用
contraceptions or birth control pills
避孕药或避孕药
will increase or double your risk of
会增加或加倍患宫颈癌的风险，
cervical cancer
in addition to destroying the brain
除了破坏大脑之外，
birth control also destroys the
避孕药也会破坏
beautiful intuitive connection that a
woman is supposed to have with her body
女人与自己的身体之间有着美好的直觉联系，
women on birth control choose the wrong
服用避孕药的女性选择了错误的
partner it can lead to offspring with
伴侣，这会导致后代
weaker immune systems there's been some
免疫系统较弱，对此已经有一些
studies on this and they're inconclusive
研究，但尚无定论，
but there's something happen something
但有些事情发生了，有些事情
is happening oh my God the quite
正在发生哦 天哪，
frightening thing I think was the lady
我觉得最可怕的是
at the beginning she was sort of
一开始那位女士
masquerading as as a doctor medical
假装成某种医生或医学
expert of some sorts and she was saying
专家，她说的
things or using sort of medical jargon
话或使用的医学术语
that made me think oh oh is is that bit
让我不禁想，哦，哦，这是
true is that kind of based in fact what
真的吗
I'd really hate to think is that
我非常不愿意想象，那些
somebody for whom contraception is
避孕措施
working and is working really well is
有效、效果非常好的人
going to be really scared off of using
会因为其他相信避孕错误信息的女性而害怕使用
it and sometimes shamed by other women
避孕药，甚至羞辱她们
who believe the misinformation about
taking it the idea that what you're
你所做的事情
doing is unnatural so it's not okay well
是不自然的 所以这不好，
if it's making you feel better and if
如果它能让你感觉更好，如果
it's serving its purpose it's okay Tik
它能达到它的目的，那就没问题了 Tik
Tok removed the videos we brought to
Tok 删除了我们提请
their attention or made them ineligible
他们注意的视频，或者让它们没有
for recommendation they told us they
资格推荐，他们告诉我们他们会对
take action against misinformation and
错误信息采取行动，并
said they remove harmful medical
表示他们会删除有害的医疗
misinformation and work closely with
错误信息 并与
independent factchecking Partners to
独立的事实核查伙伴密切合作，
assess evolving misinformation
评估不断演变的错误信息
Trends surely the government should be
趋势。政府当然应该
doing more to give women what they need
做更多的事情来满足女性的需求，
and make sure they feel heard I'm going
确保她们感到被倾听。我将
to speak to the minister for the Women's
与妇女
Health strategy Maria k field to find
健康战略部长玛丽亚·菲尔德交谈，以找到
out what if anything is being done about
this in our survey we found that um 77%
在我们的调查中，我们发现 77%
of women suffered side effects on the
的女性在服用避孕药时会受到副作用的影响，这个比例
pill which is pretty high isn't it I
相当高，不是吗？我的
mean women are so dissatisfied at the
意思是，女性现在非常不满意
moment and feeling so kind of abandoned
，感觉有点被抛弃了
that they are not even taking the pill
他们甚至没有服用
with any medicine the side effects even
任何药物，即使
with a simple paracetamol there will be
是简单的扑热息痛，也会
people who get side effects from it but
有人出现副作用，但
it's the important change we need is
我们需要的重要改变是，
that that is discussed with a woman
before she starts they can easily uh
在开始服药之前与女性讨论这个问题，这样她们就可以很容易地
apply to the National Institute of
申请美国国立卫生研究院的
Health research that has uh funding
研究 呃，资金
available and welcomes bids for research
可用，欢迎竞标进行研究，
to be done can you put any pressure on
你能给某人施加压力
someone to do any research it's also
让他们做任何研究吗？这也是
about the the clinical conversations we
关于临床对话，我们
need to enable Healthcare professionals
需要让医疗保健专业人士
to have that time and space so it isn't
有时间和空间，这样就不是
a five minute consultation they don't
五分钟的咨询了 他们
have time or space no the Women's Health
没有时间或空间，没有女性健康
hubs are in the first year of the 10year
中心正处于十年战略的第一年，
strategy we've got the £225 million
我们已经获得了2.25亿英镑的
secured to start that that program of
启动资金，
quickly say something about the 225
很快就能说说2.25
million cuz that does sound like a lot
亿英镑的事情了，因为这听起来确实像是一个 很多，
but I guess when you've cut a billion
但我想当你从健康领域削减了10亿
pounds um from health and lots of that
英镑，其中很多本来
would have been used for sexual and
应该用于性和
reproductive Health putting 25 million
生殖健康，把2500万放
back in it's Feels Like A Drop in the
回去感觉就像
Ocean the contraception education and
沧海一粟，避孕教育和
reform team is on a mission to make sure
改革团队处于 使命是确保
young people feel informed supported and
年轻人在寻求避孕建议时能够得到知情、支持和
heard when they go to seek advice about
倾听，
contraception a lot of the time you're
很多时候你
just told to wait it out I had awful
只是被告知要等待，我有
side effects for a year and I've did
一年的严重副作用，但我确实
feel listened to I think ultimately you
感到自己被倾听了。 认为自己
know your body best and it's okay to be
最了解自己的身体，所以
pushy it's okay to seek a second opinion
强求，可以寻求第二种意见，
it's okay to take up the doctor's
可以占用医生的
time we're in 2023 and all of the onus
时间，现在已经是 2023 年了，所有的责任
is still on women it's not fair at
仍然在女性身上，这
all we are still struggling 60 years
根本不公平，避孕药发明 60 年后，我们仍在苦苦挣扎，
after the pill was
invented and it makes me kind of feel
这让我 也感到有点
angry too because we deserve better
生气，因为我们应该得到
better research better knowledge better
更好的研究、更好的知识、更好的
quality of care more funding this is a
护理质量、更多的资金，这是
conversation we have to have so let's
我们必须进行的对话，所以让我们
start the contraception
Revolution right
[Music]
now
现在就开始避孕革命吧[音乐]