Contraception: Your Questions Answered. Edition No. 7

  • ID: 4318099
  • Book
  • 424 Pages
  • Elsevier Health Science
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This seventh edition has been completely revised and updated, incorporating relevant WHO and national guidance documents: therefore imparting best evidence-based practice for all methods.

- Combined oral contraceptives (COCs) Based on the long-established evidence that 7 days of routinely not-taking pills in each cycle is too long for maintained ovarian suppression - and this necessarily leads to too little margin for errors in pill-taking - the authors recommend that providers switch to a new norm for all users of either:

- Tricycling, the 84/4 regimen, or totally continuous use (365/365),

- OR, for women who remain keen to see monthly pill-bleeds (which are completely unnecessary for health), one of the regimens (24/4 or 21/4) that shorten the contraception-non-taking time to 4 days

- New methods, and their importance or otherwise:

- Intrauterine system: Jaydess®

- Subcutaneous, self-injectable alternative to Depo-Provera: Sayana® Press

- 24/4 combined hormonal contraceptives: Zoely®, Eloine®

- Diaphragm: Caya®

- Updates

- Quick starting and bridging (the Proving not Pregnant Protocol)

- Emergency contraception (EC), how advice differs for ulipristal acetate EC

- Drug metabolism (implications with norethisterone) and interactions (eg affecting lamotrigine)
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1. Introduction

2. Aspects of human fertility and fertility awareness: natural birth control

3. Male methods of contraception

4. Vaginal methods of contraception

5. The combined oral contraceptive - selection and eligibility

6. The combined oral contraceptive - follow-up arrangements and new routes of administration

7. The progestogen-only pill

8. Injectables and implants

9. Intrauterine devices and systems

10. Emergency (postcoital) contraception

11. Contraception for the young, the not quite so young - and in future

Further reading

Websites

Appendices

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Guillebaud, John Emeritus Professor of Family Planning and Reproductive Health, University College London, UK; Trustee of the Margaret Pyke Trust, Formerly Medical Director of the Margaret Pyke Family Planning Centre, London, UK.

MacGregor, Anne Associate Specialist in Sexual and Reproductive Healthcare, Bart's Sexual Health Centre, St. Bartholomew's Hospital, London; Honorary Professor, Centre for Neuroscience and Trauma within the Blizard Institute of Cell and Molecular Science, Bart's and the London School of Medicine and Dentistry, London, UK.
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