Contraception: Your Questions Answered

John Guillebaud, Anne MacGregor
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Quick Overview

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 (R) Subcutaneous, self-injectable alternative to Depo-Provera: Sayana (R) Press 24/4 combined hormonal contraceptives: Zoely (R), Eloine (R) Diaphragm: Caya (R) 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) Question and answer format

Important information boxes Unwanted side effects boxes Frequent patient questions at the end of relevant chapters Management advice Follow-up advice Comes with free e-book on Expert Consult for the first time.

 

More Information
ISBN/EAN 9780702070006
Author John Guillebaud, Anne MacGregor
Publisher Elsevier
Publication date 14 Aug 2017
Format Paperback
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