Contraception: Your Questions Answered

AvJohn Guillebaud,Anne MacGregor

Häftad, Engelska, 2017

469 kr

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Beskrivning

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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