Contraception: Your Questions Answered. Edition: 7
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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