Contraception: Your Questions Answered, 7e

Description:

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)

Features:

• 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 digital on  ExpertConsult for the first time

New To This Edition:

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)

• Intermittent quizzes for CPD portfolio purposes
• Now on ExpertConsult

Table Of Contents:

1. Introduction: the population explosion, sexual and contraceptive history-taking and counselling - the importance of fertility control

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