Contraception: Your Questions Answered

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 daysNew methods, and their importance or otherwise:Intrauterine system: Jaydess® Subcutaneous, self-injectable alternative to Depo-Provera: Sayana® Press24/4 combined hormonal contraceptives: Zoely®, Eloine®Diaphragm: Caya®UpdatesQuick starting and bridging (the Proving not Pregnant Protocol)Emergency contraception (EC), how advice differs for ulipristal acetate ECDrug metabolism (implications with norethisterone) and interactions (eg affecting lamotrigine)Question and answer formatImportant information boxesUnwanted side effects boxesFrequent patient questions at the end of relevant chaptersManagement adviceFollow-up adviceComes with free e-book on ExpertConsult for the first timeThis 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 daysNew methods, and their importance or otherwise:Intrauterine system: Jaydess® Subcutaneous, self-injectable alternative to Depo-Provera: Sayana® Press24/4 combined hormonal contraceptives: Zoely®, Eloine®Diaphragm: Caya®UpdatesQuick starting and bridging (the Proving not Pregnant Protocol)Emergency contraception (EC), how advice differs for ulipristal acetate ECDrug metabolism (implications with norethisterone) and interactions (eg affecting lamotrigine)Intermittent quizzes for CPD portfolio purposesNow on ExpertConsult