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This seventh edition has been completely revised and updated, incorporating relevant WHO and national guidance documents: therefore imparting best evidence-based practice for al… Read more
LIMITED OFFER
Immediately download your ebook while waiting for your print delivery. No promo code is needed.
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)
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
JG
AM