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...
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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 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)

• 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 e-book on ExpertConsult for the first time

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