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Contraception: Your Questions Answered, 7th Edition

Author :
By John Guillebaud, MA, FRCSEd, FRCOG(Hon), FFSRH(Hon), FCOG(SA) and Anne MacGregor, MBBS MSc MD FFSRH MICR DIPM
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-es ...view more

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)
ISBN :
9780702070006
Publication Date :
23-08-2017
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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)

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

Key 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 e-book on ExpertConsult for the first time

Author Information
By John Guillebaud, MA, FRCSEd, FRCOG(Hon), FFSRH(Hon), FCOG(SA), Emeritus Professor of Family Planning and Reproductive Health, University College London, UK; Trustee of the Margaret Pyke Trust, Formerly Medical Director of the Margaret Pyke Family Planning Centre, London, UK; Anne MacGregor, MBBS MSc MD FFSRH MICR DIPM, Associate Specialist in Sexual and Reproductive Healthcare, Bart's Sexual Health Centre, St. Bartholomew's Hospital, London and Honorary Professor, Centre for Neuroscience and Trauma within the Blizard Institute of Cell and Molecular Science, Bart's and the London School of Medicine and Dentistry, London, UK