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
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