Περιγραφή
Weight: 560.00 grams |
| Pages: 424 |
| Illus: approx. 65 illustrations |
| Size: 133 X 216 mm |
Product Type: Softcover
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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)
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| 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
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| New To This Edition: |
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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)
- Intermittent quizzes for CPD portfolio purposes
- Now on ExpertConsult
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Περιεχόμενα
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
- Further reading
- Websites
- Appendices
