By Emeritus Professor of Family Planning and Reproductive Health John Guillebaud
Past variations of this best-selling pocketbook were recognizedas the gold-standard introductory consultant to contraceptive perform. Thetarget viewers – basic practitioners and perform nurses – are oftenparticularly good put to o er strong contraceptive recommendation simply because theyalready understand the client’s wellbeing and fitness and conditions. This variation attracts onall most up-to-date assistance from WHO and the college of Sexual and ReproductiveHealth (FSRH) to provide a hugely sensible precis of each availablemethod of birth control within the united kingdom, and many of the components to beconsidered within the session.
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Additional info for Contraception Today: A Pocketbook for General Practitioners and Practice Nurses
G. in cancer, see text) as to make all-cause mortality in past-users the same or possibly even less than for never-users (see p. 22). Sources: Dinman BD. JAMA 1980; 244:1226–1228; Mills A, et al. BMJ 1996; 312:121; Anon. BMJ 1991; 302:743; Strom B. Pharmacoepidemiology. 2nd ed. ) by the current UK policy of generally commencing with a LNG product as first line, while being fully prepared to switch for symptom control upon request. In sum, the primary reason for choosing, or changing to, a more estrogenic product, such as one containing DSG or GSD as the progestogen, is for the control of side effects occurring on a LNG or NET product.
3d] [17/11/011/17:0:7] [13–77] Notes: 1. A single risk factor in the relative contraindication columns means preference for an LNG/NET Pill, if any COC used (as in the BNF). 2. Beware of synergism: more than one factor in either of relative contraindication columns. g. g. reduced mobility) condition normally means WHO 4 (do not use). 3. Acquired (non-hereditary) predispositions include positive results for antiphospholipid antibodies—definitely WHO 4 since they also increase the risk of arterial events (Table 6).
Other porphyrias are WHO 2, but a non-hormone method is usually preferable. Gallstones: symptomatic, medically treated (WHO 3, but WHO 2 if are an incidental finding; or after cholecystectomy). —and evidence supports COCs not causing depression). Diseases that require long-term treatment with enzyme-inducing drugs are WHO 3 [COC is usable (see below)—but alternative contraception is preferred]. Undiagnosed genital tract bleeding (WHO 3 until diagnosed and as necessary treated). e. WHO 4, 3 or 2) on COC prescription, and for many the data are unavailable.