CONTRACEPTION: YOUR QUESTIONS ANSWERED, 7TH EDITION

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

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)
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

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

Authors
• 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 Memorial Trust, Formerly Medical Director of the Margaret Pyke Family Planning Centre, London, UK; Surgeon, Elliot-Smith Vasectomy Clinic, Oxford, UK
• Anne MacGregor, MBBS MD MRSRH MICR DIPM, Associate Specialist in Sexual and Reproductive Healthcare, Bart's Sexual Health Centre, St. Bartholomew's Hospital, London; 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