Download Contraception Today by John Guillebaud PDF

By John Guillebaud

Contraception Today is the definitive introductory consultant to contraceptive recommendation. The 8th version of this bestselling pocketbook summarizes all to be had tools of birth control and a number of the components to be thought of in utilizing them. it is a useful advisor to the goods on hand, together with these newly introduced for the marketplace. The easy-to-read layout contains bulleted textual content and colour precis containers that current info at a look. it's the perfect reference for normal practitioners and perform nurses who're rather good put to supply contraceptive suggestion as a result of their wisdom of the patient’s health and wellbeing and circumstances.

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Extra resources for Contraception Today

Sample text

Omission of tablets either side of the gap in the horseshoe lengthens the ‘contraception-losing interval’ (see text). 43 Indeed, the ‘worst Pills’, actually the first two in any pack, are not seen by most COC takers as even being ‘missed Pills’! Starting the next pack late – just after the falsely reassuring withdrawal bleeding – does not trigger them even to seek advice about maintaining their contraception – unless they have been properly taught. What ought to be explained, but too often is not, is the contraception-weakening effect of the PFI.

A self-administered screener for migraine in primary care: The ID Migraine validation study. Neurology 2003;61:375–382. Migraine and stroke risk • Studies have shown an increased risk of ischaemic stroke if there is migraine with aura or COC-use, and if combined, ‘summation’ of risk. • There is good evidence of exacerbation of risk by arterial risk factors, including smoking and increasing age beyond 35 years. • The presence of aura before (or sometimes even without) the headache is the main marker of risk of ischaemic stroke (WHO 4).

Clinical implications • • Prescribers must ensure that COC users and ex-users are adequately screened following agreed guidelines. Even if they also smoke, a 3-yearly cervical smear frequency starting from age 25 years, as in national guidelines, is still believed to suffice to identify – and then treat appropriately – most (although no screening programme can have 100 per cent success) lesions in the pre-invasive stages, before actual cancer develops. It is acceptable practice (WHO 2) to continue COC use during the careful monitoring of any abnormality, or after definitive treatment of CIN.

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