Contraception: Your Questions Answered
Contraception: Your Questions Answered,
Edition 7
By John Guillebaud, MA, FRCSEd, FRCOG(Hon), FFSRH(Hon), FCOG(SA) and Anne MacGregor, MBBS MSc MD FFSRH MICR DIPM

Publication Date: 14 Aug 2017

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Description

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)

Key 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 Features

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
About the author
By 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 Trust, Formerly Medical Director of the Margaret Pyke Family Planning Centre, London, UK and Anne MacGregor, MBBS MSc MD FFSRH 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
Table of Contents

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
Book Reviews

‘Bought this one as and update to the older version I have. The Q&A format is so easy to use. You could just read it but it’s even better as a problem solving tool - anyone who provides contraceptive services should have a copy.’

‘I'm a GP trainee doing an O&G rotation and this book is invaluable in providing me with answers to common and not so common questions that patients come in with. Very happy with this purchase.’

‘It's up to date and innovative, easier to navigate than previous edition, and I like John Guillebaud's approach and style.’

‘The bible for all medical practitioners regarding contraception. Very easy to use and find what you want. Seller was excellent too- arrived promptly and well packaged and the cheapest source.’

‘Perfect book to have at hand for either quick revision or brief check when working in family planning. Easy to read with good explanations that can be memorised with very little effort.’

‘Very well known book from the guru of contraception! A must have guide for the tricky subject of contraception for GPs.’

‘Detailed but you can find the answer to your query. Up to date, a good reference manual. Would recommend it.’

‘Bought this book whilst doing a family planning course and, now in practice, it has become my bible. Full of information, easy to understand, clear and concise. Helps with problem solving and also contains relevant physiology. Recommended for GPs, nurse practitioners, midwives, school nurses and anyone with an interest in family planning.’

‘Great Reference book for medical professionals.’

Book details
ISBN: 9780702070006
Page Count: 404
Illustrations: approx. 65 illustrations
Retail Price: €44.00