Contraception

COC

  • CI
      • Thrombosis or thrombotic conditions or tendency
      • Focal migraine
      • IHD, valvular heart disease, cerebral haemorrhage, TIA
      • Active liver disease
      • Undiagnosed genital tract bleeding
      • Pregnancy
      • Hormone dependent cancers
      • Diabetes
      • What about smoking?
  • Advantages
  • Disadvantages
  • Common s/e
  • Drug interactions
  • Which COC to choose
  • How to take it
  • Missed pills
  • What to tell the patient
  • Follow-up

POP

  • Indications
      • Older women
      • Smokers
      • Lactation
      • Diabetes
      • Hypertension
      • Before elective surgery
      • Migraine
  • CI
      • Pregnancy
      • Irregular menstrual bleeding
      • Breast ca?
      • Ectopic pregnancy?
  • Effectiveness
  • Advantages
  • Disadvantages
  • Common s/e
  • Drug interactions
  • Which POP to choose
  • How to take it
  • Missed pills
  • What to tell the patient
  • Follow-up

Top Tips

  • Do a UKMEC contraception score before prescribing contraception.
  • Emergency contraception – again, do a risk stratification assessment rather than giving something blindly.  For instance, a high BMI and/or how close a lady is to ovulation – affects what you give!
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