Contraception by Aydin Arici(eds.)

By Aydin Arici(eds.)

Which approach to birth control most closely fits your patient's needs?

Contraceptive know-how has exploded at breakneck velocity. the choices now on hand can bewilder sufferers who want functional recommendation for relatives making plans.

Contraception offers simply that functional suggestion. Divided into 3 sections overlaying choice and value comparability, person tools of birth control, and dangers and merits for varied sufferer teams, the editor provides a transparent pathway to aid your sufferers make a decision which process is better for them.

The publication covers all to be had contraceptive equipment with WHO clinical Eligibility standards of contraceptives and CDC differences. It offers sound recommendation on picking contraceptive tools for ladies with bleeding difficulties, earlier ectopic being pregnant, temper and depressive problems, hirsutism and zits, perimenopausal ladies, girls with HIV and different STIs.

offers a necessary consultant to all gynecologists, relatives medication physicians and well-being care staff who supply contraceptive recommendation.

a part of the recent sensible Gynecology in Practice series.Content:
Chapter 1 Contraceptive Use: directions and Effectiveness (pages 1–12): Kathryn M. Curtis, Naomi okay. Tepper and Polly A. Marchbanks
Chapter 2 fee and Availability of Contraceptive tools (pages 13–24): Donna Shoupe and Timothy Campbell
Chapter three mix Oral Contraceptives (pages 25–39): Daniel R. Mishell
Chapter four Progestin?Only Oral Contraceptive drugs (pages 40–56): Regina?Maria Renner and Jeffrey T. Jensen
Chapter five Contraceptive Implants (pages 57–66): Nerys Benfield and Philip D. Darney
Chapter 6 bits and bobs of the Contraceptive Vaginal Ring (pages 67–75): Frans J. M. E. Roumen
Chapter 7 Contraceptive Patch (pages 76–85): Anita L. Nelson
Chapter eight Progestin Injectables (pages 86–93): Susanna Meredith and Andrew M. Kaunitz
Chapter nine Intrauterine units (pages 94–102): Daniel R. Mishell
Chapter 10 Spermicides (pages 103–106): Deshawn L. Taylor
Chapter eleven Vaginal limitations: Diaphragm, Cervical Cap, and feminine Condom (pages 107–113): Matthew F. Reeves and Jill L. Schwartz
Chapter 12 Male Condoms (pages 114–122): Anita L. Nelson
Chapter thirteen Emergency birth control (pages 123–132): Ronna Jurow
Chapter 14 Tubal Sterilization (pages 133–145): Charles M. March
Chapter 15 Postpartum birth control (pages 147–157): Stephanie B. Teal
Chapter sixteen youngsters: Compliance, moral matters, and Sexually Transmitted Infections (pages 158–167): Melanie E. Ochalski and Joseph S. Sanfilippo
Chapter 17 girls 35 Years and Older: questions of safety (pages 168–174): Catherine Cansino and Mitchell Creinin
Chapter 18 Perimenopausal birth control (pages 175–190): Susan A. Ballagh
Chapter 19 scientific Eligibility requisites (pages 191–197): Donna Shoupe
Chapter 20 Hormonal birth control and temper (pages 198–208): Andrea Rapkin and Sarita Sonalkar
Chapter 21 birth control in girls with irregular Uterine Bleeding (pages 209–218): Ian S. Fraser
Chapter 22 Hirsutism and pimples (pages 219–225): Jennefer A. Russo and Anita L. Nelson
Chapter 23 HIV and different Sexually Transmitted Infections (pages 226–232): Alice Stek
Chapter 24 birth control Following Ectopic being pregnant, and brought about or Spontaneous Abortion (pages 233–238): Paula H. Bednarek and Alison B. Edelman

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Sample text

In other words, correct and consistent use of the POP would be expected to result in a lower failure rate than typical or inconsistent use of a combined pill. One can imagine many scenarios where this could occur. For example, a breast-feeding mother may feel reassured about the absence of a deleterious effect on nursing with use of the POP, and become an extremely dedicated pilltaker after counseling on the importance of consistent dosing at the same time each day. Another new mother, encouraged by her provider to use a “more effective” combined pill, may worry about effects on nursing, or perceive a reduction in milk volume, and become an inconsistent pill-taker.

Other risk factors to consider when prescribing oral contraceptives • • Heavy cigarette smoking under the age of 35 The presence of migraine headaches without aura in women under 35 years of age (if they worsen with on OC use, OCs should be discontinued) Combination Oral Contraceptives · 29 • • • • • Undiagnosed causes of amenorrhea: ‫ ؠ‬Combination OCs can be given to women with hypothalamic amenorrhea, or pituitary microadenoma (with follow-up) but not when amenorrhea is due to a prolactinsecreting pituitary macroadenoma.

It is reassuring that the vast number of studies show small or no increased risk in breast cancer in OC users. By age 65, the risk of having had breast cancer diagnosis is the same in ever users as in never users. The dose or type of either steroid, or years of use, are not related to risk. Women with a family history of breast cancer or those with the BRCA mutation do not have an added increased risk of diagnosis of breast cancer with COC use. • • • Because OCs have many noncontraceptive health benefits and because they can be used safely in normotensive, nonsmoking women, in 1991 the class labeling for OCs was updated to read: • CAUTION The benefits of oral contraceptive use by healthy nonsmoking women over 40 may outweigh the possible risks.

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