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Catching up on contraception
Australian Family Physician, 06/17/09
Allen K et al. - This article examines the changes that have occurred in contraception over the past decade and discusses the implications of these changes to clinical practice.
- Up-to-date knowledge about how the COCP works is reflected in changes to packaging and formulations, with variable success.
- Other changes to contraceptive options include over-the-counter availability of emergency contraceptive pills, a resurgence in IUD use, and the new combined hormonal vaginal ring.
- Bleeding with long acting progestogen only contraception remains a problem and management options include antiprostaglandins, tranexamic acid, doxycycline, the COCP and removal of the device.
- Sterilisation remains an option for older men and women and newer methods are available.
- When taking an initial medical history don’t forget to ask about contraception.
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