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FSRH Guideline Quick Starting Contraception April 2017

Copyright Faculty of Sexual and Reproductive Healthcare 2017 FSRH Guideline Quick Starting Contraception April 2017 | FSRH Copyright Faculty of Sexual and Reproductive Healthcare 2017 Faculty of Sexual & Reproductive Healthcare (FSRH) provided funding to the Clinical Effectiveness Unit (of the FSRH) to assist them in the production of this Guideline , Quick Starting Contraception (2017). Published by the Faculty of Sexual & Reproductive Healthcare Registered in England No. 2804213 and Registered Charity No. 1019969 Quick Starting Contraception first published in September 2010.

UKMEC UK Medical Eligibility for Contraceptive Use UPA-EC ulipristal acetate (for emergency contraception) ... Criteria for reasonably excluding pregnancy are outlined in . Section 5. Quick start of combined hormonal contraception (CHC), the progestogen-only pill (POP), the

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Transcription of FSRH Guideline Quick Starting Contraception April 2017

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UK MEDICAL ELIGIBILITY CRITERIA - FSRH

www.fsrh.org

• Are intended to be applied to use of the method of contraception for contraceptive purposes. Where a method of contraception is used for a non-contraceptive indication [e.g. management of heavy menstrual bleeding (HMB)] the risk/benefit profile and eligibility criteria may differ.

  Eligibility, Medical, Criteria, Contraceptive, Uk medical eligibility criteria

Faculty of Sexual & Reproductive Healthcare Clinical Guidance

www.fsrh.org

Eligibility Health professionals should be familiar with the UK Medical Eligibility Criteria for intrauterine methods. Efficacy Women should be advised of the very low failure rates associated with use of intrauterine contraception (IUC). The most effective methods of IUC are the levonorgestrel intrauterine system (LNG-IUS)

  Eligibility, Medical, Criteria, Medical eligibility criteria

OF SEXUAL &REPRODUCTIVE HEALTHCARE

www.fsrh.org

With typical use the failure rate is approximately 6%. Health professionals should be familiar with the most up-to-date UK Medical Eligibility Criteria for progestogen-only injectable contraception. Amenorrhoea or reduced bleeding is common in progestogen-only injectable users and may benefit women with menstrual problems.

  Eligibility, Medical, Criteria, Medical eligibility criteria

FSRH Guideline Progestogen-only Implant

www.fsrh.org

8.1 Medical eligibility 8 8.2 Assessment of factors that could affect contraceptive effectiveness 10 9 Non-contraceptive benefits associated with use of the etonogestrel implant 10 9.1 Dysmenorrhoea 10 9.2 Heavy menstrual bleeding 10 9.3 Endometriosis 11 9.4 Endometrial protection in polycystic ovary syndrome 11

  Eligibility, Guidelines, Medical, Only, Implants, Medical eligibility, Fsrh guideline progestogen only implant, Fsrh, Progestogen

FSRH Guideline Combined Hormonal Contraception

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9.1 Heavy menstrual bleeding 23 9.2 Menstrual pain 23 9.3 Acne 24 9.4 Premenstrual symptoms 24 9.4.1 EE/DRSP COC for management of premenstrual symptoms 24 9.4.2 Other COC for management of premenstrual symptoms 24 9.4.3 Extended COC regimens for management of premenstrual symptoms 24 9.5 Vasomotor symptoms 25 9.6 Bone health 25

  Heavy, Bleeding, Menstrual, Heavy menstrual bleeding

UKMEC SUMMARY TABLE HORMONAL AND INTRAUTERINE …

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Gestational trophoblastic disease (GTD) a) Undetectable hCG levels 1: 1 1: 1 1: 1 b) Decreasing hCG levels: 3 3: 1 1: 1 1: c) Persistently elevated hCG levels or malignant disease: 4 4: 1 1: 1 1: UKMEC Definition of category: Category 1: ... Cervical intraepithelial neoplasia (CIN) 1: …

  Gestational, Neoplasia, Gestational trophoblastic, Trophoblastic

FSRH Guideline Emergency Contraception

www.fsrh.org

MHRA Medicines and Healthcare products Regulatory Agency OR odds ratio PEPSE post-exposure HIV prophylaxis after sexual exposure PGD patient group direction POP progestogen-only pill RCT randomised control trial SPC Summary of Product Characteristics SRH sexual and reproductive healthcare STI sexually transmitted infection

  Product, Regulatory, Agency, Medicine, Healthcare, Medicines and healthcare products regulatory agency

Faculty of Sexual & Reproductive Healthcare Clinical Guidance

www.fsrh.org

A comparative trial of the DSG versus LNG-only pill reported an overall failure rate for the LNG pill of 1.55 per 100 woman-years [95% confidence interval (CI) 0.422–3.963] and for the DSG pill 0.41 per 100 woman-years (95% CI 0.085–1.204). The failure rates were not found to be

  Pill

Faculty of Sexual & Reproductive Healthcare Clinical Guidance

www.fsrh.org

problematic bleeding to identify the possibility of an underlying cause. Hormonal contraception users with problematic bleeding who are at risk of sexually transmitted infections (STIs) should be tested for Chlamydia trachomatis as a minimum. Testing for Neisseria gonorrhoea will depend on sexual risk, local prevalence and availability of dual ...

  Problematic

Faculty of Sexual & Reproductive Healthcare Clinical …

www.fsrh.org

NCSP National Chlamydia Screening Programme NET-EN norethisterone enantate ... Since this set of guideline was first published, the following changes have been made: May2019 - Removed Appendix 5 and 7. Updated Appendix 6. Updated section ...

  Guidelines, Screening, Sexual, Clinical, National, Faculty, Healthcare, Reproductive, Faculty of sexual amp reproductive healthcare clinical

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FSRH Guideline Progestogen-only Implant

www.fsrh.org

8.1 Medical eligibility 8 8.2 Assessment of factors that could affect contraceptive effectiveness 10 9 Non-contraceptive benefits associated with use of the etonogestrel implant 10 9.1 Dysmenorrhoea 10 9.2 Heavy menstrual bleeding 10 9.3 Endometriosis 11 9.4 Endometrial protection in polycystic ovary syndrome 11

  Eligibility, Guidelines, Medical, Only, Implants, Medical eligibility, Fsrh guideline progestogen only implant, Fsrh, Progestogen

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FSRH Guideline Progestogen-only Implant, Medical eligibility