Post pregnancy contraception

This is a new guideline from the FSRH on contraception after pregnancy. There is nothing particularly new about specific methods, but there are a few new interesting points (including a reminder that the COC can be used when breastfeeding from 6 weeks after delivery). Contraceptive options should be discussed antenatally. Ideally the chosen method of…
Read more

FSRH | Natural family planning for contraception

This is a new guideline from the FSRH on 'Fertility Awareness Methods' (FAM), otherwise known as 'Natural Family Planning'. I have had a couple of patients interested in this, so it is worth knowing about. Apparently 2% of women in the UK use FAM for contraception. There is also a bit on using the lactational…
Read more

FSRH | Sayana Press licensed for self injection

This is a statement from the FSRH advising that Sayana Press is now licensed for self-injection. For more about Sayana Press see my plog. This is likely to be really popular with some women and to reduce the likelihood of missed or late injections. Patients need training on how to use it and need to…
Read more

FSRH | Quick starting contraception after using ellaOne

The FSRH has released a statement regarding quick starting contraception after using ellaOne. Basically ellaOne has an impact on progesterone receptors and there is concern that it may reduce the effectiveness of progestogenic contraceptives. For this reason, the new advice is that hormonal contraception should not be started for at least 5 days after using…
Read more

FSRH | Progesterone only pills (POP)

This is an updated guideline from the FSRH on POPs. There is little new, but I have summarised the bits I found interesting. Follow up Women can be given 12m worth at the initial visit. Using POP in people of higher weight There is no need to use more than one pill, regardless of the…
Read more

FSRH | Intrauterine contraception

This is an updated guideline from the FSRH. There isn't really anything very new in this, so I've just summarised some of the things I wasn't aware of or was a bit hazy on. Method of action Copper intrauterine devices (Cu-IUD) provide a hostile environment to fertilisation, have a cervical mucous effect and an anti-implantation…
Read more

FSRH | Depot contraception

This is an updated guideline on the injectable contraceptive from the FSRH. The main new advice is that although women should be advised to swap to an alternative form of contraception after age 50, they can continue it if they prefer and are appropriately counseled. I am listing the main things that were new for me.  Failure…
Read more