Sexual health

e-Learning | Ectopic pregnancy and miscarriage

This is an updated guideline on ectopic pregnancy and miscarriage from NICE (published Apr 19). It was last updated in 2012 when I originally wrote this blog post. The 2019 update doesn't add very much to what we were already doing. There are two new elements: Expectant management of women with a miscarriage before 6/40.…
Read more

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