Sexual health

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…
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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…
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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…
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FSRH | Male and female sterilisation

This is an updated guideline from the FSRH on male and female sterilisation. There was little that was new in this for us. One thing I don't think I was aware of, was that they can now do 'hysteroscopic sterilisation'. Nickel inserts are placed in the fallopian tubes hysteroscopically. This does not need a GA, nor a…
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BASHH | HIV testing window

This statement from BASHH advises that new 'fourth generation' HIV tests will detect the majority of infected patients at four weeks post infection, which is much earlier than older tests. These tests look for both HIV antibodies and p24 antigen. I don't know whether this test is being offered locally - so if in doubt -…
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Nice| Long acting reversible contraception

This is an updated guideline from Nice on LARC methods. The only real difference is that Implanon is no longer available and that it has been replaced by Nexplanon, hence the guidance had to be updated. There is no other real change to what they are advising. There is quite a handy appendix, which you can use to…
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FSRH | Family planning bits and bobs

There have been several new guidelines and statements released from the FSRH in the last few weeks, which have some relevance to us. One size contraceptive diaphragm (Caya) This new guideline discusses a new diaphragm that women can buy over the counter, or online. I suspect that few women will be using this, but as they don't need…
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FSRH | St John’s Wort and contraceptives

The FSRH have released new advice about St John's Wort use with contraceptives. It's use has been linked to pregnancies with the COC, POP and with the implant. Women should be advised when being started on any of these methods that they should read the patient information leaflet and that they should seek advice from a healthcare…
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FSRH | Progestogen-only implants

This updated guideline on progesterone-only implants is from the FSRH. There a few points of interest. Some just clarify old advice, others are completely new. I've listed the most useful bits: Replacing the implant. If the implant is replaced within 3 yrs of insertion, there is no need for extra precautions as it is rare for ovulation…
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