Contraception Made Easy, fourth edition

1 Introduction 1.1 Introduction 1.2 Unplanned pregnancy 1.3 Provision of contraceptive services 1.4 UK Medical Eligibility Criteria for contraception References 2 The contraception consultation 2.1 Introduction 2.2 Initiating the session 2.3 Gathering information 2.4 Explanation and planning 2.5 Closing the session 2.6 Summary References 3. Special groups 3.1 Young people 3.2 Women over 40 years of age 3.3 Women living with HIV 3.4 Women with inflammatory bowel disease (IBD) 3.5 Women with cardiovascular disease 3.6 Weight concerns - obesity, weight reduction medication/surgery, weight gain and contraception 3.7 Women with eating disorders 3.8 Drug interactions 3.9 Teratogenic drugs or drugs with potential teratogenic effects 3.10 Transgender and non-binary individuals 3.11 Women with learning disabilities 3.12 Women with physical disabilities 3.13 Women with sensory disabilities 3.14 Women who do not speak English References 4 Combined hormonal contraception 4.1 Potential users 4.2 Available CHC in the UK 4.3 Mechanism of action 4.4 Efficacy of CHC 4.5 Pros and cons of CHC 4.6 Using the CHC 4.7 Routine follow-up 4.8 Return to fertility 4.9 Managing side-effects 4.10 Myths and misconceptions References 5 Progestogen-only pill 5.1 Potential users 5.2 Available POPs in the UK 5.3 Mechanism of action 5.4 Efficacy of POPs 5.5 Pros and cons of POPs 5.6 Using the POP 5.7 Routine follow-up 5.8 Return to fertility 5.9 Managing side-effects 5.10 Myths and misconceptions References 6 Injectable contraception 6.1 Potential users 6.2 Available injectables in the UK 6.3 Mechanism of action 6.4 Efficacy of injectables 6.5 Pros and cons of injectables 6.6 Using injectables 6.7 Routine follow-up 6.8 Return to fertility 6.9 Managing side-effects 6.10 Myths and misconceptions References 7 Contraceptive implant 7.1 Potential users 7.2 Available implants in the UK 7.3 Mechanism of action 7.4 Efficacy of implants 7.5 Pros and cons of contraceptive implants 7.6 Practical aspects 7.7 Routine follow-up 7.8 Return to fertility 7.9 Managing troublesome side-effects 7.10 Myths and misconceptions References 8 Levonorgestrel intrauterine devices 8.1 Potential users 8.2 Available levonorgestrel intrauterine devices in the UK 8.3 Mechanism of action 8.4 Efficacy 8.5 Pros and cons of LNG-IUD 8.6 Counselling 8.7 LNG-IUD starting regimen 8.8 LNG-IUD insertion 8.9 Post LNG-IUD insertion advice 8.10 Routine follow-up 8.11 Return to fertility and device removal 8.12 Managing side-effects and complications 8.13 Myths and misconceptions References 9 Copper intrauterine devices 9.1 Potential users 9.2 Available Cu-IUDs in the UK 9.3 Mechanism of action 9.4 Efficacy 9.5 Pros and cons of Cu-IUDs 9.6 Counselling 9.7 Cu-IUD starting regimen 9.8 Cu-IUD insertion 9.9 Post Cu-IUD insertion advice 9.10 Routine follow-up 9.11 Return to fertility and device removal 9.12 Managing side-effects and complications 9.13 Myths and misconceptions References 10 Barrier methods 10.1 Potential users 10.2 Available barrier methods 10.3 Efficacy 10.4 Mechanism of action 10.5 Pros and cons of barrier methods 10.6 Practical aspects 10.7 Myths and misconceptions References 11 Fertility awareness 11.1 Potential users 11.2 Available fertility awareness methods 11.3 Mechanism of action 11.4 Efficacy 11.5 Pros and cons of fertility awareness 11.6 Using the different methods 11.7 Withdrawal method 11.8 Myths and misconceptions References 12 Male and female sterilization 12.1 Potential users 12.2 Available methods of sterilization 12.3 Mechanism of action 12.4 Pros and cons of sterilization 12.5 Counselling and consent 12.6 Regret 12.7 Practical aspects 12.8 Myths and misconceptions References 13 Emergency contraception 13.1 Potential users 13.2 Available emergency contraception in the UK 13.3 Mechanism of action 13.4 Efficacy of emergency contraception 13.5 Provision of emergency contraception 13.6 Provision of ongoing contraception 13.7 Aftercare 13.8 Managing side-effects 13.9 Myths and misconceptions References 14 STIs, safe sex and sexual assault 14.1 Potential users 14.2 Sexual history taking 14.3 Partner notification 14.4 Sexual health advice 14.5 Sexual assault References 15 Unplanned pregnancy 15.1 Introduction 15.2 Adoption 15.3 Abortion 15.4 Complications 15.5 Post-abortion contraception 15.6 Aftercare 15.7 Legal situation in Ireland 15.8 Myths and misconceptions References Appendix - Summary of the UKMEC for contraceptive use Index