Key features

• •Question and answer format
• •Important information boxes
• •Unwanted side effects boxes
• •Frequent patient questions at the end of relevant chapters
• •Management advice
• •Follow-up advice
• •Comes with free e-book on  ExpertConsult for the first time
• •Combined oral contraceptives (COCs) Based on the long-established evidence that 7 days of routinely not-taking pills in each cycle is too long for maintained ovarian suppression - and this necessarily leads to too little margin for errors in pill-taking - the authors recommend that providers switch to a new norm for all users of either:
• •Tricycling, the 84/4 regimen, or totally continuous use (365/365),
• •OR, for women who remain keen to see monthly pill-bleeds (which are completely unnecessary for health), one of the regimens (24/4 or 21/4) that shorten the contraception-non-taking time to 4 days
• •New methods, and their importance or otherwise:
• •Intrauterine system: Jaydess®
• •Subcutaneous, self-injectable alternative to Depo-Provera: Sayana® Press
• •24/4 combined hormonal contraceptives: Zoely®, Eloine®
• •Diaphragm: Caya®
• •Updates
• •Quick starting and bridging (the Proving not Pregnant Protocol)
• •Emergency contraception (EC), how advice differs for ulipristal acetate EC
• •Drug metabolism (implications with norethisterone) and interactions (eg affecting lamotrigine)
• •Intermittent quizzes for CPD portfolio purposes
• •Now on ExpertConsult