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The Faculty of Sexual and Reproductive Healthcare (FSRH) is the leader in the field of sexual and reproductive healthcare, and it is the voice for professionals working in this area. As a multi-disciplinary professional membership organisation, it sets clinical guidance and standards, provides training and lifelong education, and champions safe ...
Combined hormonal contraception (CHC), or combined birth control, is a form of hormonal contraception which combines both an estrogen and a progestogen in varying formulations. [ 1 ] [ 2 ] The different types available include the pill , the patch and the vaginal ring , which are all widely available, [ 3 ] and an injection , which is available ...
The guidelines are based on systematic reviews of the medical literature and expert opinion where evidence is lacking. [3] The intent of these recommendations was to allow public health programs in individual countries to tailor contraceptive safety guidance to their particular populations.
The US Food and Drug Administration (FDA) initiated studies evaluating the health of more than 800,000 women taking combined oral contraceptive pills and found that the risk of VTE was 93% higher for women who had been taking drospirenone combined oral contraceptive pills for 3 months or less and 290% higher for women taking drospirenone ...
Hormonal contraception works primarily by preventing ovulation, but it may also thicken the cervical mucus inhibiting sperm penetration. [3] [4] [5] Hormonal contraceptives also have effects on the endometrium, [6] [7] that theoretically could affect implantation. [8] [9] [10] [11]
The study found that adherence was far higher for contraceptive vaginal rings as they did not need to be changed daily like the other forms of contraception. This provides a good indication for real world effectiveness of vaginal rings as the primary source of contraception, as adherence issues are the main source of contraceptive failures. [35]
Giving advice on these methods of contraception has been included in the 2009 Quality and Outcomes Framework "good practice" for primary care. [39] The use of long-acting reversible contraceptives in the United States has increased nearly fivefold from 1.5% in 2002 to 7.2% in 2011–2013. [40]
The main division is between combined oral contraceptive pills, containing both estrogens and synthetic progestogens , and progestogen only pills. Combined oral contraceptive pills also come in varying types, including varying doses of estrogen, and whether the dose of estrogen or progestogen changes from week to week.
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