By John Guillebaud MA FRCSEd FRCOG(Hon) FFSRH(Hon) FCOG(SA), Anne MacGregor MBBS MD MRSRH MICR DIPM
Birth control: Your Questions spoke back is the tested basic resource of data approximately reversible tools of birth control. offered in an off-the-cuff - and but hugely informative - question-and-answer variety, it represents a discussion among healthcare professional (asking the questions) and reproductive well-being professional (providing the answers). the most objective of the publication is to provide functional tips to busy clinicians once they are confronted with sufferers who wish support with picking out the easiest technique of controlling fertility. so much chapters finish with questions commonly asked through sufferers - the solutions to that are very tricky for the unprepared and busy clinician to improvise 'on the spot' within the surgical procedure.
Written through birth control professional Professor John Guillebaud, this e-book is a useful source for GPs, kinfolk making plans medical professionals and nurses, trainee and advisor gynaecologists, scientific scholars and the common reader.
- Popular query and solution format.
- Practical focus.
- Detailed attention of reversible contraception technology.
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Extra resources for Contraception : your questions answered
The peak mucus day can hence be identiﬁed. Allowing 2–3 days for ovulation to be completed and 1 day for ovum fertilizability, the second infertile phase is deﬁned as beginning on the evening of the fourth day after the peak mucus symptom. 5) can be used to check on the other indicators, although this is not essential. 26 What practical problems can confuse mucus assessment? ■ The most frequent is the effect of intercourse, or of sexual excitement without intercourse. Both the ﬂuid of sexual arousal and semen can mimic 2 / Aspects of human fertility the sensations and the features of ovulatory mucus.
If the request is for ‘emergency contraception’, this should be seen as a marker of risk of a sexually transmitted infection (STI) having been passed 9 10 Contraception: Your Questions Answered along with the sperm. Indeed, there is increasing evidence that the sperm themselves can be ‘bio-vectors’ of Chlamydia and gonococci (although no Chlamydia test would be positive from that act, it would need repeating about 7 days later). Remember also that ‘breakthrough bleeding’ in pilltakers is often a sign of Chlamydia infection.
21 How can the phases be determined, in practice? 20. g. ) (b) biochemical methods, which detect the change in concentration of the sex steroids or their metabolites in body ﬂuids such as urine or saliva (c) clinical indicators, such as BBT, mucus and cervical changes. The accuracy of these indicators of the actual events at (1) varies, and must also be distinguished from: 3 The quality of the teaching of the couple, which results in the woman and her partner accurately detecting the indicator.