Contraception

Contraceptive Counselling:More important now than ever before

Contraceptive Counselling: More important now than ever before

Nearly half of all pregnancies, totalling 121 million each year throughout the world, are unintended.1 In Southern Africa, 65% of pregnancies between 2015 and 2019 were unintended, and 36% ended in abortion.2 Despite the availability of highly effective contraception, the number of unplanned pregnancies remains high. Research indicates that women want to talk about a wide range of different aspects concerning their contraception.

Modern Medicine – Issue 4 2024

Contraception and Menopause Management during Lock down: An International Perspective

Contraception and Menopause Management during Lock down: An International Perspective

In most countries the second wave of the COVID pandemic is in full swing, with the result that the virtual management of patients has become even more important now than it was in the early part of the pandemic. Bayer AG recently hosted two international webinars on “Telemedicine in routine consultations,” to discuss how contraception, contraceptive counselling and menopause is addressed in various countries. Below are some excerpts from the discussions.

Modern Medicine – Issue 1 2021

Dispelling Myths and Misconceptions About Intrauterine Contraception

Dispelling Myths and Misconceptions: About Intrauterine Contraception

Intrauterine contraception is highly effective and is associated with low rates of unintended pregnancy. However, this form of contraception is not widely used, despite being recommended in clinical guidelines. Despite the evidence about intrauterine contraception (IUD) effectiveness and safety, myths and misconceptions about the methods persist.

Modern Medicine – Issue 3 2020

Effective Contraception and Fertility Planning Starts with Asking the Right Questions

Effective Contraception and Fertility Planning Starts with Asking the Right Questions

Unintended pregnancies pose a significant public health burden, so improvements in contraceptive counselling and care aim to improve fertility awareness. Pregnancy intentions are increasingly being assessed prospectively during clinic visits. Various initiatives are training clinicians to ask female patients about their intentions to become pregnant, and, depending upon the response, to initiate preconception care and/or contraceptive counselling.

Modern Medicine – Issue 2 2020

Combat Unintended Pregnancy, Especially in At-risk Patients

Combat Unintended Pregnancy,
Especially in At-risk Patients

Despite dramatic increases in the use of family planning worldwide, research shows that in both high-income and low-income settings a substantial proportion of pregnancies and births are unplanned or unwanted. Monitoring this is important because unintended pregnancies carry health implications for women and children. Levels of unintended pregnancy also partially indicate how successfully women’s contraceptive needs are met.

Modern Medicine – Issue 1 2020

Contraceptive Counselling More important now than ever before

Contraceptive Counselling More important now than ever before

Each year there are 193 million pregnancies worldwide, of which 85 million (44%) are unintended. Despite the availability of highly effective contraception, the number of unplanned pregnancies remains high. Research indicates that women want to talk about a wide range of different aspects of their contraception.

Modern Medicine – Issue 5 2019

Comprehensive Contraception Advice Helps Patients Make Better Choices

Comprehensive Contraception Advice Helps Patients Make Better Choices

Today, there is a broad range of effective contraceptive methods available. Women need access to accurate information about these different methods to choose an option that matches their individual needs regarding lifestyle, family planning, risk factors and non-contraceptive benefits. By counselling women, healthcare professionals (HCPs) may gain a better understanding of women’s lifestyle preferences and concerns, which may enable HCPs to prescribe the most appropriate contraceptive method.

Modern Medicine – Issue 4 2019

Current Choices of Hormonal Contraceptive What are the factors to consider?

Current Choices of Hormonal Contraceptive What are the factors to consider?

There is now a wide array of hormonal contraceptive options for women to choose from. GPs and other primary health providers are well placed to provide evidence based and balanced guidance to assist in appropriate individualised choice. Long-acting reversible contraception, particularly ‘fit and forget’ implants and intrauterine devices, provide very high efficacy, immediate reversibility and are safe for use by most women. They are, however, underused. Although most women can safely use combined hormonal contraceptives, history taking with reference to the international Medical Eligibility Criteria (MEC) framework is extremely important so that women at higher risk of venous thromboembolism, stroke and ischaemic heart disease can be offered alternative methods.

Modern Medicine – April/May 2019

Heavy Menstrual Bleeding Treatment and referral options

Heavy Menstrual Bleeding Treatment and referral options

Heavy menstrual bleeding affects about one in four women. Comprehensive assessment is essential to determine the likely cause of the bleeding and its impact on a woman’s life; it includes exclusion of anaemia, iron deficiency and reproductive tract cancer. After excluding malignancy, first-line management in primary care is with pharmaceutical treatments. Other treatment options include endometrial ablation and hysterectomy.

Modern Medicine – Feb/March 2019

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