{"id":1240,"date":"2016-04-21T15:15:17","date_gmt":"2016-04-21T13:15:17","guid":{"rendered":"http:\/\/www.modernmedia.co.za\/modernmedicine\/?p=1240"},"modified":"2016-04-21T15:15:17","modified_gmt":"2016-04-21T13:15:17","slug":"combined-ocps-choosing-the-right-one-for-your-patient","status":"publish","type":"post","link":"http:\/\/www.modernmedia.co.za\/modernmedicine\/?p=1240","title":{"rendered":"Combined OCPs Choosing the right one for your patient"},"content":{"rendered":"<p><a href=\"http:\/\/www.modernmedia.co.za\/modernmedicine\/DigitalEditions\/mm1604-april-2016\/index.html\" target=\"_blank\">Combined OCPs Choosing the right one for your patient \u2013 MM1604<\/a><\/p>\n<p>With so many combined oral contraceptive pills available, each patient must be\u00a0assessed individually to choose the right one. Noncontraceptive effects and side\u00a0effect profiles must be considered when making this choice.<br \/>\nThe progestogen component is responsible for the primary contraceptive\u00a0effect in a contraceptive preparation, while the oestrogen component of the\u00a0combined oral contraceptive pill (COCP) is associated with the more serious\u00a0side effects of venous thromboembolism and cardiovascular and cerebrovascular\u00a0events; however, it is responsible for the noncontraceptive benefits of the\u00a0COCP, such as improvements in acne, hirsutism and cycle control.\u00a0The qualities of a COCP are governed by the dose of the compounds it contains\u00a0and the interactions between them.<br \/>\nWhen starting a COCP, a woman should generally be commenced on a preparation\u00a0containing either levonorgestrel or norethisterone; however, if the initial\u00a0choice does not suit the patient or noncontraceptive benefits drive the decision,\u00a0a preparation containing one of the newer progestogens could be considered.\u00a0Monitoring for minor and major risk factors should occur every six months.<\/p>\n<p><em>Modern Medicine \u2013 April\u00a02016<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Combined OCPs Choosing the right one for your patient \u2013 MM1604 With so many combined oral contraceptive pills available, each patient must be\u00a0assessed individually to choose&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2},"beyondwords_generate_audio":"","beyondwords_project_id":"","beyondwords_content_id":"","beyondwords_preview_token":"","beyondwords_player_content":"","beyondwords_player_style":"","beyondwords_language_code":"","beyondwords_language_id":"","beyondwords_title_voice_id":"","beyondwords_body_voice_id":"","beyondwords_summary_voice_id":"","beyondwords_error_message":"","beyondwords_disabled":"","beyondwords_delete_content":"","beyondwords_podcast_id":"","beyondwords_hash":"","publish_post_to_speechkit":"","speechkit_hash":"","speechkit_generate_audio":"","speechkit_project_id":"","speechkit_podcast_id":"","speechkit_error_message":"","speechkit_disabled":"","speechkit_access_key":"","speechkit_error":"","speechkit_info":"","speechkit_response":"","speechkit_retries":"","speechkit_status":"","speechkit_updated_at":"","_speechkit_link":"","_speechkit_text":""},"categories":[53],"tags":[],"class_list":["post-1240","post","type-post","status-publish","format-standard","hentry","category-contraception"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5REYo-k0","_links":{"self":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1240","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1240"}],"version-history":[{"count":1,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1240\/revisions"}],"predecessor-version":[{"id":1241,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1240\/revisions\/1241"}],"wp:attachment":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1240"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1240"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1240"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}