Episode 2 continues our four-part series on contraception for women featuring Dr Deirdre Lundy, Coordinator of Reproductive and Sexual Health Courses for the Irish College of General Practitioners.

This episode reviews two common GP cases:

• The late teen seeking oral contraception for the first time
• The woman in her early 20s seeking a switch from oral contraception to a longer-acting reversible form (LARC) - implanon

 

As usual, Deirdre offers lots of useful clinical pearls, focusing in particular on breakthrough bleeding (BTB) including:

• Initial consultation counseling and proactive steps
• Management of persistent BTB including use of adjunct hormonal contraception
• Differential considerations

 

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Episode 2 Selected Websites:

Irish Family Planning Association: https://www.ifpa.ie/

HSE Contraception Website: http://www.thinkcontraception.ie/Contraception-Choices.2.1.aspx

Wellwoman Website: http://wellwomancentre.ie/

NICE Breakthrough Bleeding Guidelines: https://www.nice.org.uk/guidance/cg44

RCOG Advice for Heavy Menstrual Bleeding: https://www.rcog.org.uk/en/guidelines-research-services/audit-quality-improvement/national-hmb-audit/