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FSRH CEU response to European Medicines Agency recommendations regarding use of ulipristal acetate for management of uterine fibroids

File size: 225kb | Date: 12 February 2018 | Clinical Statements - PDF

The European Medicines Agency (EMA) is currently reviewing the safety of use of Esmya® (ulipristal acetate) for management of uterine fibroids. This review follows reports of a very small number of cases worldwide of serious liver injury in women using Esmya. Until the review process is complete, temporary restrictions have been placed on commencing treatment with Esmya and guidelines for monitoring liver function in women already taking Esmya have been introduced. The EMA recommendations are available at:

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FSRH CEU Statement: Response to Study Intrauterine Contraception Use and Cervical Cancer Risk - January 2018

File size: 139kb | Date: 18 January 2018 | Clinical Statements - PDF

This statement responds to a recent study that reported that women who had used intrauterine contraception (IUC) were over one third less likely to experience invasive cervical cancer than women who had not used IUC. The study has received media attention and the FSRH CEU considered it important to put the findings into perspective. January 2018

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FSRH CEU Statement: Response to Study Contemporary Hormonal Contraception and the Risk of Breast Cancer

File size: 472kb | Date: 11 December 2017 | Clinical Statements - PDF

FSRH's Clinical Effectiveness Unit (CEU) reviews an observational study published in the New England Journal of Medicine. The study reports that, in the Danish study population, women who were currently using any method of hormonal contraception* (HC) or had done so within the last 6 months were 20% more likely to be diagnosed with breast cancer than those who had never used HC.

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CEU Statement: Weight and contraception (April 2017)

File size: 212kb | Date: 24 April 2017 | Clinical Statements - PDF

This statement summarises the available evidence regarding how contraception may affect a woman’s weight and how a woman’s weight may affect contraceptive efficacy. Looking at each method individually, the CEU advises clinicians on what proven and theoretical associations exist between contraception and weight.

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FSRH CEU Statement: Management of women taking anticoagulants or antiplatelet medications who request intrauterine contraception or subdermal implants - March 2017

File size: 292kb | Date: 29 March 2017 | Clinical Statements - PDF

This statement aims to encourage the consistent and safe management of women requesting intrauterine contraception (IUC) and subdermal implants (SDI) who are taking anticoagulants or antiplatelet medications. It is primarily aimed at clinicians working in primary care and community sexual and reproductive health clinics.

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CEU Statement: UK MEC 2016 Update (March 2017)

File size: 171kb | Date: 28 March 2017 | Clinical Statements - PDF

Change of UKMEC category for use of progestogen-only injectable contraception by women at high risk of HIV infection from UKMEC1 to UKMEC2