Contraception & Sexual Health Update - 7 March 2020 - Gateshead

Date: 07 Mar 2020

Start time: 08:45AM

End time: 01:00PM

Venue: The Lancastrian Suite

Lancaster Road

Dunston

Gateshead

NE11 9JR

Cost: £55

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Contraception & Sexual Health Update - 7 March 2020 - Gateshead

Topics

  • Contraception

You are invited to attend the following Primary Care programme. A Certificate of Attendance will be issued along with a Personal Development Plan summary form, which will be supplied for your portfolio. Lecture notes provided by the speaker will be available to download.

The programme covers the requirements of CPD for the Faculty of Sexual & Reproductive Health Care.

FORMAT: “Interactive Learning” with consideration of case cameos in small groups and ample time for

Programme

 

08.45

Registration & Refreshments 

9.15

Session A: Contraception Matters: for the future as well as for families

Planning could bring more benefits to more people at less cost, than any single technology now available to the human race (James Grant of Unicef, 1992)

Session B. Things to be ‘unlearned’: for example, that combined hormonal contraception (CHC) taken in the 21/7 regimen as marketed for the past 60 years is a good choice.

There better regimens (63/4 & 365[0]), also methods that are better. Above all, IUCs (generic for IUDs, IUBs and the new IUB) are seen as contraceptive ‘jewels’ by many women,
once tried, including - contrary to past teaching - nulliparae. How can it be, that IUCs are now rarely offered in UK General Practice and IUC-trained providers are becoming deskilled?

Session C. Things to learn: the new methods, which to fight for, to use in selected cases - and which are not of special interest?

Also fresh insights on how to provide the old ones, including establishing ‘open house’ protocols to replace routine follow-ups.

 10.45

Refreshments

 11.15

 Session D. Consideration of contraceptive choices:

  • In preventing teenage conceptions: much more to it than optimum use of current contraceptive technology, though the LARCs certainly help.

  • For women around the menopause: and when to cease, if using a menses-masking method

  • After abortion, full-term pregnancy and in lactation

  • Whenever there is no reliable LMP: the Proving Not Pregnant Protocol

  • When ‘quick-starting’ and ‘bridging’: as should now be the norm

  • For emergency contraception (EC): how can any service be deemed ‘adequate’ if the most effective (copper) EC method is essentially not available, in a timely way?

  • When there is problematic bleeding with any method especially implants: the ‘D Check-list’ to diagnose, avoidance of norethisterone to treat

  • During assorted diseases and common ‘dis-eases’: egs - migraine aura, high body mass

  • When there are potential drug interactions: the other drug reducing the efficacy of a CHC or the reverse, its own efficacy (or safety) altered by the CHC

  • Where exceptional efficacy needed [= IUC or implant]: Rx with valproate, oral retinoids

  • Including vasectomy by no-scalpel methods: 5 times as effective as female sterilization. NB: World Vasectomy Day is November 17!

  • In a concluding summary: 20+ messages which may change your practice (or not, if you were already up to speed!)

 1.00pm

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