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Dr. Iñaki Lete Jefe de Servicio de Ginecología Hospital Santiago. Vitoria

How to prescribe ?. Dr. Iñaki Lete Jefe de Servicio de Ginecología Hospital Santiago. Vitoria. What to consider. Contraceptive needs. Non contraceptive benefits. EBM. Prescription. 1 .- Contraceptive needs. Contraceptive needs of U.S. women. Easy to use, 91% Sure, 90%

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Dr. Iñaki Lete Jefe de Servicio de Ginecología Hospital Santiago. Vitoria

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  1. How to prescribe ? Dr. Iñaki Lete Jefe de Servicio de Ginecología Hospital Santiago. Vitoria

  2. What to consider Contraceptive needs Non contraceptive benefits EBM Prescription Servicio de Ginecología

  3. 1.- Contraceptive needs Servicio de Ginecología

  4. Contraceptive needs of U.S. women • Easy to use, 91% • Sure, 90% • Reliable, 89% • Without side effects, 85% • Non hormonal, 63% • Monthly administration, 62% www.drkop.com/news/special-reports/birthcontrol Servicio de Ginecología

  5. Contraceptive needs of Spanish women • Reliable, 72,2% • Sure, 18% • Good bleeding pattern, 8,5% • Comfortable, 0,8% • Cheep, 0,4% Haya J y cols. Preferencias anticonceptivas en la mujer que solicita anticoncepción. Toko-Gin Pract 2003;62:279-84. Servicio de Ginecología

  6. Needs of women • Efficacy • No side effects • Easy to use. Comfortable • Confidence with the method Servicio de Ginecología

  7. Efficacy Method Pearl Index < 1 2 - 10 > 10 Hormonal Combined Minipill Implant Injectable IUD Condom Sterilization Withdrawal + + + + + + + + Servicio de Ginecología

  8. Side effects Method Bleeding disorders Weight gain Pain Hormonal Combined Minipill Implant Injectable IUD Condom Sterilization Withdrawal + + + + + + Servicio de Ginecología

  9. Easy to use Method Needs compliance Yes Hormonal Combined Minipill Implant Injectable IUD Condom Sterilization Withdrawal + + + + Servicio de Ginecología

  10. Effectiveness Method Pearl Index < 1 2 - 10 > 10 Hormonal Combined Minipill Implant Injectable IUD Condom Sterilization Withdrawal + + + + + + + + Servicio de Ginecología

  11. Confidence with the contraceptive methodHave you ever been relieved when period started? The TNS Nippo Study. European survey about the confidence on contraception and the emotional consequences of forgetting the pill. N=8531 women & men. Servicio de Ginecología

  12. 2.- Non contraceptive benefits Servicio de Ginecología

  13. Adolescence • Can we prevent STD and to preserve the fertility ? Servicio de Ginecología

  14. Perimenopause • Can We: • To prevent osteoporosis • To treat the menorrhagia • To prevent some genital cancers Servicio de Ginecología

  15. + Servicio de Ginecología

  16. 3.- EBM Servicio de Ginecología

  17. Medical eligibilitycriteria • Category 1: any restriction • Category 2: benefits > risks • Category 3: risks > benefits • Category 4: only under further evaluation Servicio de Ginecología

  18. Conclusions • The prescription of any contraceptive method is a two way process • The most important fact is to listen the women and men and to discuss the advantages and risks of the contraceptive methods • Any medical analysis, exploration, smear…. can supply the adequate information Servicio de Ginecología

  19. How to prescribe ? Prescription Servicio de Ginecología

  20. How to prescribe ? Contraception Servicio de Ginecología

  21. How to prescribe ? Family Planning Servicio de Ginecología

  22. How to prescribe ? Reproductive Health Care Servicio de Ginecología

  23. How to prescribe ? Human Rights Servicio de Ginecología

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