Contraception: Your Questions Answered 7E

Authors: John Guillebaud, Anne MacGregor
Publisher: Elsevier
Edition: 7
Publish Year: 2017
ISBN: 9780702070006

This seventh edition has been completely revised and updated, incorporating relevant WHO and national guidance documents: therefore imparting best evidence-based practice for all methods.

-Combined oral contraceptives (COCs) Based on the long-established evidence that 7 days of routinely not-taking pills in each cycle is too long for maintained ovarian suppression - and this necessarily leads to too little margin for errors in pill-taking - the authors recommend that providers switch to a new norm for all users of either:
-Tricycling, the 84/4 regimen, or totally continuous use (365/365),
-OR, for women who remain keen to see monthly pill-bleeds (which are completely unnecessary for health), one of the regimens (24/4 or 21/4) that shorten the contraception-non-taking time to 4 days