Cuts, Closures and Contraception

Advisory Group on Contraception, November 2017

The Advisory Group on Contraception (AGC) conducted an FOI audit of all 152 upper and unitary tier local authorities over the summer of 2017. The findings of the report show local authority contraception budgets are being cut and that contraceptive care services have closed or are under threat in more than one third of English local councils since 2015, with the pace of closures accelerating.

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Safety and efficacy of hysteroscopic sterilization compared with laparoscopic sterilization: an observational cohort study

BMJ, 13 October 2015

The objective of this study was to compare the safety and efficacy of hysteroscopic sterilization with the “Essure” device with laparoscopic sterilization in a large, all-inclusive, state cohort.  The study concludes that patients undergoing hysteroscopic sterilization have a similar risk of unintended pregnancy but a more than 10-fold higher risk of undergoing reoperation compared with patients undergoing laparoscopic sterilization. Benefits and risks of both procedures should be discussed with patients for informed decisions making.

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Use of combined oral contraceptives and risk of venous thromboembolism: nested case-control studies using the QResearch and CPRD databases

BMJ, 26 May 2015

This study, designed as two nested case control studies, aims to investigate the association between use of combined oral contraceptives and risk of venous thromboembolism, taking the type of progestogen into account.  The study concluded that inn these population based, case-control studies using two large primary care databases, risks of venous thromboembolism associated with combined oral contraceptives were, with the exception of norgestimate, higher for newer drug preparations than for second generation drugs.

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