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Info for Her.

Dr Blanks, celebrates the option of a vasectomy for couples considering great contraceptive alternatives. Aside from vasectomies being a go-to option for individuals not wanting to parent anymore children (or any children for that matter) the underlying health message of Dr Blanks aims to increase awareness and decrease the health burden that hormonal contraceptives may impose upon women today.

Here at Dr Blanks we believe that the more information and options available for men when it comes to great contraception will also improve and promote better health and wellbeing for women. We hope that when women are feeling that they may have run out of appropriate and safe contraception, that a vasectomy is an effective option to be considered and discussed. We also hope that vasectomies may also be considered more and more as a first line choice for couples who seek a great alternative to the mainstream hormonal contraceptives available today.

6 contraceptives and their potential hazards

Dr Blanks stands for the better health and wellbeing of all women in Australia. Men who choose to have their vasectomy with Dr Blanks will therefore be championing the greater vision; that by supporting each other we are stronger and better together.

Information for women.

There are women in the community that should not be taking certain contraceptives as they may pose an unacceptable safety risk to their health and wellbeing. Dr Blanks has compiled the below key information for the 6 different contraceptive classes for women to help you and your partner have an informed discussion with your General Practitioner before making any changes. These have been compiled using the UKMEC guidelines.

Dr Blanks’ Medical Red Flags for classes of female contraceptives: When Not to Take and speak to your GP for further advice and management.

Combined oral contraceptive pills (COCP):

  • Women who are breastfeeding in the first 6 weeks after giving birth.
  • Women within 6 weeks of giving birth.
  • Women 35 years of age or above who smoke.
  • Migraine with aura at any age.
  • Consider an alternative contraceptive even if you have migraine without aura.
  • If you have quit smoking you may consider taking the combined pill again only after 12 months of being smoke free.
  • Women with past breast cancer or current breast cancer.
  • Women with undiagnosed breast lumps/breast symptoms.
  • Carriers of known breast mutations associated with breast cancer eg. BRCA1/BRACA2.
  • A BMI of greater than or equal to 35kg/m2.
  • Women who have multiple risk factors for cardiovascular disease (such as smoking, diabetes, high blood pressure, obesity or issues with high cholesterol.
  • Women with complicated valvular and congenital heart disease (pulmonary hypertension, bacterial endocarditis).
  • If you have high blood pressure discuss with your GP about alternatives to the combined pill.
  • Women with cardiomyopathy who have impaired cardiac function.
  • Women with atrial fibrillation.
  • Women with vascular disease (abnormal conditions of the arteries or veins).
  • Women with a current or past history of ischaemic heart disease.
  • Women with a history of stroke.
  • Women with a history of venous thromboembolism or current thromboembolism who are on blood thinners.
  • Women with a first degree relative less than the age of 45 who has had a clot.
  • Women who have had major surgery with prolonged immobilisation eg wheelchair, lying in bed.
  • Women with known gene mutations that cause clots (thrombosis) e.g. factor V leiden, prothombin mutation, protein S, protein C and antithrombin deficiencies.
  • Women with symptomatic gallbladder disease or a history of cholestasis.
  • Women with severe (decompensated) liver cirrhosis.
  • Women with liver tumours (hepatocellular adenoma, hepatocellular carcinoma).
  • Women with systemic lupus erythematosis (SLE) and positive antiphospholipid antibodies.
  • Women with organ transplants complicated by graft failure/rejection, cardiac allograft vasculopathy.
  • Women with a history of nephropathy/retinopathy/neuropathy.
  • Women are advised not to start the COCP during a flare up of acute hepatitis.

Progesterone only pills (POP)

  • Specialist medical advice is recommended before continuing with a POP if you have ischaemic heart disease or have had it in the past.
  • Seek specialist medical advice before continuing a POP if you have had a stroke including a transient ischaemic attack (TIA).
  • A past or current history of breast cancer.
  • Severe (decompensated) liver failure.
  • Liver cancer (hepatocellular adenocarcinoma) or (hepatocellular carcinoma).

Progesterone injectable (DMPA)

  • Seek specialist medical advice if you have multiple cardiovascular disease risk factors (smoking , diabetes, high blood pressure, obesity and high cholesterol). The risks of taking the injectable if you have these conditions likely outweigh the benefits.
  • Current vascular disease (abnormal conditions affecting the arteries or veins in the body).
  • Current history of iscahaemic heart disease.
  • History of stroke.
  • Unexplained vaginal bleeding needs to be evaluated before commencing or continuing a DMPA.
  • Current or past breast cancer.
  • Severe (Decompensated) liver cirrhosis.
  • Liver cancer (hepatocellular adenocarcinoma) or (hepatocellular carcinoma).

Progesterone only implant (IMP)

  • Seek medical advice if you have a history of cardiovascular disease or stroke and have an implant in your body.
  • Unexplained vaginal bleeding needs to be investigated before continuing with having an implant.
  • Current or past breast cancer.
  • Severe (Decompensated) liver cirrhosis.
  • Liver cancer (hepatocellular adenocarcinoma) or (hepatocellular carcinoma).

Levonorgestrel-releasing intrauterine system (LNG-IUS)

  • Not to be inserted from 48hrs after delivery of child to 4 weeks after delivery.
  • Not to be inserted in postpartum sepsis.
  • Not to be inserted in post abortion sepsis.
  • Postpartum endometritis.
  • Not to be inserted during complicated graft failure, rejection or cardiac allograft vasculopathy.
  • Current or history of iscahemic heart disease.
  • History of stroke or transient ischaemic attack (TIA).
  • Not to be inserted in women with long QT syndrome.
  • Decreasing bHCG levels.
  • Not to be inserted during unexplained or suspicious vaginal bleeding.
  • Not to be inserted during persistently elevated bHCG levels or malignant disease.
  • Not to be inserted when waiting for cervical cancer treatment.
  • Current or past breast cancer treatment.
  • Not to be inserted if woman has endometrial cancer.
  • Radical trachelectomy.
  • Uterine fibroids WITH distortion of uterine cavity.
  • Any anatomical cervical abnormality causing distortion of the uterine cavity.
  • Not to be inserted with current Pelvic Inflammatory Disease (PID).
  • Current chlamydial infection (both symptomatic and asymptomatic).
  • Not to be inserted during purulent cervicitis or gonorrhea.

Copper Intrauterine Device (IUD)

  • Not to be inserted from 48hrs after delivery of child to 4 weeks after delivery.
  • Not to be inserted in postpartum sepsis.
  • Not to be inserted in post abortion sepsis.
  • Not to be inserted during complicated graft failure, rejection or cardiac allograft vasculopathy.
  • Not to be inserted in women with long QT syndrome.
  • Not to be inserted during unexplained or suspicious vaginal bleeding.
  • Decreasing bHCG levels.
  • Not to be inserted during persistently elevated bHCG levels or malignant disease.
  • Radical trachelectomy.
  • Not to be inserted when waiting for cervical cancer treatment.
  • Not to be inserted if woman has endometrial cancer.
  • Uterine fibroids WITH distortion of uterine cavity.
  • Any anatomical cervical abnormality causing distortion of the uterine cavity.
  • Not to be inserted with current Pelvic Inflammatory Disease (PID).
  • Current chlamydial infection (both symptomatic and asymptomatic).
  • Not to be inserted during purulent cervicitis or gonorrhea.
female contraceptives

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