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Birth control advocate has profound effect

Dr Oliver Lynn

Dr Oliver Lynn — a Drogheda vasectomist — reports on the recent conference in Dublin to launch Ceravette and the address by Prof John Guillebaud

There is nothing more pro-life than family planning. That’s according to John Guillebaud, Emeritus Professor of Family Planning and Reproductive Health, UCL, at the launch of Cerazette recently in Dublin.

Professor Guillebaud is well known to the family planning fraternity here. He has been lecturing here on almost an annual basis since 1979 (I first heard of him in 1985). He has had a profound effect on my life and on my work. This year he is celebrating 40 years as a vasectomist in Oxford.

I would rate him as one of the best speakers I have ever heard. His passion, authority, eloquence, humour and mastery of technology leads to a very powerful presentation. To top that, he has a wonderful speaking voice. “What an amazing technology family planning is,” he said, “It was invented just in the nick of time to save the planet.”

However he is disappointed that his message isn’t having more of an effect with governments, planners, organisations, etc. Medical science has engineered the technology to enhance and prolong life, i.e. death control.

Birth control
We also have developed wonderful contraceptive technology, such as birth control, but unless it is used wisely and widely, the planet is under threat!

He reminded us that there are now 15 methods of contraception (‘to have orgasms without having babies’) and we as health professionals must help our patients to choose wisely a method tailored to suit their needs.

He reminds us that the planet gets an additional 80 million people per year (approximately the population of of Germany) and this is simply not sustainable!

What does he say about Cerazette, the new Progestogen-only pill (POP) contraceptive pill – but not so new really because it has been available for the last seven years on the UK market and has about 20 - 25 per cent of the oral contraceptive market. He says: “Cerazette is safer medically that the combined pill: safer contraceptively than the old POP.” He says it is easier to take than the combined pill and there is no pill-free interval. Put simply, the regime is a lot simpler than the old pill; you just take a pill every day.

To adapt an old proverb: “A pill a day keeps the baby away.”

The pill free interval
On reflection the pill-free interval with the combined pill was a mistake – put in by pioneering gynaecologist John Rock, who incidentally was a staunch Catholic. He hoped that this regime would be acceptable to the Pope in the late 1960s. It wasn’t, and Rock’s religious fervour declined! Lengthening the pill-free interval in the combined oral contraceptive pill is the commonest cause of contraceptive failure.
So what are the other advantages of Cerazette? Well, it can be taken during breast-feeding and can be continued when breast-feeding is finished.

It is a simple regime for teens, although the long acting reversible contraceptives (LARCs) such as Implanon, Mirena, and Depo nuvaring, he feels, are better for them.
He sees Cerazette as a bridge between the combined oral contraceptive and the LARCs. There is no interaction with antibiotics, and a script can be given for a year. It has no impact on blood pressure. He cautions with the use of enzyme inducers (St John’s Wort being particularly enzyme inducible).

He also cautions doctors about guidance to patients - emphasising the need to tell patients that the pill must be taken every day. Breast cancer is a no-no, as is migraine with aura!

He says ‘sex is hot but contraception is cold’. He certainly heats up contraception in a way that challenges us to take this very serious subject even more seriously every time I hear him. Family Planning is a serious business. He has made it his life’s purpose to promote family planning and to help save the planet.

Family planning
He maintains that ‘family planning can bring more benefits to more people at less cost than any other technology’.

What a great impact he has made on us in Ireland. He has brought forward our thinking and persuaded us that ‘there is nothing more pro-life than family planning’.

Posted in Women's Health on 15 October 2009
Tags: birth

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Is it true that antibiotics do not reduce the effectiveness of Cerazette mini pill?

Posted by: Joanne Murphy on Thursday 28 January 2010

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Irish Medical Times | Clinical TImes | Birth control advocate has profound effect

Categories

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abortion, accupuncture, ACE inhibitors, acne, ADHD, alcohol, allergies, Alzheimer's, anaemia, anaethesia, anorexia, antibiotics, antidepressants, antihistamine, anxiety, appetite control, arthritis, ASCOT, aspirin, asthma, atherosclerosis, autism, autoantibodies, back pain, beta carotene, beta-blockers, bipolar disorder, birth, bleeding, blindness, blood pressure, body dysmorphic disorder, body mass, breast cancer, breast feeding, bronchitis, Caesarean section, calcium, cancer, carcinogens, carcinoma, cardiac syncope, cardiolgy, cataracts, cervical cancer, chemotherapy, child psychiatry, children, cholesterol, clinical trial, clopidogrel, Clostridium difficile, cognitive behavioural therapy, colectomy, colic, colorectal cancer, complementary and alternative therapies, contraception, COPD, coronary care, coronary stents, Crohn's, cystic fibrosis, defibrillator, dementia, depression, dermatology, diabetes management, diet, disability, DNA, Down's syndrome, eating disorders, echinacea, ECT, eczema, elderly people, endoscopy, epilepsy, erectile dysfunction, euthanasia, exercise, fat, fertility, fitness, flu pandemic, fluoxetine, folic acid, food labelling, fracture, fragile X syndrome, general surgery, genetics, gerontology, GIK infusion therapy, GORD, gout, haemodialysis, hearing, heart attack, heart disease, heart failure, heart health, hepatitis, HIV, hospital care, HPV, HRT, hyperglycaemia, hypertension, hypoglycaemia, IBD, ICU, incontinence, infant, infant mortality, infection, inflammatory bowel disease, influenza, invasive candidiasis, IQ, Irish Heart Foundation, irritable bowel syndrome, keyhole surgery, kidney disease, laser, learning difficulties, leukaemia, liver disease, lumbar disk herniation, lung cancer, lung disease, lymph nodes, macular degeneration, macular oedema, magnetic resonance imaging (MRI), malaria, malnutrition, Marfan syndrome, media, medical ethics, medical research, medication, meningitis, mental illness, metabolic syndrome, migraine, miscarriage, mortality rate, MRSA, multiple sclerosis (MS), NCHDs, nephrology, neurology, OAB, obesity, obstetrics, occupational health, ocular medicine, omega-3, opthalmology, oral cancer, organ transplantation, orthopaedics, osteoporosis, otolaryngology, ovarian cancer, paediatrics, pain management, pancreatic cancer, panic, Parkinson’s disease, patient safety, patient-physician communication, personality disorders, physiotherapy, plastic surgery, polio, practice, pre-eclampsia, pregnancy, preventative health care, probiotics, prostate cancer, psoriasis, psychiatric admission, psychiatry, psychotherapy, PTSD, public health, quality of life, radiology, radiotherapy, rectal cancer, reproductive health, research, resuscitation, rheumatoid arthritis, rheumatology, rhinitis, salt, SARS, schizophrenia, screening, seizures, self harm, sexual abuse, sexual health, sexually transmitted infections, SGA, sinusitis, skin cancer, sleep disorders, smoking, smoking ban, spinal injury, sports medicine, statins, stress, stroke, substance abuse, suicide, supplement, surgery, syncope, technology, teenagers, testosterone, thoracic surgery, thrombosis, thyroid cancer, tonsillectomy, tonsillitis, Tourette's syndrome, toxicology, travel medicine, tuberculosis, tumour angiogenesis, type 1 diabetes, type 2 diabetes, ulcer, ulcerative colitis, urinary incontinence, vaccine, vitamins, weight, WHO, women's health, World Health Assembly

«Previous article | Next article»

Birth control advocate has profound effect

Dr Oliver Lynn

Dr Oliver Lynn — a Drogheda vasectomist — reports on the recent conference in Dublin to launch Ceravette and the address by Prof John Guillebaud

There is nothing more pro-life than family planning. That’s according to John Guillebaud, Emeritus Professor of Family Planning and Reproductive Health, UCL, at the launch of Cerazette recently in Dublin.

Professor Guillebaud is well known to the family planning fraternity here. He has been lecturing here on almost an annual basis since 1979 (I first heard of him in 1985). He has had a profound effect on my life and on my work. This year he is celebrating 40 years as a vasectomist in Oxford.

I would rate him as one of the best speakers I have ever heard. His passion, authority, eloquence, humour and mastery of technology leads to a very powerful presentation. To top that, he has a wonderful speaking voice. “What an amazing technology family planning is,” he said, “It was invented just in the nick of time to save the planet.”

However he is disappointed that his message isn’t having more of an effect with governments, planners, organisations, etc. Medical science has engineered the technology to enhance and prolong life, i.e. death control.

Birth control
We also have developed wonderful contraceptive technology, such as birth control, but unless it is used wisely and widely, the planet is under threat!

He reminded us that there are now 15 methods of contraception (‘to have orgasms without having babies’) and we as health professionals must help our patients to choose wisely a method tailored to suit their needs.

He reminds us that the planet gets an additional 80 million people per year (approximately the population of of Germany) and this is simply not sustainable!

What does he say about Cerazette, the new Progestogen-only pill (POP) contraceptive pill – but not so new really because it has been available for the last seven years on the UK market and has about 20 - 25 per cent of the oral contraceptive market. He says: “Cerazette is safer medically that the combined pill: safer contraceptively than the old POP.” He says it is easier to take than the combined pill and there is no pill-free interval. Put simply, the regime is a lot simpler than the old pill; you just take a pill every day.

To adapt an old proverb: “A pill a day keeps the baby away.”

The pill free interval
On reflection the pill-free interval with the combined pill was a mistake – put in by pioneering gynaecologist John Rock, who incidentally was a staunch Catholic. He hoped that this regime would be acceptable to the Pope in the late 1960s. It wasn’t, and Rock’s religious fervour declined! Lengthening the pill-free interval in the combined oral contraceptive pill is the commonest cause of contraceptive failure.
So what are the other advantages of Cerazette? Well, it can be taken during breast-feeding and can be continued when breast-feeding is finished.

It is a simple regime for teens, although the long acting reversible contraceptives (LARCs) such as Implanon, Mirena, and Depo nuvaring, he feels, are better for them.
He sees Cerazette as a bridge between the combined oral contraceptive and the LARCs. There is no interaction with antibiotics, and a script can be given for a year. It has no impact on blood pressure. He cautions with the use of enzyme inducers (St John’s Wort being particularly enzyme inducible).

He also cautions doctors about guidance to patients - emphasising the need to tell patients that the pill must be taken every day. Breast cancer is a no-no, as is migraine with aura!

He says ‘sex is hot but contraception is cold’. He certainly heats up contraception in a way that challenges us to take this very serious subject even more seriously every time I hear him. Family Planning is a serious business. He has made it his life’s purpose to promote family planning and to help save the planet.

Family planning
He maintains that ‘family planning can bring more benefits to more people at less cost than any other technology’.

What a great impact he has made on us in Ireland. He has brought forward our thinking and persuaded us that ‘there is nothing more pro-life than family planning’.

Posted in Women's Health on 15 October 2009
Tags: birth

Comments

Is it true that antibiotics do not reduce the effectiveness of Cerazette mini pill?

Posted by: Joanne Murphy on Thursday 28 January 2010

Leave a comment

(If you haven't left a comment here before, you may need to be approved by the site owner before your comment will appear. Until then, it won't appear on the entry. Thanks for waiting.)

Name

Email address (Email address will not be shown)

URL

Remember personal info?

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More articles from IMT Clinical Times