An Introduction To Family Planning?

That's a rhetorical question mark, not just because I wasn't quite sure what the plenary title was.

1.3.06

Sexual health: The enjoyment of sexual activity of one's choice without causing/suffering physical/mental harm.

Contraceptive consultation - different?
• Clients, not patients.
• Discussing intimate details.
-Embarrassed/confused/worried/afraid.
• Legal and ethical aspects.
-Privacy/confidentiality/consent/abuse.
• Non-judgemental.
• Informed choice.

Access to services
• Own GP.
• Any other GP.
• Community-based service/clinics.
• Some hospital-based services - genito-urinary medicine, accident and emergency.

Fully integrated sexual health service
• Contraception.
• GUM.
• Gynaecology.
• GP.
• Infectious diseases.

Ideal contraceptive method.
• 100% effective.
• 100% safe.
• Easy to use - minimal medical intervention.
• Readily/easily available.
• Effective immediately.
• Rapidly reversible.
• No side effects.
• Not coitus-related.
• Protection against STIs.
• Cheap.

Condoms - male/female.

Contraceptive pills
• "The pill" - combined oral contraception.
• Progesterone-only contraception.
• Emergency hormonal contraception.

Progesterone-only methods
• Sub-dermal implants.

Male contraception
• Spermatogenesis.
-Hypothalamus - anterior pituitary - testes.
-Sperm production versus testosterone.
• Hormonal: oral/injectable.
• Non-hormonal: gossypol, tripterygium wilfordii.
• Other methods:
1. Heat.
2. Ultrasound.

Sterilisation
• Female.
-Variety of methods of tubal occlusion.
-Crest study - ?efficacy.
• Male.
-Advantages.
-Methods.

Websites
• www.ffprhc.org.uk
• www.fpa.org.uk