American College of Obstetricians and Gynecologists Frequently Asked Questions: Pelvic Support Problems It is a common misconception that individuals with a history of ectopic pregnancy or ovarian cysts cannot use POPs, but they can use all forms of POP (UKMEC1; see Box 1, online). 5 The use of all effective contraceptive methods, including the POP, reduces the risk of pregnancy (including ectopic) when compared with not using any method. 5 3. Be Aware That Advice on Initiation Differs Between POPs It is important to explain the risks of taking the pill so that the patient is aware and can make an informed decision. Ovarian cysts Astăzi doresc să vă împărtășesc experiența pacientei mele, prima din lista celor care urmează tratamentul cu Saxenda, ca ajutor la un stil de viață sănătos. Faculty of Sexual & Reproductive Health. FSRH guideline: progestogen-only pills. London: FSRH, 2022. Available at: www.fsrh.org/standards-and-guidance/documents/cec-guideline-pop Reproduced with permission.

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Pessary: A removable device that is inserted into the vagina to support the pelvic organ(s) that have prolapsed.o alimentație corectă, din punct de vedere nutrițional și al porțiilor, ne ajută să trăim mai mult; Explain the advantages of the POP (non-invasive, effective, lighter periods, safe during breastfeeding)

Key Learning Points: Progestogen-only Pills - Medscape UK

Submit a voluntary report about any problems experienced with surgical mesh for repair of pelvic organ prolapse through Medwatch, the FDA Safety Information and Adverse Event Reporting program. Sunt avertismentele transmise de Dr. Oana Pop, medic specialist diabet zaharat, nutriție și boli metabolice, Hyperclinica Medlife, Oradea. Surgery to repair POP can be done through either the vagina or abdomen, using stitches (sutures) alone or with the addition of surgical mesh. Surgical options include restoring the normal position of the vagina, repairing the tissue around the vagina, permanently closing the vaginal canal with or without removing the uterus (colpocleiesis). One of the most significant changes to the FSRH POP guidance concerns missed pills. Missed-pill recommendations relating to the new DRSP-containing POP have also been added to the guideline—there is a need for extra caution with this POP, in part because of the use of placebo pills. These are the timings that constitute a missed POP: 5The following implementation actions are designed to support ICSs with the challenges involved in implementing new guidance at a system level. Our aim is to help you to consider how to deliver improvements to healthcare within the available resources. Patients understandably want to know how effective contraception is and this is often a major factor in their decision as to which type of contraception they want to use. As a result, it’s useful to know some basic statistics on efficacy. However, if you’re unsure, signpost the patient to a reliable source and don’t guess! Foarte important, dacă nu primiți indicație pentru el NU căutați să îl procurați fără prescriptie medicală deoarece poate duce la efecte nedorite! UKMEC3 conditions are those for which ‘the theoretical or proven risks usually outweigh the advantages of using the method. The provision of a method requires expert clinical judgement and/or referral to a specialist contraceptive provider , since use of the method is not usually recommended unless other more appropriate methods are not available or not acceptable ’ individuals with known hyperkalaemia or untreated hypoaldosteronism (for example, Addison’s disease)

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Using patient-friendly language, explain that the progesterone-only pill contains the hormone progesterone. Explain that different POPs contain different types of progesterone. If you have had transvaginal POP surgery but do not know whether your surgeon used mesh, ask your surgeon at your next scheduled visit. Additional Information The POP is useful if you can’t take oestrogen-containing medications such as the combined oral contraceptive pill.” Safe during breastfeeding Explain to the patient that there are three main types of POP in the UK, each containing different forms of progesterone:All four types of POP can be used from menarche to 55 years of age in medically eligible individuals, 5 but the FSRH’s UK medical eligibility criteria for contraceptive use (UKMEC) guidance 7 still applies to all POPs (including the DRSP-containing POP). In addition, there are some specific considerations around use of the DRSP-containing POP, outlined in the following sections, because of the risk of high potassium levels (hyperkalaemia) in susceptible individuals. 5 All POPs The guideline discusses double dosing of the DSG POP for problematic bleeding (giving patients 150 mcg rather than 75 mcg daily). 5 The FSRH states there is no robust evidence to suggest that this is effective for reducing unscheduled or heavy bleeding. 5 Pragmatically, however, it is worth noting that this double dose is the same as in certain combined oral contraceptives. 5 9. Consider POP initiation advice when choosing emergency contraception Downward displacement of the uterus from its normal position in the female reproductive tract. It can be classified by its severity: 1st degree: the cervix is within the vagina; 2nd degree: the cervix protrudes through the introitus; 3rd degree: the uterus and inverted vaginal walls lie outside of the vaginal introitus. Uterine prolapse is usually caused by relaxation of the tissues that provide support for the pelvic organs. Synonym: descensus uteri; hysteroptosia; procidentia Etiology Pelvic organ prolapse (POP) occurs when the tissue and muscles of the pelvic floor no longer support the pelvic organs resulting in the drop (prolapse) of the pelvic organs from their normal position. The pelvic organs include the vagina, cervix, uterus, bladder, urethra, and rectum. The bladder is the most commonly involved organ in pelvic organ prolapse. https://www.rodiabet.ro/dr-oana-pop-medic-specialist-diabet-zaharat-nutritie-si-boli-metabolice-denutritia-sau-subnutritia-este-o-stare-patologica-definita-printr-un-deficit-ponderal/

Progesterone-only Pill (POP) Counselling – OSCE guide

Take the pill as soon as you remember to take it and then take your next pill at the usual time you would take it. You will then be protected from pregnancy.” Nu înseamnă ca dacă o persoana suferă de obezitate automat are indicație! Analizele realizate pot să contraindice administrarea!The DRSP POP should not be used by individuals with severe renal insufficiency or acute renal failure, as it is contraindicated. 5 The FSRH also recommends that it should be avoided by: 5 Use additional contraceptive precautions (e.g. condoms) for 48 hours after correct pill-taking has restarted To start off with, you may experience some side effects such as a headache, nausea, mood changes or breast tenderness.” ¹ Change in periods https://www.cardiologiemoderna.ro/dr-oana-pop-hyperclinica-medlife-oradea-pentru-a-preveni-diabetul-ca-boala-cronica-intai-trebuie-tratata-obezitatea/