Case scenario

Amanda, 27, visits your pharmacy to buy condoms. She mentions to you that she is getting married in a couple of months and that, as luck would have it, her menstrual period is due the day before her wedding. She asks if there is anything she can do to delay her period until after her honeymoon – the week after the wedding.

Learning objectives

After successful completion of this CPD activity, pharmacists should be able to:

  • Describe the properties of various steroid compounds used in oral contraceptive pills available in Australia
  • Discuss the complimentary effects of estrogens and progestogens when used in combined oral contraceptive pills
  • Describe how pharmacists can help women using oral contraception.

Competency standards (2016) addressed: 1.1, 1.4, 1.5, 2.2, 3.1, 3.5

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Introduction

When oral contraceptive pills are taken correctly, they provide up to 99% protection from conception, though the typical effectiveness in real-life users is closer to 91%.1 Focus has shifted recently to the advantages of long-acting reversible contraceptives, such as intrauterine devices and contraceptive implants, because of their convenience and higher efficacy. A 2012 survey2 indicated that approximately 70% of more than 3,900 contraceptive consultations in Australian general practice settings were related to oral contraception, suggesting that oral contraception remains an important option for Australian women. Knowledge of the differences between various preparations of combined oral contraceptive pills (COCPs), and their

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