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Sexual health

New combined hormonal contraception guideline and its impact on prescribing practice

02 July 2019

Clinical Focus

02 July 2019

Volume 1 · Issue 7

ISSN (print): 2631-8385

ISSN (online): 2631-8393

Abstract

The Clinical Effectiveness Unit of the Faculty of Sexual and Reproductive Healthcare (FSRH) regularly develops and updates national clinical guidelines. The most recent updated guideline on combined hormonal contraception details the new evidence and suggests recommendations for clinical practice based on this evidence. This guideline will influence clinical and prescribing practice within the speciality of sexual and reproductive health and primary care. This article will critically analyse the impact this updated guideline will have on prescribing practice and will evaluate how the implementation of the recommendations will be influenced by the multidisciplinary team.

Various resources, support and guidance are available to enable safe prescribing practice in sexual and reproductive health. The speciality is supported by the Faculty of Sexual and Reproductive Healthcare (FSRH) evidence-based clinical guidance, clinical and service standards, members' enquiry email service and UK Medical Eligibility Criteria (UKMEC) for contraceptive use (FSRH, 2018).

These resources should be used in conjunction with other prescribing resources such as local formularies (eg Lothian Joint Formulary), summaries of product characteristics and the British National Formulary to ensure that prescribing practice meets local and national guidance and expectations so that patients receive consistent information and administration of medication (Akici and Sirvanci, 2012).

The combined hormonal contraception national guidance document provides evidence-based advice on contraindications, risks, recommendations for clinicians, consultation requirements and prescribing guidance (FSRH, 2019). Local prescribing resources advise on current recommendations for first- and second-line drug choices taking into consideration cost, local availability, new drug decisions and best practice (NHS Lothian Joint Formulary, 2011).

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combined hormonal contraception

prescribing contraception

contraceptive guidelines