Notes for: ContraceptivesLast edited [26/03/2014 14:38:37]Drug Safety Update Feb'14 advice
Notes for: Contraceptive DevicesLast edited [04/07/2012 09:33:48]
Vaginal contraceptive caps and diaphragms
Caps and diaphragms are used infrequently. Advice on choice, prescription and fitting of caps and diaphragms should be obtained from a Specialist (primary or secondary care) in their use.
Diaphragms are usually used. They are normally replaced approximately annually, have expiry dates and are used with spermicides.
Caps are used less often eg prolapse, poor muscle tone, urinary symptoms. They last longer than diaphragms, have expiry dates and are used with spermicides.
Last edited [04/07/2012 09:34:18]
Intra-uterine contraceptive devices (IUCDs)
IUCDs are classed as appliances and only those listed in part IXA of the Drug Tariff can be prescribed and reimbursed in primary care.
1. IUCDs with a higher surface area of copper (Cu) ie greater than 350 mm2 are associated with a lower pregnancy rate (when compared with devices having a lower surface area of Cu) and so are preferred.
2. The Nova T® 380 is included first line. It is appropriate for routine use in general practice.
3. The GyneFix® has not been included because of the need for special training for safe insertion.
4. The Flexi-T® 300 is of benefit in nulliparous women and for difficult insertions.
NICE CG30 refers