Combined hormonal contraception

IBD is UK MEC one for the copper intrauterine device, or CU IUD, levonorgestrel-releasing intrauterine system, or LNG IUS, and the progestogen-only implant.

It's UK MEC two for the following: progestogen-only injectable, which is depot medroxyprogesterone acetate, or DMPA, progestogen-only pill, or POP, and combined hormonal contraception, or CHC.

We'll use those abbreviations going forward, so hopefully all that makes sense.

Now, Lucy, can you quickly refresh my memory about UK MEC one and UK MEC two, please?

Now regarding condoms, we should check whether any rectally administered medications which may spread onto the genital skin could reduce the efficacy of condoms, for example, oil-based preparations.

Now, they advise that the patient should check on the package insert or with the manufacturer.

Women taking CHC should stop this four weeks before major elective surgery.

And finally, for contraception, the safety and success of laparoscopic sterilization may be affected by previous pelvic or abdominal surgery, although this is generally a low priority procedure on the NHS, so possibly not a common method of contraception used these days.