• Birth Control

    Birth control is an important topic for all sexually active women to discuss with their family physician. Stats show that 85 out of 100 women who have unprotected intercourse for one year will get pregnant. There are various types of birth control available to help prevent pregnancy, and condoms can decrease your risk of sexually transmitted infections.

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    Dr. Vivien Brown, MDCM, CCFP, FCFP, NCMP, discusses What Are Common vs. Rare Risks with the Pill?
    Dr. Vivien Brown, MDCM, CCFP, FCFP, NCMP, discusses What Are Common vs. Rare Risks with the Pill?
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    Dr. Vivien Brown, MDCM, CCFP, FCFP, NCMP, discusses non-contraceptive benefits of the Pill.
    Dr. Vivien Brown, MDCM, CCFP, FCFP, NCMP, discusses non-contraceptive benefits of the Pill.
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    Dr. Vivien Brown, MDCM, CCFP, FCFP, NCMP, discusses What Are Common vs. Rare Risks with the Pill?
    Dr. Vivien Brown, MDCM, CCFP, FCFP, NCMP, discusses What Are Common vs. Rare Risks with the Pill?
  • The Pill as a Contraceptive Choice

    In December 2010 the Society of Obstetricians and Gynecologists of Canada came out with new guidelines for all Canadian doctors. These are the guidelines that doctors follow when they make a decision about putting a young or older woman on birth control. And it’s these guidelines that we’re talking about today. The pill is remarkable – it’s been around for about 50 years and it’s been transformational for women.

                           

    Women have been able to have access to education, access to being in the workforce, and an ability to achieve a higher economic status as they were unencumbered by unplanned pregnancies.

    We know that the pill is excellent; if taken properly it’s more than 99 percent effective, and that means less than one percent of people will get pregnant if they’re taking the pill properly. But unfortunately we also know that if you’re not on good contraception more than 85 percent of women will bet pregnant within one year, so it’s really important for you to talk to your doctor about the best options for you in terms of contraception.

    In 2005 in Canada there was an abortion rate of approximately 96,000 women. These numbers are actually decreasing and that’s because we have good effective contraception, but we really need to have everyone choose what’s right for them.

    Presenter: Dr. Vivien Brown, Family Doctor, Toronto, ON

    Local Family Physician Practitioners: Family Doctor

  • What Are Common vs. Rare Risks with the Pill?

    When we talk about risk what we’re really looking at is World Health Organization guidelines about who should never take the pill. Those are called absolute contraindications. Who should take the pill with caution, those are called relative contraindications, and who is a low risk person for being on the pill.

    The WHO – the World Health Organization – guidelines for absolute contraindications includes those people who have uncontrolled diabetes, uncontrolled hypertension, active breast cancer, active liver tumors, those people who have had a blood clot previously, and a number of other categories including migraine with neurologic deficit.

    That means someone who has had a migraine and who has a decrease in neurologic function even for a short time during the time of that headache.

    We know these women are at greater risk for blood clots and should never be on the birth control pill. The World Health Organization also gives us relative contraindications, those concerns where it may not be the best choice for you. And that’s something that you and your doctor should discuss.

    A relative contraindication would be someone with hypertension or high blood pressure that is being managed. The absolute contraindication is when it’s being un-managed. So whether you have relative contraindication, absolute contraindication, or whether you’re a low-risk person.

    This is what’s meant by a risk assessment when you visit with your doctor so that you and the physician or primary care practitioner can make a good decision about your risk and decision to be on contraception. Often seeing a local family physician or a physiotherapist in conjunction with a registered dietitian and athletic therapist is a great option to take control of this condition. Smart Food Now and exercise is also optominal for overall health.    

    Presenter: Dr. Vivien Brown, Family Doctor, Toronto, ON

    Local Practitioners: Family Doctor

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