Q. I have only been living in UK for a year (I am South African) and am still getting to grips with NHS and what to expect. I am 12 weeks preggers with my first and am having my dating / nuchal scan on Thursday. So far I have only seen a not-very-impressive midwife. Who and when can I expect to see from now on?
A.
What is the best pregnancy calendar?
Q. I've tried Google pregnancy and some others, but I was wondering what was the best one around?
A. I like this one. NHS though.
What kind of birth control pill should i ask my doctor about?
Q. I want a birth control pill that does the following:
HIGHLY effective at preventing pregnancy
Makes acne go away
DOES cause weight gain. I am underweight and have struggled with gaining weight all my life.
Preferably makes my periods only 3-4 days? And only have periods 4 times a year instead of once a month?
-I have never been on birth control before
-I have not had a child
HIGHLY effective at preventing pregnancy
Makes acne go away
DOES cause weight gain. I am underweight and have struggled with gaining weight all my life.
Preferably makes my periods only 3-4 days? And only have periods 4 times a year instead of once a month?
-I have never been on birth control before
-I have not had a child
A. All combined pills have a 99.8% efficacy. The only pill licenced for acne is Dianette. I would generalise that I am unhappy about any long term use of Dianette. There have been risk benefit concerns about its use for many years. These MUST at least be explained to any patient using it, in order that they can give informed consent that they still wish to take the drug.
The problem is that Dianette quadruples the risk of DVT, leg clots, which may fire off into the lungs and produce fatal emboli.
http://www.nelm.nhs.uk/en/NeLM-Area/News/494080/494143/494162/
http://www.dailymail.co.uk/health/article-1195416/My-daughter-killed-lethal-drug-Charity-shop-worker-dies-DVT-just-weeks-switching-new-Pill.html
Also you need to be aware it only has a short use licence:
"Complete remission of acne is to be expected in nearly all cases, often within a few months, but in particularly severe cases treatment for longer may be necessary before the full benefit is seen. It is recommended that treatment be withdrawn 3 to 4 cycles after the indicated condition(s) has/have completely resolved and that Dianette is not continued solely to provide oral contraception. Repeat courses of Dianette may be given if the androgen-dependent condition(s) recur."
Yasmin is thought to improve acne in a similar way, but without the addition increase in clot risk, so that would be my choice.
The problem is that Dianette quadruples the risk of DVT, leg clots, which may fire off into the lungs and produce fatal emboli.
http://www.nelm.nhs.uk/en/NeLM-Area/News/494080/494143/494162/
http://www.dailymail.co.uk/health/article-1195416/My-daughter-killed-lethal-drug-Charity-shop-worker-dies-DVT-just-weeks-switching-new-Pill.html
Also you need to be aware it only has a short use licence:
"Complete remission of acne is to be expected in nearly all cases, often within a few months, but in particularly severe cases treatment for longer may be necessary before the full benefit is seen. It is recommended that treatment be withdrawn 3 to 4 cycles after the indicated condition(s) has/have completely resolved and that Dianette is not continued solely to provide oral contraception. Repeat courses of Dianette may be given if the androgen-dependent condition(s) recur."
Yasmin is thought to improve acne in a similar way, but without the addition increase in clot risk, so that would be my choice.
What is the most pressing public health problem in Scotland?
Q. What do you think?I think it is binge drinking,alcoholism and drug abuse?What do you think has contributed to this problem and what measures do you think has the government and the NHS have taken to combat this problem.Have all the methods failed or is there still hope.Exact details and statistics welcome.
A. Drinking problems. It's deep rooted in Scottish behaviour and is now also a major problem in England. It is a huge social, as well as health problem. Targeting younger people with 'alcho-pops' is a cause. Years ago, when only beer & lager were easily accessible and affordable, people couldn't get so much alcohol into their systems as they can now, with the much stronger and sweeter drinks. They also have more money to spend than in the past so can afford to go out more often and drink more when they do go out.
The Government is waking up to this problem and I would expect more taxes imposed on alcohol in the future. More drink related legislation will be imposed too, with drinking in public places other than bars being outlawed.
The excessive drinking is closely linked to other social problems, such as violence, a sharp rise in sexual disease and unwanted pregnancies. People don't use common sense when drunk.
The Government is waking up to this problem and I would expect more taxes imposed on alcohol in the future. More drink related legislation will be imposed too, with drinking in public places other than bars being outlawed.
The excessive drinking is closely linked to other social problems, such as violence, a sharp rise in sexual disease and unwanted pregnancies. People don't use common sense when drunk.
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