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 It is recommended that treatment be withdrawn 3 to 4 cycles after the indicated condition(s) has/have completely resolved and that Dianette is not continued solely to provide oral contraception.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.
How long after delivery can a woman have vaginal surgery?
Q. Last year, my wife had our first child. She didn't get surgery to "fix" her in her vaginal area. She torn a little bit and they stitched her up. But from what I understand, the doctor mentioned surgery but she refused. Now she mentions that when he have intercourse, that it feels weird and that it feels loose. Is there anything she can do, would she have to wait for next pregnancy or is there surgery she can do now? Thanks for your mature and responsible answers.
A. Of course there is things that can be done, but i dont know if the NHS would do it? Get her to go see her GP :)
Can Indian women travel from India to the UK to give birth for free?
Q. because the NHS is free, i want to benefit from it, also i want to get the British citizenship for me and my baby and my husband also my mom.
Answer it.
Answer it.
A. No you cannot travel from India to the UK to give birth for free.
The NHS is only free for non UK residents for emergencies. A pregnancy is not considered an emergency.
f you are pregnant, you would not be granted a visa to travel anywhere near the due date UNLESS you have arranged for a private medical birth in the UK and have the documents and proof of funds as evidence.
It is a popular misconception that the NHS is free. It is not. UK residents pay through their National Insurance contributions and taxes for the privilege of non-charged health care. Basically if you don't pay in - you can't use the facility.
To access free NHS care you would need to be registered with a NHS doctor's surgery and to become registered, you would need to prove legal residence in the UK.
On the subject of British citizenship for your child, you are 27 years too late. Since 1 Jan 1983, anyone born in the UK must have a British parent or a parent legally settled in the UK to be British. Even if the child was able to claim British citizenship, it would give no rights to any other family member, even its mother, to British citizenship.
The NHS is only free for non UK residents for emergencies. A pregnancy is not considered an emergency.
f you are pregnant, you would not be granted a visa to travel anywhere near the due date UNLESS you have arranged for a private medical birth in the UK and have the documents and proof of funds as evidence.
It is a popular misconception that the NHS is free. It is not. UK residents pay through their National Insurance contributions and taxes for the privilege of non-charged health care. Basically if you don't pay in - you can't use the facility.
To access free NHS care you would need to be registered with a NHS doctor's surgery and to become registered, you would need to prove legal residence in the UK.
On the subject of British citizenship for your child, you are 27 years too late. Since 1 Jan 1983, anyone born in the UK must have a British parent or a parent legally settled in the UK to be British. Even if the child was able to claim British citizenship, it would give no rights to any other family member, even its mother, to British citizenship.
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