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Healthy Skepticism Library item: 9764

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Foran TM.
Choices in hormonal contraception
Medicine Today 2004; 5:(2):30-37


Abstract:

Over the last 15 years there have been increases in the number of hormonal contraceptive preparations available and the range of systems for their delivery. < bullet > A wide range of contraceptive options in required to suit the different needs of women at various stages of their reproductive life. < bullet > An understanding of the properties of the various progestogens available in the combined oral contraceptive pill can assist the clinician in tailoring a preparation to best suit the individual woman’s needs. < bullet > The growing range of progestogen-only contraceptives represents a useful option for those women wishing to use hormonal contraception but who have medical contraindications to oestrogen or who have experienced side effects while using oestrogen-containing contraception in the past. < bullet > Ready access to emergency contraception in an important public health issue. There is now good evidence that levonorgestrel emergency contraception retains some effectiveness up to 120 hours after unprotected sex and that a single-dose regimen may be preferable to the divided dose previously recommended.

 

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Cases of wilful misrepresentation are a rarity in medical advertising. For every advertisement in which nonexistent doctors are called on to testify or deliberately irrelevant references are bunched up in [fine print], you will find a hundred or more whose greatest offenses are unquestioning enthusiasm and the skill to communicate it.

The best defence the physician can muster against this kind of advertising is a healthy skepticism and a willingness, not always apparent in the past, to do his homework. He must cultivate a flair for spotting the logical loophole, the invalid clinical trial, the unreliable or meaningless testimonial, the unneeded improvement and the unlikely claim. Above all, he must develop greater resistance to the lure of the fashionable and the new.
- Pierre R. Garai (advertising executive) 1963