DR ELLIE CANNON: Is it secure for my GP to cease me taking the capsule after 36 years?

I’m 52 and have been taking the mixed contraceptive Capsule since I used to be 16, initially to cope with heavy durations, however then for contraception. 

In February I ordered my repeat prescription as traditional. 

A brand new GP on the apply, whom I hadn’t met, known as to say that as I used to be over 50 I may not have it. 

I’m nervous if I cease, my physique will go into shock. 

What do you suppose?

Today's reader has asked whether it was correct for her GP to stop her prescription for the pill after 36 years

At present’s reader has requested whether or not it was appropriate for her GP to cease her prescription for the capsule after 36 years

What GPs can and may’t deal with with every drug is ready by nationwide prescribing tips.

These are primarily based on proof offered by scientific trials and other forms of scientific analysis. So we all know, as greatest we will, what works for a specific sort of affected person with a specific sickness or situation, and what doesn’t.

   

Extra from Dr Ellie Cannon for The Mail on Sunday…

We are able to prescribe the mixed contraceptive Capsule, which comprises artificial variations of the hormones oestrogen and progesterone, for contraception and in addition for heavy durations or pores and skin issues. The nationwide tips enable it to be supplied to ladies as much as the age of fifty.

After that age, dangers from potential unintended effects similar to blood clots and breast most cancers enhance. 

If a girl nonetheless wants contraception we will supply the mini-Capsule, which comprises progesterone however no oestrogen – it’s the oestrogen that’s linked to the elevated dangers. 

A coil may be an alternative choice.

It’s secure to cease taking the Capsule – you don’t must taper off.

The typical age when the menopause begins varies, but it surely normally occurs between 47 and 52. 

It’s unlikely {that a} lady stopping the Capsule at 52 would have heavy uncontrolled durations, and if, when stopping at this age, menopausal signs emerge, then hormone substitute remedy (HRT) needs to be thought-about.

Whereas HRT normally comprises oestrogen, the dosage is totally completely different to the Capsule and the protection of HRT in the course of the menopause is confirmed.

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I endure horrible irritable bowel syndrome, and have all the time been informed nobody is aware of what causes it. However lately I’ve learn it may be as a result of one thing known as SIBO, which might be recognized utilizing a breath take a look at. Can I get this on the NHS?

Irritable bowel syndrome or IBS is a quite common situation characterised by common tummy ache, bloating and diarrhoea or constipation. It ought to solely be recognized as soon as different situations have been dominated out, similar to Crohn’s illness or colitis. Ailments like endometriosis, a ache situation lined to hormones, and even ovarian most cancers also can trigger related signs.

SIBO stands for small gut bacterial overgrowth and occurs when the higher a part of the intestine will get overtaken with micro organism normally discovered solely within the decrease a part of the bowels. The signs are similar to IBS together with diarrhoea, fuel and pains. There are checks obtainable, together with the breath take a look at, which might be completed on the NHS on the request of a gastroenterologist.

If a GP feels this situation is a chance, it could be value giving the remedy for SIBO with out even doing the checks: this includes a course of particular antibiotics and enhancements can begin inside per week.

In anyone recognized with irritable bowel syndrome, however notably anyone older, it’s vitally vital to rule out bowel most cancers. Even when bowels have been irregular for years, most cancers might be masked by the signs. This may be examined for with stool checks on the GP, with a FIT take a look at, in addition to by basic blood checks.

I’ve been affected by itching in my pubic space. At first all the things appeared regular, and I assumed it was a little bit of dermatitis, however final week I found some darkish, pimple-like bumps round my vulva.

 I’m not embarrassed to see my GP however I’d somewhat not. 

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Ought to I be nervous? 

I’m 66 years previous.

New signs within the pubic space or vulva in a girl over the age of 60 ought to all the time be investigated. 

Vulval most cancers is uncommon, with simply over 1,300 circumstances recognized within the UK every year. However it’s seen largely in ladies over 60. 

Do you’ve got a query for Dr Ellie?

E-mail [email protected] or write to Well being, The Mail on Sunday, 2 Derry Road, London, W8 5TT.

Dr Ellie can solely reply in a basic context and can’t reply to particular person circumstances, or give private replies. When you’ve got a well being concern, all the time seek the advice of your personal GP.

Signs embrace an ongoing vulval itch, thickened raised or darker patches on the vulva and moles that change form or color.

An examination with a gynaecologist or GP is essential if these signs happen.

Nonetheless, many non-cancerous situations may cause itching and modifications within the pores and skin.

Dermatitis or eczema can happen on this space and require the identical remedy as they do elsewhere, with moisturising lotions and presumably steroids.

Thrush is frequent on the genital space and causes itching in addition to pores and skin modifications from scratching: this may be handled simply with cream from the pharmacist. 

Additionally, the menopause is related to irritation of the vulva. 

Falling oestrogen ranges result in thinner, drier pores and skin that’s liable to itching. 

An oestrogen cream can be utilized to enhance issues. 

Lichen sclerosus is a pores and skin situation that causes itchy patches on the genitals, notably in ladies over the age of fifty. The patches are sometimes paler somewhat than darkish and usually happen on the vulva.

It is a crucial situation to deal with to stop long run harm from scarring to the genitals and it additionally carries an elevated danger of most cancers.

Any ladies struggling with genital itching ought to keep in mind to keep away from cleaning soap, bubble baths and extremely scented laundry merchandise, together with material conditioner and organic washing powder.

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Watch out for sharks providing to get you money for care

Watch out for companies offering to apply for continuing care help for a large upfront fee

Watch out for companies offering to apply for continuing care help for a large upfront fee

Be careful for corporations providing to use for persevering with care assist for a big upfront payment

I’ve heard worrying experiences about corporations charging aged, susceptible individuals 1000’s to ‘assist’ them prepare NHS-funded homecare.

It pertains to one thing known as NHS persevering with healthcare – money that’s ring-fenced for some sufferers with extraordinarily advanced must pay for nursing at house. 

Accessing this is usually a tough course of, and there are corporations on-line which declare to have the ability to do the paperwork, however for an enormous upfront payment. 

I’m informed these corporations goal people who find themselves clearly not eligible for persevering with care after which, after they don’t safe the care, don’t give a refund.

I need to put a cease to it. If anybody has been contacted by an organization like this, please write and inform me. And for real recommendation on NHS persevering with healthcare, contact your GP.

Don’t ignore a lung scan letter

Should you get a letter or textual content message inviting you for a lung well being test, please go!

The NHS has lately launched the primary screening programme for lung most cancers.

Over the subsequent few weeks, massive vehicles fitted with cell lung scanners will probably be primarily based in grocery store automotive parks throughout the nation, making it straightforward for people who smoke and ex-smokers to get a fast and doubtlessly life-saving MoT of their chest.

There are actually extremely efficient remedies for lung most cancers, however most of them are solely obtainable to sufferers if their illness is caught early. A pilot scheme of the programme was launched final summer time, which noticed 600 individuals recognized earlier.

Some 23 vehicles are at present doing the rounds, with one other 20 prepared for motion. If you’re eligible you’ll obtain an invite. It may save your life.

Supply: | This text initially belongs to Dailymail.co.uk

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