51% of Australian women have had an unplanned pregnancy. This month on COG we talk about contraception. The World Health Organisation estimates that if every couple used contraception perfectly every single time they had sex, there would still be six million unplanned pregnancies each year worldwide. First up we talk to Dr Catrina Melville, an Obstetrician and Gynecologist who specialises in sexual health. Then we chat with Dr Ander Faber-Swenson about the current evidence around salpingectomy as a sterilisation procedure and prevention of ovarian cancer. The articles he references are here: Dilley, Sarah E., J. Michael Straughn Jr, and Charles A. Leath III. "The Evolution of and Evidence for Opportunistic Salpingectomy." Obstetrics & Gynecology 130.4 (2017): 814-824. Falconer, Henrik, et al. "Ovarian cancer risk after salpingectomy: a nationwide population-based study." Journal of the National Cancer Institute 107.2 (2015): dju410. In journal club we discuss 4 articles: Iversen, Lisa, et al. "Lifetime cancer risk and combined oral contraceptives: the Royal College of General Practitioners’ Oral Contraception Study." American Journal of Obstetrics & Gynecology 216.6 (2017): 580-e1. Lathrop, Eva, et al. "The Zika Contraception Access Network: a feasibility programme to increase access to contraception in Puerto Rico during the 2016–17 Zika virus outbreak." The Lancet Public Health (2018). Eggebroten, Jennifer L., Jessica N. Sanders, and David K. Turok. "Immediate postpartum intrauterine device and implant program outcomes: a prospective analysis." American Journal of Obstetrics & Gynecology 217.1 (2017): 51-e1. Roberts, Timothy A., and Shana Hansen. "Association of Hormonal Contraception with depression in the postpartum period." Contraception 96.6 (2017): 446-452.

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