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I’VE just given birth to my first child and I am think­ing about hav­ing a con­tra­cep­tive im­plant fit­ted. Is it safe to do so hav­ing re­cently given birth? A con­tra­cep­tive im­plant is safe to be fit­ted af­ter giv­ing birth, usu­ally af­ter three weeks. If it is fit­ted on or be­fore day 21 af­ter the birth, you will be im­me­di­ately pro­tected against preg­nancy.

If it is fit­ted later than day 21, you will need to use ex­tra con­tra­cep­tion for the fol­low­ing seven days. It is also safe to breast­feed if you have an im­plant fit­ted.

For more in­for­ma­tion on the ad­van­tages and dis­ad­van­tages of the con­tra­cep­tive im­plant, visit www.nhsin­ I RE­CENTLY suf­fered a heart at­tack and was won­der­ing when I can go back to work. It’s re­ally best to get your GP’s ad­vice, be­cause it de­pends on what sort of job you have, how se­vere your heart at­tack was and whether you are still hav­ing symp­toms.

Af­ter a heart at­tack, most peo­ple can re­turn to their usual job, and go back within 2-3 months. How­ever, if your job in­volves light du­ties and you’re re­cov­er­ing well, you may be able to go back to work within six weeks of your heart at­tack.

If your job in­volves more phys­i­cal du­ties, such as heavy lift­ing or us­ing heavy equip­ment, it may be a few months be­fore you can re­turn.

Be­fore you go back, it’s worth con­tact­ing your em­ployer to dis­cuss what will hap­pen when you re­turn. For ex­am­ple, your em­ployer may al­low you to re­turn grad­u­ally, maybe by start­ing part-time, or do less stren­u­ous du­ties for a while. WHAT is Ménière’s dis­ease? Named af­ter the French physi­cian, Pros­per Ménière, Ménière’s dis­ease is a rare dis­or­der that af­fects the in­ner ear.

Symp­toms of Ménière’s dis­ease can vary from per­son to per­son, and they can oc­cur with­out warn­ing at any time. The most com­mon symp­toms of the con­di­tion are ver­tigo, tin­ni­tus, hear­ing loss and au­ral full­ness, which is the feel­ing of pres­sure or ‘full­ness’ in the af­fected ear.

Due to the com­mon­al­ity of the symp­toms as­so­ci­ated with Ménière’s dis­ease, it can be dif­fi­cult to dis­tin­guish it from other dis­eases. For the con­di­tion to be di­ag­nosed, you will have to ex­pe­ri­ence all of the pri­mary symp­toms.

Your GP will carry out a phys­i­cal ex­am­i­na­tion to rule out other causes of your symp­toms, this may in­clude lis­ten­ing to your heart­beat, check­ing your blood pres­sure and ex­am­in­ing your ears.

Al­though there is no cure for Ménière’s dis­ease, your GP along with a nose and ear spe­cial­ist will be able to help you man­age your symp­toms with a va­ri­ety of treat­ments. For ex­am­ple, if you ex­pe­ri­ence ver­tigo, nau­sea and vom­it­ing, you may be pre­scribed med­i­ca­tion such as an an­ti­his­tamine for 7-14 days to help ease the symp­toms.

The tin­ni­tus side ef­fect of Ménière’s dis­ease can be treated via sound ther­apy, re­lax­ation tech­niques and cog­ni­tive be­havioural ther­apy. In se­vere cases of Ménière’s dis­ease surgery can be per­formed to con­trol at­tacks of ver­tigo, and coun­selling and psy­chother­apy can be of­fered to help you deal with the dif­fi­cult and un­pre­dictable na­ture of the con­di­tion.

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