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Letters to the editor
  1. Michael D O'Brien, MD, FRCP1 and
  2. John Guillebaud, FRCS, FRCOG2
  1. Emeritus Physician for Nervous Diseases, Department of Neurology, Guys Hospital, London, UK;
  2. Emeritus Professor of Family Planning and Reproductive Health, University College London, London, UK

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We thank Dr Melvin for her comments.1 All our recommendations,2 including the examples she quotes, were made precisely because of the need she highlights for “pragmatic and common sense advice in this area of medicine where robust evidence is often lacking and the consequences of contraceptive failure are serious”. We submit that, in the real world where condoms are so often rejected or very poorly …

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  • Funding John Guillebaud has received payments from contraceptive suppliers for research, presentations and short-term consultancies.