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Symposium: Women's health

Women's health: Premature menopause linked to CVD and osteoporosis

22 Mar 2010Paid-up subscribers

Premature menopause can mean the end of fertility. The condition affects 1% of women under the age of 40, 1 in 1,000 under the age of 30 and 1 in 10,000 under the age of 20. In the UK, each year, 110,000 women will experience premature menopause between the ages of 12 and 40.3

 

Women's health: Urinary incontinence in women: diagnosis and management

21 Mar 2010Registered users

Urinary incontinence can affect women of all ages. Incontinence may seriously influence the physical, psychological and social wellbeing of affected individuals, and the impact on the families and carers may also be profound. There are more than 3.5 million sufferers in the UK.
 

Women's health: GPs have a vital role in managing pelvic pain

29 Mar 2009Paid-up subscribers

Pelvic pain is a common symptom that accounts for a large proportion of consultations in primary care. There is a steady monthly incidence and prevalence of 1.58/1,000 and 21.5/1,000 respectively.Chronic pelvic pain presents as frequently as migraine or low back pain and needs to be managed appropriately and effectively.

 

Investigating infertility in primary care

29 Mar 2009Paid-up subscribers

How should assessment be carried out?
When should patients be referred?
What are the chances of successful treatment?
 

March 2008: Managing women with pelvic organ prolapse

01 Mar 2008Paid-up subscribers

How is prolapse diagnosed? What are the treatment options available to GPs? When should patients be referred?
 

March 2008: Prompt diagnosis vital in ectopic pregnancy

01 Mar 2008Paid-up subscribers

How can ectopic pregnancy be recognised? Is surgery always required? What are the implications for future fertility?
 

March 2008: Which patients with vaginal discharge should be referred?

01 Mar 2008Paid-up subscribers

What are the main causes of vaginal discharge? How should patients be assessed? How should vaginal discharge be treated?
 

March 2007: Young women should be encouraged to attend for cervical screening

01 Mar 2007Paid-up subscribers

Why is LBC replacing the Pap smear? What is the role of hrHPV testing in CIN management? How should high- and low-grade CIN be treated?
 

March 2007: Adopt an evidence-based approach to menorrhagia

01 Mar 2007Paid-up subscribers

How is menorrhagia defined? When should patients be examined and/or treated? What treatment options are available to GPs?
 

March 2007: Tailor treatment to the patient in endometriosis

01 Mar 2007Paid-up subscribers

When should endometriosis be suspected as a cause of pelvic pain? When should women with pelvic pain be referred to secondary care? What are the most effective treatments for endometriosis?
 
 

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Clinical reviews: Obstetrics and gynaecology

Patients poorly informed about the role of ultrasound soft markers

20 Jul 2010Registered users

Pregnant women should be counselled and fully informed before undergoing examination for soft markers on routine mid-trimester scans, a study from Toronto has concluded. 'Mid-trimester ultrasound examination is a form of screening and all women agreeing to it should be counselled before proceeding. All clinical screening can potentially cause harm as well as benefit. In the case of soft marker screening the harm includes false-positive results and screening women who if asked would have declined. In my opinion, women who do not want Down's syndrome screening should not have soft markers assessed without their informed consent.'

 

 

Are car airbags a hazard for pregnant women?

22 Jun 2010

The deployment of air bags during car crashes involving pregnant women does not appear to affect pregnancy outcomes, a retrospective cohort analysis has found.'In general, air bags are an important safety feature of modern cars although they have been responsible for injury and even death particularly in children and adults of small stature. This author's hypothesis, that air bags present a specific hazard to women during pregnancy, seems to have been disproved, at least for women in the second half of pregnancy involved in non-rollover collisions.'
 

Most ovarian cancer patients are not referred urgently to a gynaecologist

19 May 2010

Only a quarter of women who present to their GP with symptoms of ovarian cancer are urgently referred to a gynaecologist, a general practice study has found. Women who are diagnosed with early disease have an 80-90% survival rate compared with 25% in those diagnosed in the later stages. Recent publicity has suggested that part of the sinister reputation of ovarian cancer is caused by GPs not spotting the disease early. These data suggest that most cases are in fact identified quickly in primary care. However, the non-specific nature of disease symptoms means the preferred route of urgent gynaecological referral is not followed in the majority of cases. Much of the delay between first presentation and diagnosis occurs after the GP referral.
 

Assessing risks and benefits of the combined oral contraceptive pill

18 May 2010Registered users

'The authors controlled for age, parity, smoking and social class but did not have data on obesity, a variable significantly linked to cancer and mortality risk. Nevertheless this massive, well conducted study provides reassurance that if anything the COCP appears to have significant non-contraceptive health benefits, at least during and shortly after taking it.'
 

IUS effective for menstrual problems in adolescents with learning disabilities

15 Apr 2010Registered users

Obstetrics and gynaecology
 

Identifying teenagers at risk of endometriosis

15 Apr 2010

Obstetrics and gynaecology
 

Obesity linked to increased risk of pregnancy complications

15 Mar 2010Registered users

Obstetrics and gynaecology
 

Early antiviral therapy improves swine flu outcomes in pregnant women

15 Mar 2010Registered users

Obstetrics and gynaecology
 

Maternal thyroid levels linked to abnormal fetal presentation

15 Feb 2010Registered users

Obstetrics and gynaecology
 

Exploring young women's attitudes to new methods of contraception

15 Jan 2010

Sexual health
 
 

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