Monthly Archives: January 2019

Dyspareunia

Note that this may present indirectly; repeated failure to attend cervical screening, persistent dissatisfaction with contraception, describing disgust with her genitals, dissociating during examination. History Open questions, kept to a minimum; encourage description. ‘When do you get the pain?’ ‘Show … Continue reading

Posted in Credits 2019, Gynaecology, Sexual health | Leave a comment

Mirtazapine + SSRIs

I’ve occasionally seen Mirtazapine used as an add-on to SSRIs in resistant depression. An RCT recently showed that adding Mirtazapine to an SSRI or SNRI in resistant depression works no better than adding placebo. That said, the definition of ‘resistant’ … Continue reading

Posted in Credits 2019, Medication, Psychiatry | Leave a comment