Category Archives: Sexual health

Recurrent vulvovaginal candidiasis

Posted on June 28, 2020 by

History, examination, and swabs to a) make sure the diagnosis isn’t something completely different and b) check type of candidiasis; non-albicans responds better to nystatin. Risk factors include: Antibiotics Oestrogen (however, evidence contradictory on whether COC is a risk) Daily … Continue reading →

Posted in Credits 2020, Gynaecology, Sexual health | Leave a comment

Dyspareunia

Posted on December 27, 2019 by

(A really old one; BMJ practice pointer article from 2018) 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 … Continue reading →

Posted in Credits 2020, Gynaecology, Sexual health | Leave a comment

Contraception in the perimenopause

Posted on October 26, 2017 by

DMPA and Sayana Press do cause decrease in bone density, but this is reversible and thus not considered an absolute contradiction to contraception over 45. Review every two years for other risk factors is advised. The FSRH do advise against … Continue reading →

Posted in Gynaecology, Sexual health | Leave a comment

FSRH guidance – intrauterine contraception

Posted on October 23, 2016 by

Both the IUS & the Cu-IUD are thought to work primarily through prevention of fertilisation, but the IUS seems to have more of an anti-implantation effect as part of its effectiveness than the Cu-IUD does. Both are extremely effective, with … Continue reading →

Posted in Credits 2016, Sexual health | Leave a comment

Vaginal discharge

Posted on August 13, 2016 by

In women of reproductive age, the commonest causes of vaginal discharge can be categorised thus: Infective: non-sexually transmitted Bacterial vaginosis Candida Infective: sexually transmitted Chlamydia trachomatis Gonorrhoea Trichomonas Herpes simplex (occasional, when the herpes has caused cervicitis) Non-infective Foreign bodies … Continue reading →

Posted in Credits 2016, Gynaecology, Sexual health | Leave a comment