Category Archives: Sexual health

Dyspareunia

Posted on June 27, 2018 by

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 →

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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 →

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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 →

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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 →

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