Making Best Practice, Every Day Practice
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This resource provides access to informative articles on the broad spectrum of obstetric and gynaecological issues managed in primary care including sexual and reproductive health.
These materials cover some of the most important topics in daily care including:
Contraception across different age groups
Early detection of gynaecological cancers
Pre-menstrual syndromes
Use of testosterone
Menstruation and abnormal uterine bleeding
Fertility treatment
and much more.
Most women with heavy menstrual bleeding (HMB) can be managed according to NICE guidance. But GPs and practice nurses need to be aware that up to one in five women with menorrhagia, especially young women, could also have a bleeding disorder. It is important to identify these patients since, if left untreated, bleeding disorders reduce quality of life and may result in significant, long-term complications.
In the UK it is thought that at least 3,000 children are being sexually exploited. All professionals, including GPs and practice nurses, in regular contact with children and young people are in a good position to notice possible signs of sexual exploitation, and help to mitigate its serious long-term consequences for young people and their families.
Over twice as many women as men develop rheumatoid arthritis (RA), an inflammatory disease that causes disability and shortens life. Early RA can be difficult to diagnose but, by following a diagnostic pathway, GPs and practice nurses can ensure that patients receive timely referral and prompt treatment with disease-modifying drugs.
In the last issue we announced the Primary Care Women’s Health Forum’s ‘Promoting Best Practice for Women in Primary Care Award’. I’m delighted to launch the Award, and give you the details on how to enter your projects and initiatives.
Premature menopause (PM) is an emotionally challenging condition on diagnosis and throughout the remaining phases of a woman’s life. But GPs and practice nurses can do much to reduce distress by ensuring prompt diagnosis and referral for psychological support as well as medical treatment.
This is always a very busy time and practices look set to be under even more pressure this year. But, while pandemic flu is back on the agenda, women are continuing to consult us about their other health problems and concerns. So, we’ve done our best to give you the practical information that will help you to manage the health of your female patients.
The combined oral contraceptive Pill (COCP) has been in regular use since the 1960s and is now the most popular method of hormonal contraception for women in the UK. There is a COCP to suit most women but long-term adherence depends on each woman being aware of her options and having the ability to make an informed choice of Pill.
Although current treatments for osteoporosis are effective, long-term adherence is often disappointing. But the management of osteoporosis is changing. New bisphosphonate formulations already offer more convenient dosing. And it is important to know about other new and emerging approaches that look set to offer a wider choice of therapy for women with post-menopausal osteoporosis.
In the UK about half of women of reproductive age are either overweight or obese. Obesity is known to adversely affect female fertility, as well as the health of mothers and their children. But even modest weight loss can restore fertility and improve a woman’s chances of a successful pregnancy.
The menopause is an inevitable event in the lives of all women. For some, it is very positive, ending menstruation, the need for contraception and the threat of unwanted pregnancy. But for others, it is a time of unpredictable hormone activity, and troublesome and unpleasant symptoms that seriously compromise quality of life. This article discusses the options available to women to manage their health and well-being during the menopausal transition or perimenopause.
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