Focusing on Women's Health from Puberty to Menopause.

Tuesday, 30 August 2011
Despite NICE guidelines, long-acting reversible contraceptives (LARCs) remain little used in the UK, but this looks set to change with their inclusion in this year’s new Quality and Outcomes Framework contraception indicators. The author reviews the currently available LARCs, and discusses how to tailor choice to the needs and preferences of each woman.
Category: Editorial
Tuesday, 30 August 2011
In order to comply with NICE guidance and achieve new QOF indicators, general practices must offer women a choice of contraception, including long-acting reversible methods. But practices may struggle if GPs have not maintained their competencies in fitting these devices. The author explains how nurse-led clinics can both enhance services for women and help practices achieve targets.
Category: Editorial
Tuesday, 30 August 2011
A woman with faecal incontinence may have suffered for years before she finds the courage to ask for help. Such consultations can be a challenge for both patient and professional. But sensitive, careful assessment and simple, conservative measures will often improve bowel control and restore the patient’s quality of life
Category: Editorial
Tuesday, 30 August 2011
There is a wealth of information online. But assessing a website takes time that is just not available in a busy general practice, so Click Here does the job for you. This issue, we review Menopause Matters, a UK site designed to help women and professionals make informed choices about menopause management.
Category: Editorial
Friday, 01 July 2011
For anyone working in the NHS, it has been a tumultuous few months. We were all gearing up to the establishment of GP consortia by 2013. Now the pace of change has slowed following the Government’s acceptance of the NHS Future Forum’s recommendations. This gives us all time to pause and remember that meeting the needs of our patients should be our first priority, and that this depends critically on the knowledge and skills of all NHS professionals.
Category: Editorial
Friday, 01 July 2011
In our Contraception and Sexual Health service, we continue to receive a small but steady stream of GP referrals requesting a change of intrauterine device (IUCD) or intrauterine system (IUS) for women with actinomyces-like organisms (ALOs) on their cervical smear report. All of the women have been asymptomatic and happy with their IUCD/IUS. It is time that we cleared up continuing confusion about the implications of colonisation with ALOs to protect women from unnecessary and potentially harmful changes of contraceptive device.
Category: Editorial
Friday, 01 July 2011
Do an internet search for any medical condition and you are likely to come up with a story by a patient, someone who has decided to give an account of how they feel or what they went through with a particular medical condition. Results vary from the informative to the neurotic, but balanced, credible patient stories do have a place.
Category: Editorial
Friday, 01 July 2011
Most of the UK population – including the patients we see every day – are now more likely to have a weight problem than be of a healthy weight. Instead of focusing our efforts, and valuable resources, on managing the consequences of obesity, we should tackle its causes and appropriately manage patients motivated to address their unhealthy weight.
Category: Editorial
Friday, 01 July 2011
Until recently, there were two options for emergency contraception after unprotected sex or contraceptive failure: an oral progestogen-only tablet, and the copper-containing intrauterine device. These have now been joined by a new oral method, and this article reviews the three options in light of changing guidance on emergency contraception.
Category: Editorial

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