Focusing on Women's Health from Puberty to Menopause.

Editorial

Tuesday, 19 March 2013
For over two years now, I have been worrying that my editorial will be out of date by the time you read it because the Department of Health has published its sexual health policy document. At the time of writing, the document has yet to appear (though the Department’s website still reassures us it is due to be published in 2012). So local authorities may be taking over responsibility for contraception and sexual health in a public health policy vacuum. If this is the case, it can only compound current variations in provision, especially of long-acting reversible contraception (LARC).
Category: Editorial
Tuesday, 19 March 2013
Teenage conceptions continue to raise interest in the media, with young people often demonised about their early or allegedly frequent sexual activity. When conception rates are published, commentators waste no time in telling us how dreadful the situation is and how we compare with other Western European countries. Of course, we are not like our neighbours in Europe, as we do not have mandatory sex education for all young people, and we live in a highly sexualised society where sex is often the material for jokes.
Category: Editorial
Tuesday, 19 March 2013
Alcohol-related harm is a major public health concern, and from April 2013 questions to identify problem drinkers will be included in the NHS Health Check for people aged 40-74 years. But young people are also a key at-risk group for hazardous consumption, and the physical harms of alcohol may be compounded by risks to their sexual health.
Category: Editorial
Tuesday, 19 March 2013
Vulval pain is a common clinical problem in both primary and secondary care. It is a condition which often causes anxiety in women as they seek to ‘find a diagnosis’ for a difficult and intimate problem. The Vulval Pain Society was established in 1996 by medical colleagues, a doctor and a nurse working in the field, who identified a need for better information and advice for women with vulvodynia and vestibulodynia, and for their partners.
Category: Editorial
Tuesday, 19 March 2013
Over the past 30 years a wealth of research has proved the benefits of pelvic floor muscle exercises (PFME) in treating both urinary incontinence and pelvic organ prolapse. However, patients in some areas may have to wait some time for an appointment with specialist continence services. So it makes sense for primary care professionals to know how to teach PFME to their patients.
Category: Editorial
Tuesday, 19 March 2013
After the second trimester, it is generally assumed that a pregnancy will end with the joy of a newborn baby. But the reality is that each year in the UK, one in every 200 – or around 4,000 – babies die in the third trimester before, or during, labour. This is one of the highest rates of stillbirth among high-income countries, and each death has profound effects on the woman, her family and health services.
Category: Editorial
Tuesday, 19 March 2013
Unplanned pregnancy with poor glycaemic control at conception is associated with major maternal and perinatal complications. However, contraception is used haphazardly by women with diabetes and is often not discussed by diabetes professionals. GPs and practice nurses need to be able to give appropriate advice about contraception to the increasing numbers of women of childbearing age with type 1 and type 2 diabetes.
Category: Editorial
Tuesday, 19 March 2013
Female genital mutilation (FGM) comprises all procedures involving partial or total removal of the external female genitalia or other injury to the female genital organs for nonmedical reasons. The practice has no known health benefits, is psychologically and physically harmful, and is a violation of human rights. About 70,000 women and girls living in the UK have had some form of FGM, and 20,000 young girls under the age of 15 years are thought to be at risk either in this country or abroad.
Category: Editorial

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