[5 min read] Managing pregnancy complications in primary care

pregnancy complications

The vast majority of pregnancies progress without any complications. Many minor problems and complications are managed by the general practitioner; however, it is essential to know when referral to secondary care is warranted.
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[4 min read] Managing women’s fertility in primary care

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fertility

The general practitioner is likely to be the first port of call for a woman with questions or worries about her fertility. It is important to be confident in providing initial advice and guidance regarding fertility, and to know when further investigations or referral to secondary care is warranted. Continue reading “[4 min read] Managing women’s fertility in primary care”

[5 min read] Managing women’s sexual health in primary care

women's sexual health

Women often feel more comfortable approaching their primary care practitioner for their sexual health needs than visiting a sexual health clinic, so the general practitioner must be comfortable discussing sexual health.
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[5 min read] How to manage pelvic pain in primary care

pelvic pain

Pelvic pain is a common presentation in women and can be acute or chronic. Acute pelvic pain is typically described as less than three months in duration, whereas chronic pelvic pain is usually described as lasting over six months. Continue reading “[5 min read] How to manage pelvic pain in primary care”

[5 min read] Family planning in primary care

family planning

Family planning is a common reason for attendance at primary care and affects most women at some stage in their life. Good family planning provision is essential for both maternal and child health and involves not only the prevention of pregnancy but ensuring good reproductive health overall, including pre-conception advice. Continue reading “[5 min read] Family planning in primary care”

[6 min read] Identifying & managing domestic abuse victims in primary care

Domestic violence is estimated to affect up to one in six Australian women in their adult lifetime, and in 75 per cent of cases, the perpetrator is male. A general practitioner (GP) will expect to see one or two female patients each week who are victims of domestic abuse. Continue reading “[6 min read] Identifying & managing domestic abuse victims in primary care”

[5 min watch] Efficacy of contraceptives

contraceptives

In this short video, Associate Professor Debbie Kors compares the efficacy of the available contraceptive options for women.
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[7 min read] Managing polycystic ovary syndrome (PCOS) in primary care

PCOS

Polycystic ovary syndrome (PCOS) is a hormonal disorder characterised by hyperandrogenism, causing a range of manifestations such as skin changes, menstrual disturbance, weight gain and infertility. PCOS can be diagnosed clinically and initial management typically takes place in primary care. Continue reading “[7 min read] Managing polycystic ovary syndrome (PCOS) in primary care”

[8 min read] Specific management strategies for menstrual irregularities

menstrual irregularities

Menstrual irregularities are common, with a prevalence of up to 34 per cent in some areas of the world. The management of irregular bleeding initially involves the exclusion of contributory pathologies such as cervical abnormalities (cervical ectropion, cervical cancer), uterine abnormalities (fibroids, endometrial hyperplasia), hormonal imbalances (menopause, thyroid disorders, polycystic ovary syndrome), genital infection (chlamydia, gonorrhoea), and haematological abnormalities (coagulation disorders). Pregnancy should also be ruled out, and the influence of any contributory medications (e.g. contraception, including emergency contraception) considered. Continue reading “[8 min read] Specific management strategies for menstrual irregularities”

[Online lecture] Abnormal uterine bleeding: classification, examination and treatment

Woman with abnormal uterine bleeding

Twenty-five per cent of women experience heavy/abnormal menstrual bleeding, which affects their physical, psychological and social well-being. Despite being a common presentation, the causes of menstrual bleeding are diverse. The PALM-COEIN classification can help categorise abnormal uterine bleeding.

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