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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.
Continue reading “[5 min read] Managing pregnancy complications in primary care”
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”
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.
Continue reading “[5 min read] Managing women’s sexual health in primary care”
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”
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”
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”
In this short video, Associate Professor Debbie Kors compares the efficacy of the available contraceptive options for women.
Continue reading “[5 min watch] Efficacy of contraceptives”
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”
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”
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.