Post pregnancy contraception
This is a new guideline from the FSRH on contraception after pregnancy. There is nothing particularly new about specific methods, but there are a few new interesting points (including a reminder that ...
FSRH | COC – risks of different oestrogen and progesterone
This is a statement from the FSRH on a study recently published on risks with COC use. This study looks at how the different dose of oestrogen and how the different progesterone affect the risk of PE,...
RCOG | Endometrial hyperplasia
This is a new guideline from RCOG on diagnosing and managing endometrial hyperplasia. This is a very common condition, so highly relevant for us and I had no idea on some of the management options. I ...
RCOG | Ovarian Hyperstimulation Syndrome
This is a new guideline from the RCOG on managing ovarian hyperstimulation syndrome (OHS). Most patients will ultimately be managed in secondary care, but we need to be aware of it, as most women appa...
FSRH | Daylette and Eloine – a new pill containing drospirenone
This is a guideline from the FSRH about a new pill, Eloine, which contains 20mcg ethinylestradiol and 3mg drospirenone. There is a cheaper generic equivalent, called Daylette. In the USA it is known a...
Nice | Managing the menopause
This is a new guideline from Nice on managing the menopause, both in women undergoing premature ovarian failure and in women going through it at a more normal age.
There isn't much earth shattering in...
FSRH | Problematic bleeding with hormonal contraception
This is an updated guideline from the FSRH on how to investigate and manage women with abnormal bleeding on contraception. I don't think there is much new here, but there are a couple of excellent flo...
RCOG | Post-hysterectomy vaginal vault prolapse
This is an updated guideline from RCOG on managing vaginal vault prolapse after hysterectomy. There isn't really anything new here, just confirmation of what we probably all do.
Pelvic floor muscle t...
RCOG | Polycystic ovarian syndrome
RCOG's new guideline looks at the long term health problems with polycystic ovarian syndrome PCOS. There isn't very much that's new, but I think that generally we aren't very good at following these w...
FSRH | Male and female sterilisation
This is an updated guideline from the FSRH on male and female sterilisation. There was little that was new in this for us. One thing I don't think I was aware of, was that they can now do 'hysteroscop...
Nice| Long acting reversible contraception
This is an updated guideline from Nice on LARC methods. The only real difference is that Implanon is no longer available and that it has been replaced by Nexplanon, hence the guidance had to be update...
FSRH | Jaydess – a new levonorgestrel intrauterine system
This new guideline from the FSRH is about 'Jaydess', which is a new Levonorgestrel releasing intrauterine system, so very similar to Mirena.
How is Jaydess different to Mirena?
Licensed for 3 yrs vs ...
FSRH | Family planning bits and bobs
There have been several new guidelines and statements released from the FSRH in the last few weeks, which have some relevance to us.
One size contraceptive diaphragm (Caya)
This new guideline discusse...
Fertility
This guideline from NICE, doesn’t really alter management for us. It outlines initial advice that should be given to couples and a lot of detail about various treatment methods, which may be helpful i...
Ectopic Pregnancy and Miscarriage
For us, this guideline doesn’t change management a lot. It will have implications for secondary care, as it specifies that assessment services must be available 7 days a week and women should be seen ...
HRT – it’s good for the heart
This article from the BMJ on the effect of hormone replacement therapy on cardiovascular events in recently postmenopausal women was bought to my attention by a member who felt that its message was im...
RCOG | Initial management of chronic pelvic pain
This is an excellent guideline and well worth a read. A lengthy summary I’m afraid.
Chronic Pelvic Pain is described as pain for at least 6 months which is not just related to menstruation, intercours...
Ovarian masses in premenopausal women
This Guideline outlines the management of ovarian masses in premenopausal women.
If a cyst is suspected or found, take a full history, including family history and other malignancy risk factors. Ask f...
Nice | Ovarian cancer
This is well worth a read – it changes our way of investigating women with abdominal symptoms quite a lot. Using our current system, most women are diagnosed at a late stage, so we need to do somethin...
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