Sexual health

Vulval Skin Disorders

This is a good guideline to have a quick read through as it is a good summary of vulval skin disorders. There is a really useful patient hand out on vulval skin care on page 17. Ask the obvious questions and also about sexual problems, cervical cytology history, immune deficiency, any pads or tampons or…
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BASHH | Pelvic inflammatory disease

Little of this new guideline is new. Take home messages for me were: Only 25% cases are caused by gonorrhoea/chlamydia. The rest are other STDs and non STDs. Any young, sexually active female (ie <25 yrs) should have PID considered and empiric treatment offered if they present with recent onset bilateral lower abdominal pain and…
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BASHH | Chlamydia testing

Most of the information is these guidelines is stuff we know. Learning points for me were: Endocervical swabs and HVS swabs have a similar sensitivity (before, the advice was that endocervical swabs were essential for testing where there are symptoms). FCU is not as sensitive in women. To take an HVS, you should rotate the…
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BASHH | Management of Donovanosis (granuloma inguinale)

Nothing has changed in the management of Granuloma Inguinale. It’s pretty rare in the UK, but beware painless genital ulcers with inguinal nodes or ulceration over the nodes. I advise sending to GU for proper diagnosis and treatment if suspected as they need special tissue samples taking. Louise HudmanI’m a freelance GP locum in Winchester…
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