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Gynaecology / Gynecology

Welcome to the gynaecology / gynecology category for physicians and pharmacists. This category features links to prescribing and clinical practice resources on hormone replacement therapy (HRT), contraceptives, emergency contraception, guidelines on women's health and more.

Royal College of Obstetricians and Gynaecologists Guidelines

Source: rcog.org.uk
Clinical Resource: Guidelines
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Last Checked: 19/08/15 Link Error: Report It

 

The Society of Obstetricians and Gynaecologists of Canada Clinical Practice Guidelines

Source: sogc.org
Clinical Resource: Guidelines
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Last Checked: 19/10/15 Link Error: Report It

 

American Society for Reproductive Medicine Practice Guidelines

Source: asrm.org
Clinical Resource: Guidelines
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Last Checked: 18/06/13 Link Error: Report It

 

American Congress of Obstetricians and Gynecologists - Committee Opinions

Committee Opinions represent an ACOG committee's assessment of emerging issues in obstetric and gynecologic practice and are reviewed regularly for accuracy.

Source: acog.org
Clinical Resource: Committee Opinions
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Last Checked: 07/05/14 Link Error: Report It

 

Gynaecology, pregnancy and birth questions - CLEAR: clinical enquiry and response service

The CLEAR service is delivered by a team of information professionals based at Healthcare Improvement Scotland and NHS Greater Glasgow and Clyde.

CLEAR aims to provide clinicians with summarised evidence relating to aetiology, diagnosis, prognosis and treatment queries about patient care.

Source: knowledge.scot.nhs.uk
Clinical Resource: Evidence Based Answers to Clinical Questions
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Last Checked: 31/08/13 Link Error: Report It

 

BestBETs
Gynae

BETs were developed in the Emergency Department of Manchester Royal Infirmary, UK, to provide rapid evidence-based answers to real-life clinical questions, using a systematic approach to reviewing the literature. BETs take into account the shortcomings of much current evidence, allowing physicians to make the best of what there is.

Source: bestbets.org
Clinical Resource: Evidence Based Answers to Clinical Questions
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Last Checked: 31/08/13 Link Error: Report It

 

The Cochrane Collaboration
Cochrane Reviews - Gynaecology

The Cochrane Collaboration is an international, non-profit, independent organisation, established to ensure that up-to-date, accurate information about the effects of healthcare interventions is readily available worldwide. It produces and disseminates systematic reviews of healthcare interventions, and promotes the search for evidence in the form of clinical trials and other studies of the effects of interventions.

Source: cochrane.org
Clinical Resource: Systematic Reviews
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Last Checked: 13/07/15 Link Error: Report It

 

Global Library of Women's Medicine

An expert clinical resource for women's healthcare. Constantly updated. Peer reviewed. Comprehensive coverage

Over 422 expert chapters, listed below, provide detailed clinical guidance on most aspects of women's medicine

Category 1: Gynecology
Category 2: Obstetrics
Category 3: Maternal–Fetal Medicine
Category 4: Gynecologic Oncology
Category 5: Reproductive Endocrinology and Infertility
Category 6: Fertility Regulation
Category 7: Genetics

Source: glowm.com
Clinical Resource: Library
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Last Checked: 20/03/13 Link Error: Report It

 

Bandolier Knowledge
Womens' health

In these pages are collected the stories from Bandolier relating to womens' health.

Source: bandolier.org.uk
Clinical Resource: Evidence Based Abstracts
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Last Checked: 13/06/17 Link Error: Report It

 

Endocrinology of Female Reproduction

1 Morphology and Physiology of the Ovary
2 Abnormalities of Female Pubertal Development
3 The Normal Menstrual Cycle and the Control of Ovulation
4 Evaluation of Amenorrhea, Anovulation, and Abnormal Bleeding
5 Central Causes of Amenorrhea
6 Evaluation and Treatment of Polycystic Ovary Syndrome
7 Evaluation of Infertility, Ovulation Induction and Assisted Reproduction
8 Contraception
9 Endometriosis
10 Premenstrual Syndrome
11 Menopause and Hormone Replacement
13 Endocrinology of Pregnancy

Source: endotext.org
Clinical Resource: Chapters
Register to Access Content: Yes - registration is FREE

Last Checked: 18/06/13 Link Error: Report It

 

Guidelines on the management of sexual problems in women: the role of androgens

A statement produced by:

British Society for Sexual Medicine

In association with:

British Association for Sexual Health and HIV
British Association of Urological Surgeons
British Fertility Society
British Menopause Society
Royal College of Pathologists
Royal College of Physicians
Society for Endocrinology

Source: bssm.org.uk
Clinical Resource: Guideline
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Last Checked: 08/05/13 Link Error: Report It

 

Androgen Therapy in Women: An Endocrine Society Clinical Practice Guideline

Source: endocrine.org
Clinical Resource: Guideline
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Last Checked: 07/06/13 Link Error: Report It

 

Use of the new progestogens in contraception and gynaecology

Learning objectives:

  • To learn about the new progestogens available and how they act.
  • To learn about the uses of the new progestogens in contraception, gynaecological disorders and hormone replacement therapy.
Source: eu.wiley.com
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

Using Progestins in Clinical Practice

Progestational agents have many important functions, including regulation of the menstrual cycle, treatment of dysfunctional uterine bleeding, prevention of endometrial cancer and hyperplastic precursor lesions, and contraception.

Source: aapf.org
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

Association of Reproductive Health Professionals
Quick Reference Guide for Clinicians

ARHP's clinical guides provide quick and easily accessible answers to clinical questions in reproductive health practice.

  • Choosing a Birth Control Method
  • Diagnosis and Management of Interstitial Cystitis/Painful Bladder Syndrome
  • Diagnosis and Management of Overactive Bladder
  • Fish Consumption to Promote Good Health and Minimize Contaminants
  • Non-hormonal Contraceptive Methods
  • Managing HPV: A New Era in Patient Care
  • Managing Premenstrual Symptoms
  • Manual Vacuum Aspiration
  • Postpartum Counseling
Source: arhp.org
Clinical Resource: Clinical Guides
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Last Checked: 18/06/13 Link Error: Report It

 

Association of Reproductive Health Professionals
What You Need to Know: Clinical Fact Sheets

What You Need to Know is a publication of the Association of Reproductive Health Professionals (ARHP) for health care providers, educators and researchers working in the field of reproductive health.

Source: arhp.org
Clinical Resource: Clinical Factsheets
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Last Checked: 18/06/13 Link Error: Report It

 

Fertility UK

Fertility UK is the national fertility awareness & Natural Family Planning service for the UK.

The service provides comprehensive and objective information to the general public and health professionals on all aspects of fertility awareness.

Source: fertilityuk.org
Clinical Resource: Various
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Last Checked: 18/06/13 Link Error: Report It

 

National Institute for Health and Care Excellence (NICE) Guidance > Fertility problems: assessment and treatment

Source: nice.org.uk
Clinical Resource: Guidance
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Last Checked: 10/11/17 Link Error: Report It

 

Reproductive hormones: The right test, at the right time, for the right patient

Understanding the physiology of reproductive hormones, recognising pathology and knowing what tests to order, when to order them and how to interpret the results can be daunting. Hormone tests provide important information when applied appropriately, but often they are used without a clearly thought out diagnostic pathway, or in response to patient demand, rather than being tailored to the right patient in the right situation. In such situations, hormone tests will, at best, be of no clinical use, and at worst, lead to anxiety and uncertainty. We look at some of the more common applications of hormone tests in the general practice setting.

Source: bpac.org.nz
Clinical Resource: Article
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Last Checked: 13/03/14 Link Error: Report It

 

Faculty of Sexual & Reproductive Healthcare Clinical Guidance

Clinical Guidance

  1. Medical Eligibility Criteria for Contraceptive Use and Selected Practice recommendations
  2. Contraception: Method Specific Guidance
  3. Contraception for Specific Populations
  4. Emergency Contraception
  5. CEU Guidance - Quick Starting Contraception
  6. Drug Interaction Guidance
  7. Management of Sexual and Reproductive Health Related Issues
  8. Product reviews
  9. Statements
  10. Legal and drug licensing issues
Source: fsrh.org
Clinical Resource: Guidance
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Last Checked: 10/06/15 Link Error: Report It

 

World Health Organization | Family planning

General information
Fact sheet on family planning
Fact sheet on emergency contraception

Technical information

Publications
Medical eligibility criteria for contraceptive use
Family planning: a global handbook for providers

Source: who.int
Clinical Resource: Various
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Last Checked: 18/06/13 Link Error: Report It

 

Family Planning
A Global Handbook for Providers

Evidence-based Guidance Developed Through Worldwide Collaboration Family Planning: A Global Handbook for Providers offers clinic-based health care professionals in developing countries the latest guidance on providing contraceptive methods. The book was prepared through a unique collaboration between editorial staff at the Johns Hopkins Bloomberg School of Public Health and technical experts from the World Health Organization (WHO), the United States Agency for International Development (USAID), and over 30 other organizations around the world (see Collaborating and Contributing Organizations). It is published by the Knowledge for Health (K4Health) Project, which is led by the Center for Communication Programs at the Johns Hopkins Bloomberg School of Public Health.

Source: fphandbook.org
Clinical Resource: Handbook
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Last Checked: 18/06/13 Link Error: Report It

 

Contraceptive myths

  • Combined oral contraceptives
  • Female sterilisation
  • Implants
  • Injectables
  • Intra-Uterine Devices (IUDs)
  • Male condoms
  • Vasectomy
  • Withdrawal
Source: ippf.org
Clinical Resource: Myths
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Last Checked: 18/06/13 Link Error: Report It

 

Contraception

The resources which are available for this therapeutic topic can be accessed via the menu on the left-hand side of the page. The e-learning home page suggests ways in which you may like to use the wide variety of e-learning materials.

Source: webarchive.org.uk
Clinical Resource: e-Learning
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Last Checked: 24/04/15 Link Error: Report It

 

Prescribing guidelines for combined oral contraceptives pills
North East Essex Clinical Commissioning Group

Source: neessexccg.nhs.uk
Clinical Resource: Guideline
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Last Checked: 21/09/17 Link Error: Report It

 

Guidelines for Initiation and Switching of Combined Oral Contraception
Telford and Wrekin Clinical Commissioning Group

Source: telfordccg.nhs.uk
Clinical Resource: Guideline
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Last Checked: 17/07/13 Link Error: Report It

 

Switching the Pill
NHS Mid Essex Clinical Commissioning Group

Source: midessexccg.nhs.uk
Clinical Resource: Pathway
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Last Checked: 24/10/13 Link Error: Report It

 

Combined oral contraceptive: Issues for current users

This article offers guidance for managing situations when women who are currently using COCs:

  • Develop conditions which affect their suitability for COC use.
  • Require other medicines that interact with COCs.
  • Experience adverse effects.
Source: bpac.org.nz
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

Is there a lactose-free oral contraceptive?
Prepared by UK Medicines Information (UKMi) pharmacists for NHS healthcare professionals

All licensed oral contraceptives currently available on prescription contain lactose.

Source: sps.nhs.uk
Clinical Resource: Medicines Question and Answer
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Last Checked: 22/09/16 Link Error: Report It

 

Extended Regimen Oral Contraceptives—Practical Management

A roundtable discussion among key thought leaders in the area of hormonal contraception was held on October 20, 2006, in New Orleans, Louisiana. These experts addressed the critical questions regarding the practical management of extended regimen oral contraceptives based on information in the medical literature.

Source: jfponline.com
Clinical Resource: Supplement
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Last Checked: 29/10/13 Link Error: Report It

 

Progestogen Only Pills (POP)
NHS Mid Essex Clinical Commissioning Group

Source: midessexccg.nhs.uk
Clinical Resource: Pathway
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Last Checked: 24/10/13 Link Error: Report It

 

Society of Family Planning Clinical Guideline
Use of the Mirena LNG-IUS and Paragard CuT380A intrauterine devices in nulliparous women

Source: societyfp.org
Clinical Resource: Guideline
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Last Checked: 20/08/15 Link Error: Report It

 

National Institute for Health and Care Excellence (NICE) Guidance > Long-acting reversible contraception

Source: nice.org.uk
Clinical Resource: Guidance
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Last Checked: 10/11/17 Link Error: Report It

 

Contraception and breastfeeding

Breastfeeding delays the return of ovulation. Because of this, all contraceptives have a lower failure rate if used consistently and correctly. Mothers should not wait until the return of their menstrual period before starting contraception as ovulation precedes menstruation making pregnancy possible.

Source: breastfeeding.ie
Clinical Resource: Factsheet
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Last Checked: 07/05/14 Link Error: Report It

 

International Consortium for Emergency Contraception Publications

ICEC has created publications to address EC programs, advocacy, and combating opposition.

  • Guidelines and Fact Sheets
  • Issue Papers and Briefs for Programs and Advocates
  • Country and Regional Fact Sheets and Case Studies
  • ICEC Journal Articles
Source: cecinfo.org
Clinical Resource: Publications
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Last Checked: 12/02/13 Link Error: Report It

 

EC Dosing Quick Reference Table

Source: ec.princeton.edu
Clinical Resource: Table
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Last Checked: 18/06/13 Link Error: Report It

 

Emergency hormonal contraception and breastfeeding

Source: breastfeedingnetwork.org.uk
Clinical Resource: Drug Information Factsheet
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Last Checked: 08/08/16 Link Error: Report It

 

Drug interactions and hormonal contraception

Drug interactions with contraceptives are of concern, particularly when steroid metabolism is induced, as this may reduce contraceptive efficacy. The author discusses the prediction of drug interactions and the interpretation of pharmacokinetic interaction studies of combined hormonal contraceptives.

Source: eu.wiley.com
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

Sex, drugs and alcohol
Drug interactions of concern to consumers

Patients often express concerns about interactions between their medicines and alcohol and any illicit drugs that they may consume. Doctors and pharmacists are also often asked about interactions, especially short courses of antibiotics, which might reduce the efficacy of oral contraceptives.

Source: nps.org.au
Clinical Resource: Journal Article
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Last Checked: 08/08/16 Link Error: Report It

 

Do antibiotics interfere with the efficacy of oral contraceptives?

Among antibiotics, only rifampin has been demonstrated to interfere with the effectiveness of oral contraceptives (OCs) (strength of recommendation [SOR]: C, limited case series).

Source: jfponline.com
Clinical Resource: Evidence Based Answer to Clinical Question
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Last Checked: 29/10/13 Link Error: Report It

 

Antibiotics and Oral Contraceptive Failure

Over the past 3 decades, published reports have described hundreds of women taking oral contraceptives who have become pregnant after a course of oral antibiotic therapy. Accordingly, many pharmacists warn patients on oral contraceptives to take additional precautions to avoid pregnancy when antibiotics are used concomitantly.

Source: hanstenandhorn.com
Clinical Resource: Journal Article
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Last Checked: 05/06/15 Link Error: Report It

 

Contraceptive Hormone Use and Cardiovascular Disease

This review outlines the physiology and mechanisms of cardiovascular action of contraceptive hormones, particularly those found in OCs. It includes basic science, animal and human clinical studies that address contraceptive hormone use and cardiovascular disease. We also review the current guidelines for contraceptive hormone use in women with elevated cardiovascular risk.

Source: content.onlinejacc.org
Clinical Resource: Journal Article
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Last Checked: 08/04/14 Link Error: Report It

 

Contraceptive Choices for Women With Epilepsy Guidelines
A statement from the Special Interest Group in Epilepsy in the South West Peninsula of England

Source: plymouth.ac.uk
Clinical Resource: Guideline
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Last Checked: 16/05/13 Link Error: Report It

 

Society of Family Planning Clinical Guideline for Contraceptive Considerations in Obese Women

Source: societyfp.org
Clinical Resource: Guideline
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Last Checked: 20/08/15 Link Error: Report It

 

Use of Oral Contraceptives in Women with Migraine

Migraine is very common in women during child-bearing years. Many women need or desire contraception, or may have other conditions such as endometriosis, severe dysmenorrhea, menorrhagia or acne for which may benefit from combination oral contraceptive treatment. Is it is safe to let women migraine patients take oral contraceptives? What are the risks? Are there certain dosages or formulations that may be better than others for women with migraine?

Source: americanheadachesociety.org
Clinical Resource: Factsheet
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Last Checked: 18/03/13 Link Error: Report It

 

Approach to diagnosis and management of abnormal uterine bleeding

This article reviews and integrates the most recent evidence, Canadian and international practice guidelines, expert opinion, and clinical experience for the common causes of AUB and current medical and surgical treatment for it.

Source: cfp.ca
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

Abnormal Uterine Bleeding

This article presents a practical approach to determining the cause of abnormal uterine bleeding and briefly reviews medical and surgical management.

Source: aapf.org
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

Management of Pelvic Pain from Dysmenorrhea or Endometriosis

Pelvic pain is one of the most common problems affecting women of reproductive age. The pain may vary from mildly irritating to incapacitating. Dysmenorrhea and endometriosis are the two most common causes. Nonsteroidal anti-inflammatory drugs (NSAIDs) and cyclo-oxygenase-2 (COX-2)-specific inhibitors are the mainstays of therapy for both disorders. Hormonal manipulation may also be used in treatment. Surgical and alternative treatments are also discussed.

Source: jabfm.org
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

British Association for Sexual Health and HIV Clinical Effectiveness Group UK National Guideline for the Management of Pelvic Inflammatory Disease

Source: bashh.org
Clinical Resource: Guideline
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Last Checked: 21/08/15 Link Error: Report It

 

National Institute for Health and Care Excellence (NICE) Guidance > Heavy menstrual bleeding

Source: nice.org.uk
Clinical Resource: Guidance
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Last Checked: 10/11/17 Link Error: Report It

 

Medical Management of Heavy Menstrual Bleeding
Western Sussex Hospitals NHS

Source: gp.westernsussexhospitals.nhs.uk
Clinical Resource: Guideline
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Last Checked: 19/08/15 Link Error: Report It

 

Bandolier Knowledge
Dysmenorrhoea

This section draws together what systematic reviews are available on dysmenorrhoea.

Source: bandolier.org.uk
Clinical Resource: Evidence Based Abstracts
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Last Checked: 13/06/17 Link Error: Report It

 

Diagnosis and management of dysmenorrhoea

The prevalence of dysmenorrhoea (painful menstrual cramps of uterine origin) is difficult to determine because of different definitions of the condition - prevalence estimates vary from 45% to 95%. However, dysmenorrhoea seems to be the most common gynaecological condition in women regardless of age and nationality.

Source: nih.gov
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

Primary Dysmenorrhea: An Urgent Mandate

Primary dysmenorrhea usually begins six to 12 months after menarche and is characterized by spasmodic cramping pain in the lower abdomen that can radiate to the lower back and anterior or inner thighs.

Source: iasp-pain.org
Clinical Resource: Newsletter
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Last Checked: 07/05/15 Link Error: Report It

 

Dysmenorrhea: Contemporary Perspectives

Painful menses or dysmenorrhea affects 40–90% of women. Despite its high prevalence, understanding of its pathophysiology and its relation to other pain syndromes in women is still limited. Dysmenorrhea has been historically categorized into two distinct types: primary and secondary.

Source: iasp-pain.org
Clinical Resource: Newsletter
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Last Checked: 07/05/15 Link Error: Report It

 

Menstrual Migraine: New Approaches to Diagnosis and Treatment

Two-thirds of premenopausal female migraine sufferers self-report that migraine attacks consistently occur during peri-menstrual time periods. These headaches have been referred to as “menstrual migraine”. Interestingly, only attacks of migraine without aura occur more frequently during peri-menstrual time periods. Attacks of menstrual migraine have been found to be more severe, disabling and refractory to abortive medications than those that are non-menstrually related.

Source: americanheadachesociety.org
Clinical Resource: Factsheet
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Last Checked: 18/03/13 Link Error: Report It

 

How Do I Do It Reference for Menstrual Migraine

"This is a description of an individual expert practitioner's approach, presented to give the learner some practical ideas.

Source: americanheadachesociety.org
Clinical Resource: Treatment Recommendation
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Last Checked: 16/05/13 Link Error: Report It

 

Tackling premenstrual syndrome

This Bulletin discusses the management of premenstrual syndrome (PMS), and the evidence for various treatments that have been proposed for this condition.

Source: webarchive.org.uk
Clinical Resource: National Prescribing Centre Bulletin
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Last Checked: 24/04/15 Link Error: Report It

 

Managing PMS

The cause of PMS remains to be established. Current literature leans towards a link between PMS and a deficiency of central serotonergic activity.

Source: usask.ca
Clinical Resource: Drug Information Service Publication
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Last Checked: 18/03/13 Link Error: Report It

 

Herbs, Vitamins and Minerals in the Treatment of Premenstrual Syndrome: A Systematic Review

As many women experiencing symptoms of premenstrual syndrome (PMS) seek relief from natural products (NP), health care providers should have quality information available to aid women in making evidence-based decisions regarding use of these products.

Source: jptcp.com
Clinical Resource: Journal Article
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Last Checked: 24/02/14 Link Error: Report It

 

The North American Menopause Society Position Statements & Other Reports

Source: menopause.org
Clinical Resource: Position Statements and Reports
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Last Checked: 21/08/15 Link Error: Report It

 

International Menopause Society Recommendations

Source: imsociety.org
Clinical Resource: Recommendations
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Last Checked: 08/05/13 Link Error: Report It

 

International Menopause Society Position Papers and Consensus Statements

Source: imsociety.org
Clinical Resource: Position Papers and Consensus Statements
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Last Checked: 08/05/13 Link Error: Report It

 

Royal College of Nursing
Menopause: lifestyle and therapeutic approaches

This publication aims to help all health care professionals gain awareness of all these issues by reviewing what happens to the body during menopause and in the post-menopausal stage, examining the impact of these changes on women, and finally outlining the options for health after menopause.

Source: rcn.org.uk
Clinical Resource: Guidance
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Last Checked: 26/10/15 Link Error: Report It

 

The British Menopause Society: Fact Sheets

Fact Sheets

  • Alternative and Complementary Therapies
  • Explaining risk and study design
  • HRT and Breast Cancer
  • Mammograms and HRT
  • Medical Alternatives to Hormone Replacement Therapy
  • Osteoporosis
  • Ovarian cancer and HRT
  • Premature Menopause
  • The Initial Menopause Consultation
Source: thebms.org.uk
Clinical Resource: Factsheets
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Last Checked: 08/05/13 Link Error: Report It

 

The Facts of Hormone Therapy for Menopausal Women
David W. Sturdee

This book is intended as a resource for family doctors and specialist nurses. It provides a concise account of recent advances in this exciting field, together with an outline of the evidence which informs current thinking. It is hoped that the information it contains will also prove useful to women interested in the up-to-date facts about HT. For the physician, prescription guidelines are included for women of different ages and clinical needs, highlighting the variety of treatment regimens currently in use.

Source: imsociety.org
Clinical Resource: Book
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Last Checked: 08/05/13 Link Error: Report It

 

Hormone replacement therapy

The resources which are available for this therapeutic topic can be accessed via the menu on the left-hand side of the page. The e-learning home page suggests ways in which you may like to use the wide variety of e-learning materials.

Source: webarchive.org.uk
Clinical Resource: e-Learning
Register to Access Content: No

Last Checked: 24/04/15 Link Error: Report It

 

Is there a lactose-free hormone replacement therapy (HRT)?
Prepared by UK Medicines Information (UKMi) pharmacists for NHS healthcare professionals

All branded oral formulations of oestrogen-containing hormone replacement therapy (HRT) currently available on prescription contain lactose.

Source: sps.nhs.uk
Clinical Resource: Medicines Question and Answer
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Last Checked: 22/09/16 Link Error: Report It

 

Assessment and Management of Cardiovascular Risks in Women
A Short Guide for Menopause Physicians

The guide provides details of the key cardiovascular risk factors in women and describes how risk can be determined and monitored within the gynaecological setting, and in which populations. The guide contains practical guidance for menopause physicians to follow to help them to reduce cardiovascular risk in their patients.

Source: imsociety.org
Clinical Resource: Guide
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Last Checked: 22/04/13 Link Error: Report It

 

Complementary and Herbal Therapies for Hot Flushes

There have been a great many trials of complementary and herbal medicines and some of these have suggested benefits from certain therapies and others have shown no benefit. It can be difficult for consumers and for doctors to interpret this mixed information. This information sheet provides a brief overview of the current evidence for complementary and herbal therapies.

Source: menopause.org.au
Clinical Resource: Information Sheet
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Last Checked: 29/11/16 Link Error: Report It

 

Ovarian cancer – UK

Ovarian cancer is the fifth most common cancer and the fourth most common cause of cancer death in women in the UK. Survival has improved due to increased use of platinumbased therapy and a greater determination to treat recurrent disease

Source: cancerresearchuk.org
Clinical Resource: Report
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Last Checked: 18/06/13 Link Error: Report It

 

The British Society for Colposcopy and Cervical Pathology
Educational Resources

New & Notable
BSCCP Lectures
BSCCP meetings on line
BSCCP Audits
Image gallery
Recommended reading
Useful publications

Source: bsccp.org.uk
Clinical Resource: Various
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Last Checked: 17/06/14 Link Error: Report It

 

Management and laboratory diagnosis of Abnormal Vaginal Discharge
Quick Reference Guide for Primary Care

Guidance to diagnosis of abnormal vaginal discharge using signs and symptoms, and sending specimens to the laboratory for diagnosis.

Source: gov.uk
Clinical Resource: Guide
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Last Checked: 20/08/15 Link Error: Report It

 

2011 European (IUSTI/WHO) Guideline on the Management of Vaginal Discharge

Source: iusti.org
Clinical Resource: Guideline
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Last Checked: 18/06/13 Link Error: Report It

 

British Association for Sexual Health and HIV Clinical Effectiveness Group UK National Guideline for the Management of Bacterial Vaginosis

Source: bashh.org
Clinical Resource: Guideline
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Last Checked: 21/08/15 Link Error: Report It

 

British Association for Sexual Health and HIV Clinical Effectiveness Group UK National Guideline on the Management of Vulvovaginal Candidiasis

Source: bashh.org
Clinical Resource: Guideline
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Last Checked: 21/08/15 Link Error: Report It

 

An update on vulvovaginal candidiasis (thrush)

This Bulletin outlines the correct diagnosis and treatment of vulvovaginal candidiasis(thrush) by patients and by health care professionals. It also discusses some of the commonly held but often incorrect beliefs about the infection.

Source: webarchive.org.uk
Clinical Resource: National Prescribing Centre Bulletin
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Last Checked: 24/04/15 Link Error: Report It

 

Recurrent vulvovaginal candidiasis

This article discusses the pathogenesis, investigations and management of recurrent vulvovaginal candidiasis.

Source: racgp.org.au
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

Vaginal yeast infections during pregnancy

Existing data indicate that exposure to oral and topical antifungals, topical antiseptics, or corticosteroids during pregnancy is not associated with increased risk of major malformations. Topical azole antifungals are the recommended treatment during pregnancy for at least 7 days owing to increased efficacy. Topical corticosteroids can be used for symptomatic relief.

Source: cfp.ca
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

Treatment of Vulvovaginal Candidiasis in Patients With Diabetes

This article examines current information regarding vulvovaginitis in diabetic women and therapeutic options for its management.

Source: diabetesjournals.org
Clinical Resource: Journal Article
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Last Checked: 08/05/13 Link Error: Report It

 

British Association for Sexual Health and HIV Clinical Effectiveness Group UK National Guideline on the Management of Vulval Conditions

Source: bashh.org
Clinical Resource: Guideline
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Last Checked: 21/08/15 Link Error: Report It

 

Management of common vulval conditions

Despite the frequency of vulval symptoms, women often find it difficult to obtain expert medical advice. Postgraduate training for general practitioners is not widely available, and special clinics for vulval conditions have long waiting lists. Here, we outline a pragmatic approach to management of chronic vulval symptoms.

Source: mja.com.au
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

Vulvodynia: An Under-recognized Pain Disorder Affecting 1 in 4 Women and Adolescent Girls -- Integrating Current Knowledge Into Clinical Practice

The NVA has partnered with Medscape and Dannemiller in releasing our latest CME/CE-accredited course, Vulvodynia: An Under-recognized Pain Disorder Affecting 1 in 4 Women and Adolescent Girls – Integrating Current Knowledge into Clinical Practice. The self-guided program, which is available for continuing education credit through April 2015, incorporates the latest research findings and covers all aspects of vulvodynia – from the disorder’s prevalence to its differential diagnosis and treatment – in a manner most suitable for clinicians who routinely care for women and girls.

Source: nva.org
Clinical Resource: CE / CPD / CME / Learning
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Last Checked: 18/06/13 Link Error: Report It

 

Scottish Intercollegiate Guidelines Network (SIGN) Guideline > Management of Suspected Bacterial Urinary Tract Infection in Adults

Source: sign.ac.uk
Clinical Resource: Guideline
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Last Checked: 28/09/17 Link Error: Report It

 

Diagnosis of UTI - Quick Reference Guide for Primary Care
British Infection Association and Health Protection Agency

Source: gov.uk
Clinical Resource: Guide
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Last Checked: 20/08/15 Link Error: Report It

 

Infectious Diseases Society of America Guidelines for the Diagnosis and Treatment of Asymptomatic Bacteriuria in Adults

Source: idsociety.org
Clinical Resource: Guideline
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Last Checked: 15/05/15 Link Error: Report It

 

 

The Truth About UTIs and Asymptomatic Bacteriuria

Acute cystitis is extremely common with 40% to 50% of women reporting at least one urinary tract infection (UTI) in their lifetime. UTIs are much less common in men.

Source: stacommunications.com
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

COMPASS Therapeutic Notes on the Management of Bacterial Urinary Tract Infections in Primary Care

In this issue

Introduction, Background & Diagnostic Tests
UTI in non-pregnant women
UTI in pregnant women
UTI in men
UTI in patients with catheters
Acute pyelonephritis
UTI in children
Cranberry products

Source: hscbusiness.hscni.net
Clinical Resource: Bulletin
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Last Checked: 22/11/16 Link Error: Report It

 

Management of urinary tract infections in the elderly

Urinary tract infection is a common cause of morbidity and mortality in patients over 70 years of age. The prevention, diagnosis and treatment of infection in this group of patients require an understanding of the different epidemiology and pathophysiology involved.

Source: eu.wiley.com
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

Treatment of UTIs in patients with renal failure

What is the treatment of choice for a urinary tract infection (UTI) in a patient with renal failure?

Source: druginformation.co.nz
Clinical Resource: Drug Information Service Bulletin
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Last Checked: 16/03/13 Link Error: Report It

 

Cranberry Juice and Urinary Tract Infection

Cranberries have long been the focus of interest for their beneficial effects in preventing urinary tract infections (UTIs). Cranberries contain 2 compounds with antiadherence properties that prevent fimbriated Escherichia coli from adhering to uroepithelial cells in the urinary tract.

Source: cdi.oxfordjournals.org
Clinical Resource: Journal Article
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Last Checked: 24/02/14 Link Error: Report It

 

National Institute for Health and Care Excellence (NICE) Guidance > Urinary incontinence in women: management

Source: nice.org.uk
Clinical Resource: Guidance
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Last Checked: 10/11/17 Link Error: Report It

 

Implementation of the NICE guidance for the management of urinary incontinence in women

A joint guide on behalf of the Section of Female and Reconstructive Urology of the British Association of Urological Surgeons and the British Society of Urogynaecology

Source: baus.org.uk
Clinical Resource: Guidance
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Last Checked: 20/08/15 Link Error: Report It

 

Approach to urinary incontinence in women
Diagnosis and management by family physicians

Urinary incontinence (UI) is a common problem that affects women of childbearing age and older women. Although the exact prevalence of UI is difficult to determine because women do not always report It, reported rates are generally high.

Source: cfp.ca
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

Is newer better? New drugs for treatment of overactive bladder

The current Letter summarizes the Common Drug Review (CDR) reports on three drugs newly available in Canada for the treatment of overactive bladder (darifenacin, solifenacin and trospium).

Source: ti.ubc.ca
Clinical Resource: Evidence Based Therapeutics Letter
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Last Checked: 18/06/13 Link Error: Report It

 

Anticholinergic drugs for overactive bladder: a review of the literature and practical guide

This paper reviews the current anticholinergic pharmacotherapy,which is the mainstay of treatment for this condition.

Source: eu.wiley.com
Clinical Resource: Journal Article
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Last Checked: 18/06/13 Link Error: Report It

 

New Approaches in Managing Interstitial Cystitis/Bladder Pain Syndrome

There is controversy surrounding the management of IC/BPS, with no clear consensus for its optimal treatment.1 The symptoms of IC/BPS vary among patients, with the definitions of the condition and how to measure outcomes varying as well.

Source: uspharmacist.com
Clinical Resource: Journal Article
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Last Checked: 12/06/17 Link Error: Report It

 

Q: Why would Flomax® be prescribed for a woman?

A: Tamsulosin (Flomax®) is a selective alpha-1a/1d adrenergic antagonist indicated for the treatment of benign prostatic hyperplasia (BPH).

Source: duq.edu
Clinical Resource: Pharmaceutical Information Centre Publication
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Last Checked: 18/06/13 Link Error: Report It

 

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