Expert articles
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Top tips
Top tips: sexually transmitted infections (part 2)
Dr Toni Hazell completes her two-part series on managing STIs in primary care, focusing on best practice tips for non-chlamydia STIs
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Top tips
Top tips: sexually transmitted infections (part 1)
Dr Toni Hazell provides 10 top tips on sexually transmitted infections—part one of this two-part series covers general history taking, with a focus on chlamydia
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Hot topic
HIV: from fatal condition to chronic disease
Dr Toni Hazell presents an overview of HIV prevalence, testing, treatments, and other issues relevant to primary care
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Implementing guidelines
Erectile dysfunction is an important marker for cardiovascular disease
Professor Geoff Hackett and Professor Mike Kirby summarise updated guidance on diagnosing and treating erectile dysfunction in primary care and the importance of investigating for cardiovascular risk factors
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Implementing guidelines
Contraception for women aged over 40: what, when, and for how long
Dr Katie Boog and Valerie Warner Findlay discuss FSRH recommendations on contraception for women aged over 40 years, and explain the benefits and risks associated with different methods
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Top tips
Top tips: sexual and reproductive health
Dr Rebecca Mawson offers top tips on providing sexual and reproductive health care in primary care
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Hot topic
Primary care is well placed to assess ED
Dr Jonny Coxon explains how to deliver care for men with ED in general practice and when to refer
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Implementing guidelines
Informed choice is the cornerstone of effective emergency contraception
Dr Sarah Hardman discusses recommendations from the FSRH on emergency contraception and highlights factors that should be considered for each method
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Implementing guidelines
Contraception should be offered promptly following pregnancy
Dr Michelle Cooper (pictured) and Dr Sharon Cameron discuss the importance of post-pregnancy contraception and summarise FSRH recommendations
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Implementing guidelines
Inclusivity is key in the care of lesbian, gay, and bisexual people
Dr Mark Holloway summarises the RCGPNI guidance on the care of lesbian, gay, and bisexual patients in primary care
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Implementing guidelines
Updated guidance offers more options for intrauterine contraception
Drs Lesley Curry (pictured) and Sharon Cameron summarise updated FSRH guidance on intrauterine contraception and discuss some implications for primary care
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Commissioning article
Better access to IUDs and the IUS could reduce teenage pregnancies
Eleanor Brown (left) and Dr Richard Ma discuss the delivery of contraceptive services and how improving access to intrauterine LARC methods could reduce costs
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Personal view
All women requiring contraception should be offered LARCs
A t least 30% of all pregnancies in the UK are unplanned;1 in 2008, there were nearly 200,000 abortions in England and Wales, a four-fold increase since 1969.2 Moreover, 62% of women who attend for abortion report that they were using a method of contraception at the time ...
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Implementing guidelines
Investment in contraceptive care is an urgent requirement
Drs Anne Connolly (left) and Amanda Britton discuss the need to plan for comprehensive contraceptive services in light of the imminent reorganisation of the NHS
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Implementing guidelines
Contraceptive choice for over 40s depends on risk-benefit profile
Dr Louise Melvin outlines recommendations from the Faculty of Sexual Reproductive Healthcare on using and stopping contraception for women aged over 40 years
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Implementing guidelines
Chlamydia testing should be targeted at high-risk groups
Dr Gordon Scott outlines the updated SIGN recommendations on the management of Chlamydia trachomatis, and methods of reducing rates of infection
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Implementing guidelines
Long-acting methods of contraception are more cost effective
NICE supports use of LARC, but healthcare professionals need to be trained to develop and maintain the relevant skills, explains Dr Sam Rowlands
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Personal view
NICE guideline will help to improve sexual health
Dr Jeni Worden discusses how recent guidance will help primary care tackle the problems of STIs and under 18 conceptions in the UK
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Implementing guidelines
NICE guidance will raise awareness of long-acting reversible contraception
New guidance should ensure women are able to make an informed choice about contraception, say Dr Chris Wilkinson (left), Irene Kwan and Dr Martin Dougherty
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GMS contract
Developing a practice policy for providing emergency contraception
Emergency contraception and pre-conception advice are important elements of everyday family medicine, says Dr Chris Barclay