Women's health, gynaecology and obstetrics Archives

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Women's health, gynaecology and obstetrics

CPD: Key questions on menopause

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Menopause: identification and management [NG23]

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BMA submits 600 serious PA incidents to safety review

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Community pharmacy deal worth £3bn will ‘free up GP time’, says Government

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People with long-term conditions should have BMI check every year, says NICE

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More than 2,200 GP practices affected by IT issue leading to missed cancer screenings

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Some progress made on waiting lists and tests, NHS England announces

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NICE approves daily pill for endometriosis where other treatments have failed

South and East Asian people living in the UK have different hypertension risk

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Thousands of patients not invited to cancer screenings due to ‘incomplete’ GP registrations

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Patients experiencing ‘deeply concerning’ levels of discrimination in primary care

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Treat male partners to tackle bacterial vaginosis in women, study suggests

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NHSE assessing GP ‘training gaps’ on women’s health

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Dilemmas in HRT: Beyond the basics

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Case of the month answers – what was causing this patient’s panic episodes?

Heart attack and stroke risk higher with certain hormonal contraceptives

MHRA opens up for more medicines to become available without a GP prescription

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NHSE approves major shake-up to vaccination and screening services

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Government announces £200m boost to public health funding

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Dilemmas in HRT: Managing adverse effects

Government ‘acting on’ GPs being ‘unwilling’ to refer to Pharmacy First

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Rise in women seeking abortion using ‘natural’ smartphone cycle tracking apps

Doctors urged to diagnose obesity based on health risk rather than BMI

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Dilemmas in HRT: Getting the basics right

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GPs can reject requests for input on private weight-loss jab prescriptions, say LMCs

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GPs in several areas serve collective notice to ICBs on ‘unfunded work’

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Case of the month: What’s causing this patient’s sudden-onset confusion and memory loss?

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GPs must continue promotion of folic acid in pregnancy after fortification of flour

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Letter: Copperfield is wrong – GPs do need women’s health training

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GPs need women’s health training to end ‘medical misogyny’, say MPs

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Experts criticise recommendation to withdraw Covid vaccine in pregnancy

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Guidelines update: How to interpret and implement new NICE menopause advice

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Women to get reminders and be able to book cancer screening via NHS App

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Folic acid to be added to flour under new UK legislation

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GPs to offer ultrasound to all patients with suspected endometriosis, confirms NICE

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New NICE guidance clarifies HRT as ‘first line treatment’ for menopause symptoms

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GPs asked to help improve recording of fetal alcohol spectrum disorder

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Maternal pertussis vaccination figures show ‘steady’ increase, says UKHSA

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HRT prescribing increased by 22% last year

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Guidelines update: Unscheduled bleeding on HRT

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GP practices to order contraceptive implants from January

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Women with asthma may have higher risk of miscarriage and fertility problems

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NHS to allow women with cancer symptoms to self-refer to breast clinics

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Cardiovascular disease underdiagnosed and undertreated in women, experts warn

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GP practices to promote maternal pertussis vaccination in national campaign

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Under the Radar: Relative Energy Deficiency in Sport

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GPs concerned about lack of fridge space to store RSV vaccine

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NHS England to publish ‘equality improvement plan’ for primary care

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Clinical language used after pregnancy loss adds to trauma, researchers warn

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MHRA warns men taking valproate to use contraception over small risk to children

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Menopause and HRT: Myths and facts

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NICE recommends additional treatment for uterine fibroids

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New RSV vaccination programme could cut GP consultations by 35,000

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Flu and Covid vaccination campaign to run from 3 October to 20 December

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Another baby dies from whooping cough as cases surpass 10,000

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Consultation threshold for Pharmacy First payment reduced for August

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Self-sampling HPV kits could increase cervical screening uptake

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Clinical conundrum: Pregnant woman requesting antidepressants

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HRT: New guidelines clarify when to refer for unexpected bleeding

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UK to switch to non-polio containing pertussis vaccine for pregnant women

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Third of eligible under-50s fail to take up cervical screening

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Medicine shortages cause ‘moral distress’ for three-in-four GPs

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Atorvastatin most-prescribed drug by GPs, with diabetes and HRT drugs on rise

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Women in perimenopause have significant increased risk of depression

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Five babies have died from whooping cough in England this year

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Women drinkers particularly at risk of developing heart disease

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HPV vaccine success shown in those who had catch-up immunisation

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GP practices encouraged to offer paid leave to staff experiencing pregnancy loss

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Patients’ right to request same-sex intimate care to be included in NHS Constitution

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Increase in smoking among more affluent young women in past decade

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GP surgeries can incorporate women’s health hubs, says NHS England

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GPs alerted as reagent shortage hinders trust in processing bloods

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Injectable contraception associated with increased risk of meningioma, say researchers

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ICBs told to take action amid ‘significant pressure’ on NHS abortion services

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GPs to refer women with family history of ovarian cancer direct to genetic counselling

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DHSC ‘has not decided’ on pharmacist medicine swaps without SSPs

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Pharmacies can free up 30 million GP appointments annually, say trade leaders

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NICE recommends ultrasound for all suspected endometriosis patients

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Masterclass: A complete GP’s guide to menopause and perimenopause

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NHS England reiterates call for GPs to curb OTC prescribing

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Menopause healthy part of ageing and has been ‘overmedicalised’, researchers warn

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NHS apologises to high-risk patients not told about annual breast screening checks

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Pertussis vaccination plea for pregnant women and babies as cases rise

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Mindfulness and CBT ‘are effective for some menopause symptoms’

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Pelvic mesh monitoring should be done ‘in conjunction with GPs’

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A third of women not taking up offer of breast cancer screening

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Cold-water swimming helps menstrual and menopause symptoms, research suggests

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Half a million women access low-cost HRT through Government scheme

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Government unveils plan to tackle medicine shortages

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No cervical cancer cases in HPV-vaccinated women in Scotland, study finds

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Vaping safe to help pregnant women stop smoking, UK research suggests

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Doctors reminded not to report suspected illegal abortions to police

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Around 3,000 pharmacies sign up to contraception service

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Problem periods and menopause top priorities for 2024, says health secretary

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Research urges suicide vigilance with perinatal depression

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Draft NICE menopause guidelines ‘seriously lacking’, say campaigners

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‘Expanded’ postnatal health check to address ‘unwarranted variation’

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Menopause drug to treat hot flushes and night sweats gets MHRA approval

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GPs told they need more training to diagnose gynaecological cancers

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MHRA to put tighter rules on valproate prescribing in place from January

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Will GPs benefit from pharmacies taking on ‘common conditions’ prescribing?

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NICE recommends CBT to relieve menopause symptoms

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Pharmacies to prescribe for ‘common conditions’ from end of January

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NHS England sets target to eliminate cervical cancer

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Women at high risk of breast cancer told to see GP to access preventive drug

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Public needs education on role of HPV in cervical screening

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Government looking to include menopause in QOF and NHS health checks

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GP record access could enable abuse against women, charities and BMA warn

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Commit to menopause health checks on NHS from age 40, parliamentary group urges

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Trust launches review into 17,000 cervical screening test results

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Government reverts NHS advice to ‘sex-specific’ language

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Complicated pregnancy clinic: Epilepsy

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GP practices urged to act now for access to new cervical screening system

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GPs asked to encourage pregnant women to take up Covid jab offer

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Women’s health: Menopause and HRT

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Genetic testing for ovarian cancer to expand under NICE recommendations

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Government launches ‘landmark’ women’s health survey

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Venous thromboembolism warning over contraceptive pills with NSAIDs

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Incorrect cuff size can significantly impact BP readings

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Liothyronine should only be prescribed by specialist in small number of patients

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Complicated pregnancy clinic: thyroid disorders

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All areas to get women’s health hubs

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Endometriosis: Diagnosis and management

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Superdrug to offer self-tests for conditions including fertility and vitamin D deficiency

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GPs seeing large rise in teen girls with eating disorders

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England moves to single-dose HPV schedule from September

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Most women with early-stage breast cancer will now survive, research shows

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GPs should lobby for improved infertility treatment, says RCGP president

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New decision tool for sodium valproate prescribing for bipolar disorder

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Medical arithmetic: Yellow pigmentation and unusual rashes

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Complicated pregnancy clinic: Diabetes

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Spironolactone safe and effective in treating acne in women, study finds

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The rise of at-home testing kits

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RCGP calls for NICE guidance and MHRA regulation for self-testing kits

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Covid vaccination creates no increased risk of menstrual changes, finds large study

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Overdiagnosis: Breast cancer screening

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Management of commonly abnormal blood tests in primary care

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Rational referrals: Gynaecology

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Pharmacists won’t be able to take on contraception on national level, reps warn

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HRT medicines scheme has been rolled out without the right IT in place

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RCGP among health bodies issuing safety alert over increased high-dose HRT prescribing

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Government launches new HRT scheme to make menopause medication ‘more accessible’

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Four new UTI tests could help fight antimicrobial resistance

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GP workload warning as Tesco starts selling at-home testing range

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New mothers are being ‘failed’ at six-week GP check, claims Healthwatch

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GP ‘fragmentation’ concerns over women’s health hubs expansion

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Complicated pregnancy clinic: mental health

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HRT to cost less than £20 per year with new pre-payment certificate

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Mother-to-child hepatitis B transmission eliminated in England

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Complicated pregnancy clinic: hypertension

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Major pregnancy complications associated with ‘life-long’ heart disease risk

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Third of women have never had cervical screening

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Mandatory menopause training for GPs is not needed, says Government

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GP practices should record menopause-related staff absences

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GPs to inform pregnant women of Covid jab eligibility

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GPs to send women for period course via social prescribing

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GPs should give all women menopause health check at 45, say MPs

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NHS prescriptions for HRT up by 35% in a year

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Antidepressants in pregnancy not linked to autism, finds large study

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First over-the-counter HRT now on sale at Boots

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Pregnant women targeted in Covid vaccine misinformation campaign

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Oestrogel supply doubles but HRT shortages remain

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Government seeks views on how much folic acid to add to flour

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Government publishes guidance for early at-home medical abortions

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HPV vaccine alongside surgery may reduce risk of cervical lesions returning

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GPs need menopause training and communications on HRT scheme, say MPs

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All new doctors to face mandatory women’s health training from 2024

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Pharmacies to dispense vaginal HRT tablets without a GP prescription from September

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New GP blood test could help diagnose ovarian cancer faster

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NICE to review menopause guidance over evidence of HRT cancer risk

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Pharmacists can substitute out-of-stock HRT products without consulting GP

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Just 31% of pregnant black women vaccinated against Covid

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How to consult remotely: contraception

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Government to ration HRT with three-month supply limit

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Thousands unable to access perinatal mental health services, psychiatrists warn

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Positive OTC HPV test does not prompt early cervical screen, advises NHSE

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HRT shortage due to ‘increased media coverage’

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At-home early abortion scheme to continue in England

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NICE: GPs should routinely ask pregnant women about drinking and record details

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Antiseptic drug as good as low-dose antibiotics for recurrent UTI prevention

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Pandemic early abortions access changes to be scrapped by Autumn

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Clinical clangers: ‘My test results say I’ve got thrush – can I get a prescription, doctor?’

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HRT could be made available over the counter without a GP prescription

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Cervical screening interval extended to every five years in Wales

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Government suggests GPs need ‘compulsory women’s health training’

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Folic acid legal case ‘putting doctors off GP career’

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Pregnant women should be prioritised for Covid vaccine, says JCVI

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GPs urged to promote Covid vaccination at every contact with pregnant women

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Spina bifida patient wins legal case against GP for ‘not advising folic acid supplement’

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Deadline for GPs to review cervical screening lists

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New UK data on Covid vaccine in pregnancy confirms it is safe and effective

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HRT to be ‘cheaper and easier to access’ under new supply plan

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Pregnant women with hyperemesis ‘struggling to access treatment’

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Remote consultations for gynaecology

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HRT not linked to overall increased risk of dementia, large UK study shows

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Remote consultations for gynaecology: changes or abnormalities in menstrual flow

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GPs to be able to refer women to perinatal pelvic clinics

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Home HPV swab kits to be piloted to increase cervical screening uptake

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Opioids and macrolide antibiotics not linked to major birth defects

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How to deal remotely with… HRT prescribing

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Pregnant and breastfeeding women should now be offered Covid vaccination

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Universal six-week postnatal check for new mothers confirmed in GP contract

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Genitourinary syndrome of the menopause

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Safe HRT prescribing

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High dose folic acid does not prevent pre-eclampsia in high risk women

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Guideline of the month – heavy menstrual bleeding

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PHE concern as cervical cancer screening uptake continues decline

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How we boosted cervical screening uptake by 11%

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Guideline of the month – precautions over Zika virus in pregnant women

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GP contraceptive services cuts are ‘impacting on patient care’

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GP contraceptive services cut as councils target public health budgets

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Drop in number of legal abortions as GPs practised in ‘climate of fear’

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Over 1,000 cases of FGM reported in a quarter

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Guideline of the month – NICE menopause guideline

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Financial incentives for pregnant women to stop smoking ‘highly cost effective’

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NICE menopause guidelines – key recommendations for GPs

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‘Using HRT more widely will help the women who suffer most’

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NICE urges GPs to overcome ‘reluctance’ to offer HRT in menopausal women

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The information – menopausal flushes

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GPs told they can now let patients self-inject contraceptive

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Treatment for long-term management of uterine fibroids made available in EU

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Breast cancer screening numbers fall for third year running

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Key questions on vaginal discharge (1.5 CPD hours)

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Emergency contraceptive gets pharmacy access clearance

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Heparin injections ‘do not prevent pregnancy loss’

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QOF indicators led to over 100,000 extra LARC prescriptions

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Family planning – emergency contraception (1 CPD hour)

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GPs to offer advance prescriptions of emergency contraception to young women

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Family planning – LARC (1.5 CPD hours)

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Obs & gynae clinic – placental abruption

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Strontium ranelate gets reprieve from European regulator

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Battling the North Pole to help women battle maternal mortality

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Family planning – Combined hormonal contraception (1.5 CPD hours)

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Regulators consider withdrawing strontium ranelate over CV safety concerns

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GPs given checklist for prescribing combined contraceptive pill

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Key questions on chronic pelvic pain (1.5 CPD hours)

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Obs & gynae clinic – symphysis pubis dysfunction

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Endometriosis (2 CPD hours)

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Obs & gynae clinic – postmenopausal bleeding

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GPs urged to co-ordinate care for people with gender dysphoria

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Obs & gynae clinic – sepsis in pregnancy and the puerperium

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LARC – Key questions (1.5 CPD hours)

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Surgery ‘should be first-line treatment’ for stress incontinence

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How not to miss – ectopic pregnancy

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Activity ‘decreases risk of endometrial cancer’

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Children to obese mothers ‘have increased CV risk’

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Long-term calcium channel blocker use ‘linked with breast cancer’

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Morning sickness remedy ‘contains arsenic’

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HRT ‘has no effect on cognitive function’

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Daily prenatal supplement ‘improves birth weight’

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‘No evidence’ planned home births increase risk of severe adverse outcomes

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Heavy menstrual bleeding – Key questions (1.5 CPD hours)

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Moderate maternal alcohol intake ‘has no effect on mental development’

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Two doses of HPV vaccine ‘may be as effective as three’

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GPs advised to follow-up women after early pregnancy bleeding assessment

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Transvaginal ultrasound recommended for suspected ectopic pregnancy

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Managing the menopause – Key questions (1.5 CPD hours)

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How not to miss – pre-eclampsia

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Family origin questionnaire to screen pregnant women for haemoglobinopathies

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PIP breast implant patients should be referred for review, says GPC

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Dilemma: Estranged parent’s request for record access

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Antenatal and newborn screening timeline

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NICE widens access to IVF to women over 40

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Self-assessment tool to check breast and ovarian cancer risk

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School nurses ‘should give out morning after pill’

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NICE to recommend wider range of first-line treatments for urinary incontinence

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UK Medical Eligibility Criteria for Contraceptive Use

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GPs urged to review combined pill prescribing

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Tricky ten minutes – ‘I don’t want HRT, what else can I do about my flushes?’

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Patient information leaflet – HRT

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RCGP says pertussis vaccine rates remain ‘too low’

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Pre-eclampsia raises mortality risk ‘by 80%’

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NHS Screening timeline

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Pregnant women stop asthma medication, study finds

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Patient information leaflet on alternatives to HRT

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Patient information leaflet on vaginal thrush

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PCTs demand ‘unfair’ information about pertussis vaccinations

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Patient information leaflet on infertility

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Tricky ten minutes – ‘we’ve been trying to get pregnant for 18 months, what can we do now?’

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Urinary frequency-volume chart

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Botox offers relief from incontinence

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GPs to offer whooping cough vaccine to all pregnant women

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The commercialisation of birth

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Deprivation biggest factor in delays to early cancer diagnosis, study shows

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Exercise ‘improves sleep quality’ in older women

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Consider iron supplements for fatigue, say researchers

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Cuts to maternity services impact on breastfeeding continuation

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Statins ‘have no effect’ on mortality in women

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Domestic violence training ‘saves over £3,000 per practice’

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Offer teenagers LARCs to reduce risk of unintended pregnancies, say researchers

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Offer teenagers LARCs to reduce risk of unintended pregnancies, say researchers

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Exercise linked with reduced risk of psoriasis

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Bisphosphonates ‘can be stopped after three years’

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DH to pilot HPV testing as primary screening tool for cervical cancer

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Dabigatran ‘has higher rate of complications’ than warfarin

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Contraceptive patches and vaginal rings ‘double thrombosis risk’

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Shining a light on self-test kits

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Bottle-fed babies ‘gain more weight’

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GPs can’t take away the pain of miscarriage, but they can direct parents toward help and support

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Combined pill ‘reduces risk of mood disorders’

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GPs need to move with the times on pharmacy Pill access

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ARB diabetes risk ‘greater in women’

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Delays in ovarian cancer diagnosis by GPs lead to big medical negligence payouts

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Breast cancer screening ‘overdiagnoses’ quarter of patients

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SSRIs linked with gestational hypertension

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PulsePlus-Family Planning (3 CPD hours)

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GPC urges CMO to retract call for GPs to carry out annual PIP checks

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GPC warning on ‘incompetent’ cervical smear tests

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NICE guidelines ‘wrong’ on test for women with gestational diabetes

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Ovarian cancer casebook (1.5 CPD hours)

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Endometriosis ‘linked with cancer’

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Dictated to by surgeon’s knife

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GPs warn of ‘unsafe’ removal of midwives from practices

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Majority of child vaginal discharge cases ‘do not need referral’

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Contradictory PIP breast implant guidance leaving GPs in ‘awkward position’

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Domestic violence is a challenge to general practice

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GPs must show more sympathy to patients with PIP implants

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Study finds that combined oral contraceptives lessen menstrual pain

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Dodgy implants, pills that state the obvious and abortion objections – women’s health makes the headlines

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GP leaders win victory over ‘unreasonable’ cervical smear training demands

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Map: IVF funding

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IVF funding cut by 14% in a year

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Unhealthy lifestyles ‘have no effect on time to conceive’

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Using HPV testing as primary screening tool ‘cuts cervical cancer rates’

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Should boys be vaccinated against HPV?

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Increasing susceptibility to rubella in pregnant women

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NICE recommends all pregnant women are offered choice of caesarean birth

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Self-administered contraceptive injections a ‘feasible’ alternative

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‘Government cuts’ hit chlamydia and gonorrhoea testing

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Contraceptive pill linked with reduced risk of ovarian cancer

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NHS breast cancer screening programme under review

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HPV screening beats cytology for cervical cancer

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High blood pressure in early pregnancy ‘increases birth defect risk’

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Women with polycystic ovaries ‘more likely to have pregnancy complications’

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Gynaecological protocols flow chart

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Dietary supplements ‘increase mortality’ in older women

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DH reviews HPV vaccine

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Diet can lower birth defects

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Cervical cancer test likely to ‘overwhelm’ diagnostic services

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Quadrivalent HPV vaccine ‘more cost-effective’

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Early abortion discharge ‘not linked to reattendance’

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Support for sickle cell screening in primary care

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IUD use ‘halves cervical cancer risk’

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GP leaders ask DH to step in over ‘patronising’ cervical smear training

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Screening ‘failing to detect early-stage ovarian cancers’

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FGM guidance relevant all year round

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PCTs impose restrictions on caesarean sections

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What was causing the large mass in this young woman’s abdomen?

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Routine IUD checks ‘unnecessary’

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Managers continue cost-saving drive with restrictions on incontinence surgery

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HPV triage pilot ‘will save the NHS millions’

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Antibiotics more effective than cranberries for preventing UTIs – but raise resistance

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Concern as medical students refuse to perform certain procedures on ethical grounds

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HPV vaccination reduces high-grade cervical abnormalities

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Ovarian cancer screening does not reduce mortality rates

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Why HPV testing is an important development in screening women for cervical cancer

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Women skip smear tests as ‘Jade Goody effect’ fades

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GP access to diagnostics ‘improves care’

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HPV testing rollout stalls in early stages

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Missed contraceptive pill recommendations

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GPs able to reassure women over missed contraceptive pills

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Trimethoprim ‘not suitable’ for empirical use in UTIs

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Lower clot risk with levonorgestrel

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A hot flash in a pan?

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Nearly 1,000 abortions per year carried out in GP surgeries

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Pericoital pill ‘moderately effective’

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Ovarian cancer coding ‘delayed by 24 days’

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HPV testing ‘will increase screening uptake’

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Study identifies pelvic inflammatory disease risk groups

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Guidance on antibiotics and contraceptive pill interaction changed

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Key questions on managing the menopause (1.5 CPD hours)

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Antidepressant reduces hot flushes

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PCTs warned on cuts to fertility services

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Concern over contraceptive implant ‘unfounded’

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HPV test added to cervical cancer screening

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Cervical cancer screening: HPV triage

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IVF success calculator

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MHRA issues advice for GPs on contraceptive implant

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Dyspareunia

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Key learning points on sexual dysfunction

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Pregnant women to be included in routine flu vaccination

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HITS domestic violence screening tool

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Patient decision aids

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Low GI diet helps overweight mothers

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HPV test ‘slashes number of cervical smears needed’

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£6bn NHS funding gap; HMV for HPV and why ladies could soon be slapping their contraception all over their thighs

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Women on HRT more likely to develop advanced breast cancers

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Short-term antidepressants ‘effective for postnatal depression’

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Difficult pain scenarios

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NICE’s woolly red flags for ovarian cancer

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NICE gives denosumab green light

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Venturing beyond the prescription pad

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DH hints at rethink on maternity services

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The lucky ones

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No evidence for morning sickness treatments

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Patients denied IVF treatment by cash-strapped PCTs

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Call to ‘urgently’ redefine GP role in maternity services

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GPs should ‘advise weight loss for hot flushes’

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Quadrivalent vaccine offers women ‘sustained protection’

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Copper IUCDs more effective than depot progesterone

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GPs make ‘major step forward’ in chlamydia screening

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HRT patches have lower risk of stroke than pills

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Tips on gestational diabetes

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NICE calls for young women to have morning-after pill at home

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HPV ‘should be primary test’ in cervical screening

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Pregnancy date calculator

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OTC antibiotic switch halted ‘after Government opposition’

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Huge variation in LARC use by primary care

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Most OTC oral contraceptives are given to new users

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Symptom impossible: the loss of sexual desire

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New DH cervical cancer guidance alerts GPs to abnormal vaginal bleeding

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Testosterone patch scripts ‘often outside guidelines’

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Gardasil 95.7% effective; HIV drugs cut risk of transmission; Walnuts cut cholesterol

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Move to HPV testing for cervical cancer ‘has psychological benefits’

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GPs should tell pregnant women there is ‘no need to eat for two’

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Key questions on oral contraception (1.5 hours)

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Update on new contraceptive methods

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Emergency contraceptive pill ‘effective after five days’

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NSAIDs ‘more effective than paracetamol’ for period pain

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Patchy sexual health LESs are ‘detrimental’ to patient care

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