The journal of family planning and reproductive health care
-
J Fam Plann Reprod Health Care · Oct 2003
Access by the unaccompanied under-16-year-old adolescent to general practice without parental consent.
The views of primary health care providers concerning their willingness to consult with under-16-year-old adolescent patients without the presence of a parent or guardian are not well documented. Many young people believe they have to be aged over 16 years to see their general practitioner (GP) alone. Confidentiality is a major concern for young people. It is important that more is known about the willingness of GPs and practice nurses (PNs) to offer unaccompanied consultations without known parental consent. ⋯ GPs and PNs are willing to consult with under-16-year-olds without a parent or guardian being present. Many practices in this region do not appear to have policies in place to guide health professionals on under-16 access issues.
-
J Fam Plann Reprod Health Care · Oct 2003
Case ReportsIntravesical migration of a GyneFix intrauterine device.
A case of intravesical migration of a GyneFix intrauterine device (IUD) is described, in which the patient presented with supra-pubic pain and urinary symptoms. The diagnosis was made 34 months after the insertion of the IUD, by ultrasound scan. The GyneFix was removed endoscopically. A description of the GyneFix device, the possible adverse effects and incidences of its complications, the importance of post-insertion follow-up, and the need for awareness of the possibility of intravesical migration are discussed.
-
J Fam Plann Reprod Health Care · Apr 2003
Comparative StudyA 6-month pilot of a collaborative clinic between genitourinary medicine services and a young persons' sexual health clinic.
To investigate whether situating a genitourinary medicine (GUM) clinic within a Brook centre is successful in attracting a younger client group than that traditionally seen in GUM clinics within hospitals. ⋯ The pilot clinic was successful in attracting a much younger client group than a traditional hospital-based service.
-
J Fam Plann Reprod Health Care · Jul 2002
Comparative StudyA study to assess the prevalence of chronic testicular pain in post-vasectomy men compared to non-vasectomised men.
To assess the prevalence of chronic post-vasectomy testicular pain (CPTP) compared to the prevalence of chronic testicular pain in a control population of non-vasectomised men. ⋯ Only 6% of cases (compared to 2% of controls) experienced pain severe enough to seek medical advice in the 3-4-year post-operative period. However, there was a significant difference in the prevalence of occasional testicular discomfort between post-vasectomy men and controls. Mostly these pains were not regarded as troublesome, however men attending for vasectomy counselling should be informed of the possibility of this morbidity.