Exploring the sexual histories of older GUM clinic attenders

2000 ◽  
Vol 11 (11) ◽  
pp. 714-718 ◽  
Author(s):  
C Merryn Gott ◽  
Karen E Rogstad ◽  
Vincent Riley ◽  
Imtyaz Ahmed-Jushuf ◽  
Tana Green
Keyword(s):  
Later Life ◽  
Clinic Attendance ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sexual Histories ◽  
Genitourinary Medicine ◽  
Patient Note ◽  
Study Participants ◽  
First Time ◽  
Self Administered Questionnaire

Little is known either of the factors motivating clinic attendance in later life, or the sexual health histories of older clinic attenders. A self-administered questionnaire study linked to patient note data aiming to explore these issues was undertaken within 3 genitourinary medicine (GUM) clinics in the Trent region. Participants comprised 224 individuals aged 50 years and older attending the 3 clinics during the study period. The majority of study participants were attending the clinic with a suspected sexually transmitted infection (STI) ( n = 145, 64.7%) and approximately half ( n = 119, 53.1%) were firsttime GUM clinic attenders. Data available for participants recruited from the Sheffield clinic indicated that, although the majority of participants reported having had only one sexual partner during the last 12 months, a significant minority reported considerably higher numbers of partners, including those classed 'higher risk' for STI acquisition. These data indicate that older people engage in behaviours that place them at risk of STI acquisition and many attend GUM clinics for the first time in later life.

Is genitourinary medicine meeting the contraception needs of clinic attendees?

2005 ◽  
Vol 16 (8) ◽  
pp. 543-545 ◽  
Author(s):  
Faryal Mahar ◽  
Jackie Sherrard
Keyword(s):  
Sexually Transmitted Infection ◽  
Clinic Attendance ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Medicine Clinic ◽  
Unintended Pregnancies ◽  
Genitourinary Medicine ◽  
Spread Of Infection ◽  
Clinic Population

Providing a service that incorporates both sexually transmitted infection (STI) treatment and contraception may provide an opportunity to reduce the spread of infection and unintended pregnancies by identifying women using inadequate contraception. Genitourinary (GU) medicine clinics are well equipped to do this. This study looked at current contraception needs of, and provision where inadequate to, new patients attending a department of GU medicine. Two hundred consecutive new patients ranging in age from 13–60 years were included in the study. Overall 164 (82%) women attending for testing for STIs had no contraceptive needs. In this GU medicine clinic population the majority of attendees were using a reliable form of contraception correctly. Where contraception was inadequate there was discussion of this and documentation of the advice and/or treatment given in the notes of all except one woman. This suggests that for this group of women their attendance at a GU medicine clinic was appropriate to meet their main need, which was related to STIs, and where contraception was inadequate this was managed appropriately within the GU medicine clinic attendance.

scholarly journals Genital chlamydia now the most commonly diagnosed sexually transmitted infection in England, Wales, and Northern Ireland

2002 ◽  
Vol 6 (33) ◽  
Author(s):  
Keyword(s):  
Northern Ireland ◽  
Sexually Transmitted Infections ◽  
Sexually Transmitted Infection ◽  
Chlamydial Infection ◽  
Case Finding ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Genitourinary Medicine ◽  
First Time ◽  
Made In

Consistent with other Western European states, the numbers and rates of bacterial and viral sexually transmitted infections (STIs) in England, Wales, and Northern Ireland have been increasing since the mid-1990s (1). Recently released figures (collected on the national KC60 statistical returns) on diagnoses made in genitourinary medicine (GUM) clinics in England, Wales, and Northern Ireland show that this increase has continued throughout 2001. In 2001, genital chlamydial infection became the most common STI seen in GUM clinics with a total of 71 055 diagnoses. This is the first time in 30 years that a bacterial STI has been the most commonly diagnosed STI and may reflect increased incidence as well as increased awareness and case-finding

Musculoskeletal disorders: genitourinary medicine perspective

1996 ◽  
Vol 7 (6) ◽  
pp. 396-399
Author(s):  
Sarup C Tayal ◽  
Peter Watson
Keyword(s):  
Rheumatoid Arthritis ◽  
Sexually Transmitted Diseases ◽  
Musculoskeletal Disorders ◽  
Musculoskeletal System ◽  
Sexually Transmitted Infection ◽  
Viral Infections ◽  
Transmitted Infection ◽  
Medical Specialties ◽  
Sexually Transmitted ◽  
Genitourinary Medicine

Summary: The association of musculoskeletal disorders and genitourinary symptoms is reviewed. Reactive arthritis, Sjogren's syndrome and rheumatoid arthritis can present with a variety of genitourinary symptoms. Similarly sexually transmitted diseases including gonorrhoea, syphilis, HIV and other viral infections can affect the musculoskeletal system. Reiter's syndrome may be a consequence of a sexually transmitted infection although its presentation can suggest that also in postdysenteric cases. The fact that conditions may present to various medical specialties requires doctors outside departments of GUM to allow their patients an opportunity and the time to discuss sexual matters.

Sexually transmitted infection

2017 ◽  
Author(s):  
Emma J. McCarty ◽  
Wallace Dinsmore
Keyword(s):  
Diagnostic Testing ◽  
Dna Identification ◽  
Chain Reaction ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Rising Incidence ◽  
The Common ◽  
Polymerase Chain ◽  
Genitourinary Medicine ◽  
Common Infections

The rising incidence of sexually transmitted infections (STIs) provides a challenge to clinicians in all fields to whom patients may present. This chapter aims to provide an overview of the common infections, particularly those aspects which may be relevant to urologists. There have been many recent changes in diagnostic testing (including use of polymerase chain reaction DNA identification) and treatment for STIs, especially with regard to the increasing resistance of gonorrhoea to many antibiotics. The presence of sexual infection is often overlooked in clinical practice or diagnosed late in the course of investigation of symptoms, resulting in difficulty in treatment and in some cases permanent sequelae. This overview should enable urologists to consider STI when formulating a list of differential diagnoses and aid appropriate testing or prompt referral to specialist genitourinary medicine clinics.

Painting penile warts

1990 ◽  
Vol 28 (16) ◽  
pp. 63-64
Keyword(s):  
Sexually Transmitted Diseases ◽  
The Self ◽  
Anogenital Warts ◽  
Clinic Attendance ◽  
Sexually Transmitted ◽  
Genitourinary Medicine

Increasing numbers of patients with anogenital warts are attending genitourinary medicine clinics.1 Since such warts often occur concurrently with other sexually transmitted diseases management should always include screening for these2 and treatment is therefore best started in an STD clinic. Conventional treatments of warts demand much clinic time, since patients cannot treat themselves. Podophyllotoxin 0.5% (Condyline, Warticon) is a new preparation for the self treatment of penile warts. It is dearer than the traditional podophyllin solution, but this might be offset by increased efficacy and by savings from reduced clinic attendance.

Acceptance of genitourinary medicine clinic appointments within 48 hours is influenced by patient perception of risk but not by symptoms

2009 ◽  
Vol 20 (9) ◽  
pp. 644-646 ◽  
Author(s):  
N M Steedman ◽  
V Worsnop ◽  
R Fernie
Keyword(s):  
Public Education ◽  
Health Risk ◽  
Sexually Transmitted Infection ◽  
Patient Perception ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Department Of Health ◽  
Genitourinary Medicine ◽  
Patient’S Perception ◽  
Perception Of Health

The Department of Health has addressed access to genitourinary medicine services by setting targets that 100% of patients should be offered an appointment within 48 hours of contact and 95% should be seen within 48 hours. Such rapid access appointments are often declined by patients. We wished to ascertain whether patient perception of health risk or the presence of symptoms suggestive of a sexually transmitted infection (STI) might influence how quickly patients accept an appointment. We designed a two-armed study which demonstrated that up to 37% of patients offered an appointment within 48 hours declined it, with work commitments offered by 84% of these patients as the reason for deferring attendance. The presence of symptoms did not influence whether patients accepted an early appointment, however the patient's perception of health risk associated with an untreated STI was statistically significantly associated with earlier attendance ( P < 0.0001). Increased public education regarding the consequences of untreated STI may therefore improve the acceptance by patients of appointments within 48 hours.

Acceptability and feasibility of screening pregnant women for sexually transmitted infections in Rawalpindi, Pakistan

2021 ◽  
pp. 095646242110076
Author(s):  
Ameen E Chaudry ◽  
Rizwana Chaudhri ◽  
Aasia Kayani ◽  
Lamar W Hayes ◽  
Claire C Bristow ◽  
...  
Keyword(s):  
Chlamydia Trachomatis ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Sexually Transmitted Infections ◽  
Sexually Transmitted Infection ◽  
Trichomonas Vaginalis ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sti Testing ◽  
Sexual Histories

Objectives: To understand the acceptability and feasibility of sexually transmitted infection (STI) testing during antenatal care, along with the prevalence of STIs, in Rawalpindi, Pakistan. Methods: We enrolled pregnant women seeking antenatal care and performed STI testing using Cepheid GeneXpert® CT/NG and TV kits and Alere Determine™ HIV and syphilis tests. We used interviewer-administered surveys to collect medical, social, and sexual histories. Participants testing positive for STIs and their partners were treated. Results: We enrolled 1001 women from September to December 2019. Nearly all women offered to participate in this study enrolled. Most women understood the effects an STI can have on their pregnancy (99.6%) and valued STI screening during pregnancy (98.1%). 11 women tested positive for any STI: ( Chlamydia trachomatis = 4, Neisseria gonorrhoeae = 1, and Trichomonas vaginalis = 6). Of those, six presented for a test-of-cure, and two were positive for Trichomonas vaginalis. None tested positive for HIV infection or syphilis ( n = 503). Conclusions: STI testing during antenatal care in Rawalpindi was acceptable, valued, understood, and feasible. The prevalence of STIs in pregnant women was low. Continued prevalence monitoring is warranted.

scholarly journals Nomadic Tibetan women’s reproductive health: findings from cross-sectional surveys with a hard-to-reach population

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Jessica D. Gipson ◽  
Corrina Moucheraud ◽  
Kunchok Gyaltsen ◽  
Lumo Tsering ◽  
Tabashir Z. Nobari ◽  
...  
Keyword(s):  
Rural Areas ◽  
Contraceptive Use ◽  
Sexual Debut ◽  
Western China ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Younger Women ◽  
Health Fairs ◽  
Study Participants

Abstract Background Western China has undergone substantial sociodemographic change, yet little is known about the health status of ethnic minority populations living in these areas. Methods We report findings from two cross-sectional surveys conducted with female Tibetan nomads living in rural areas of Western China/Eastern Tibet. We present results of descriptive analyses of data collected from reproductive-aged females who attended community health fairs in 2014 (n = 193) and 2016 (n = 298). Results On average, sexual debut preceded marriage among study participants, with fertility near replacement levels (2.7 and 2.1 in 2014 and 2016, respectively). Contraceptive use was common, and dominated by use of IUDs and female sterilization. Although over three-quarters (76%) of 2016 survey participants reported ever having at least one sexually transmitted infection (STI) symptom, there was low awareness of STIs (59%) and action to prevent STIs (21%). Younger women (< 40) were more likely to report having had had an STI symptom, as compared to older women (84% versus 71%; p < 0.05). Conclusions We demonstrate feasibility of collecting data with this hard-to-reach population. Reporting of STI symptoms warrants further investigation to identify and address health conditions in this population of Tibetan nomadic women, especially amidst broader social and contextual changes that may affect the Tibetan population.

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