Prevalence, causes and outcome of vulval pain in a genitourinary medicine clinic population

1998 ◽  
Vol 9 (2) ◽  
pp. 88-91 ◽  
Author(s):  
M L Denbow ◽  
M A Byrne

Summary: A detailed assessment was completed on 150 consecutive new female patients attending a walk-in genitourinary medicine clinic, in order to elicit the features of vulval pain. Twenty patients (13.3%) experienced vulval pain, and of these, 15 (75%) had an infective cause demonstrated. Candidiasis was demonstrated in more than half (55%) of them and one-fifth had genital herpes. Of the 5 patients in whom no infection was present, 2 were diagnosed with the vulvar vestibulitis syndrome (VVS) following their referral to the dedicated vulval clinic.

1993 ◽  
Vol 4 (2) ◽  
pp. 118-120
Author(s):  
S M Drake ◽  
S J Skidmore ◽  
D Ratcliffe ◽  
K Radcliffe ◽  
M Shahmanesh ◽  
...  

An anonymized sero-survey of the prevalence of HIV antibody was performed at an inner city Genitourinary medicine clinic in Birmingham. In 1991 8686 patients undergoing routine serological syphilis tests were anonymously tested for HIV antibodies once during the year. Demographic information was recorded for each sample but they were otherwise unlinked. There were 31 samples which tested positive for anti-HIV 1 from this group compared with 13 diagnosed by concomitant voluntary named testing. Sero-prevalence rates of 0.17% for women and heterosexual men and 4.37% for homosexual/bisexual men were found. No drug users tested positive. The survey provided evidence of occult disease outside the recognized risk behaviour patterns of homosexual men and injecting drug users outside London.


2005 ◽  
Vol 16 (8) ◽  
pp. 543-545 ◽  
Author(s):  
Faryal Mahar ◽  
Jackie Sherrard

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.


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