Ovulation can occur during the menopausal transition – even with high FSH levels To assess the risk of conception during perimenopause, investigators looked at 108 women aged 25 to 58, checking their urine daily for six months at a stretch for five consecutive years. They measured FSH, LH, oestrone glucuronide and pregnanediol glucuronide (a metabolite …
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ADHD is not typically caused by: too much TV food allergies excess sugar, food additives (these are involved in < 5% of cases) poor home life, and poor schools However, poor parenting can certainly make the behaviours worse and difficult children often make their parents’ discipline appear inadequate. SOURCE: Dr Barry Kras, Melbourne Women’s Health …
The modified Centor clinical prediction rule helps clinicians detect which children presenting with sore throat are likely to have group A beta-hemolytic streptococcus and therefore need investigation and/or treatment. This group is identified by three or more of the following signs and symptoms: fever tender anterior cervical lymph nodes tonsillar or pharyngeal exudate absence of …
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What are the best pill choices for women with acne? Logic dictates that the best COCs for women with acne should be those which are either less androgenic i.e. desogestrel (Marvelon) or gestodene (Minulet, Femodon) or anti-androgenic i.e. cyproterone acetate (Diane, Brenda, Juliet, Estelle), dienogest (Valette) or drospirenone (YAZ Yasmin) Note: all pills decrease androgen …
These simple questions for condom users could help improve correct condom use: o Do you squeeze the tip of the condom? o Do you use a new condom every time you have oral, anal or vaginal sex? o Do you ever have sex during menstruation, or when you think it is safe, without a condom? o Do you have …
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Table 1. Side effects of isotretinoin Site Side effect Advice Teratogenic 25% risk of severe abnormalitiesAbortifacient (approximate risk 15%) No known adverse effect on sperm The half life is about 22 hours but patients wanting to become pregnant are advised to cease the drug, have a negative pregnancytest, then wait until their next normal menstrual …
Isotretinoin has been used in Australia for 25 years, initially for severe cystic acne or acne not responding to other therapies but more recently for moderate-to-severe acne with severe physiological or psychological scarring or chronic acne prone to relapse. The relaxing of the initial restrictions is the result of increasing familiarity with the medication and …
A survey study of 14,359 adults who had had cancer before the age of 21 years and 3,899 of their siblings found that the hazard ratio for cardiovascular disease was up to six times higher for former patients than for siblings. The survivors had undergone a range of treatments including chemotherapy, surgery and radiotherapy. The …
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Two new studies have confirmed that the quadrivalent HPV vaccine doesn’t increase the risk of adverse outcomes. The first study looked at 863 women who were inadvertently vaccinated within 30 days of their last menstrual period. The second study pooled data from five randomized controlled trials, involving more than 20,000 women, of whom 1796 vaccine …
STIs are more prevalent among: homeless and incarcerated young people Aboriginal young people same sex attracted young people i.e. those who are socioeconomically or culturally disadvantaged. SOURCE: Dr Melissa Kang, Healthed Sydney Paediatric Update & Education Day, 2009 Editor Dr Ramesh Manocha