Post-coital bleeding in young women: the role of genitourinary medicine

被引:1
作者
Sonnex, C. [1 ]
Shafi, M. [2 ]
机构
[1] Cambridge Univ Hosp NHS Fdn Trust, Dept GU Med, Addenbrookes Hosp, Cambridge CB2 0QQ, England
[2] Addenbrookes Hosp, Dept Gynaecol Oncol, Cambridge, England
关键词
post-coital bleeding; colposcopy; management; genitourinary medicine; sexual health;
D O I
10.1258/ijsa.2010.010344
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Recently published Department of Health (DoH) guidelines and National Health Service Cervical Screening Programme guidelines recommend referral to a genitourinary (GU) medicine or sexual health clinic as part of the management pathway for young women with post-coital bleeding (PCB). The objectives of this questionnaire study were to ascertain whether GU medicine practitioners agreed with these recommendations and to assess which skills were considered necessary regarding the diagnosis and management of cervical pathology in departments of GU medicine and sexual health and also, therefore, in training in the specialty. The majority of respondents considered it important to check for cervical infection in determining the cause of PCB, but few GU medicine practitioners now perform colposcopy and many consider themselves insufficiently trained to assess the cervix in more detail. Since the colposcope is the optimal tool for examining the anogenital tract, we suggest that colposcopy, in its broadest sense, should be reconsidered as an essential part of GU medicine training.
引用
收藏
页码:826 / 828
页数:3
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