Bypass Urinary Incontinence

Bypass urinary incontinence occurs when urine leaks after avoiding the normal continence mechanisms. It is usually due to fistulas, which become apparent between 1 and 2 weeks after the inciting event. The risk for developing fistulas following surgery is higher in women…

Functional Urinary Incontinence

Functional urinary incontinence is the involuntary leakage of urine due to environmental or physical barriers to toileting. This type of incontinence is sometimes referred to as toileting difficulty. The underlying causes should be addressed and alleviated if possible.

Dysmenorrhoea

Dysmenorrhoea is defined as pain on menstruation, usually to the point where it is debilitating. It is the most common cause of cyclical pelvic pain in patients of childbearing age. It comes and goes in predictable intervals, which may be known or unknown…

Dysfunctional Uterine Bleeding (DUB)

Dysfunctional Uterine Bleeding (DUB) is an outdated term that used to refer to abnormal uterine bleeding that occurs in the absence of recognisable pelvic pathology, systemic disease, or pregnancy. It is typically caused by hormonal imbalances, particularly those involving the hypothalamic-pituitary-ovarian axis, leading…

Hormone Replacement Therapy (HRT)

Hormone replacement therapy (HRT) is used to relieve moderate to severe vasomotor symptoms and urogenital symptoms, and to prevent osteoporosis. It replaces oestrogen and progesterone, which are no longer being produced. Progestogens are included in patients with a uterus to prevent endometrial…

Intrauterine Contraception

Intrauterine contraception is a long-acting reversible method of preventing pregnancy. Small T-shaped pieces of plastic coated with either copper or progestogen-releasing compounds (intrauterine devices or IUDs) are inserted into the uterus transvaginally. Intrauterine contraceptives Intrauterine device Description Levonorgestrel-releasing intrautrine systme…

Contraceptive Implants

Contraceptive implants are rod-shaped subdermal devices that slowly release progestogens. They can provide contraception for up to 3 – 5 years. Implant Description Levonorgestrel subdermal implant (Jadelle) 2-rod progestin implant. Approved for 5 years Etonorgestrel subdermal implant (Implanon, Nexplanon) Single-rod progestin…

Combined Oral Contraceptive Pills (COCPs)

Combined oral contraceptive pills contain oestrogen and progestogen components. Both monophasic and multiphasic pills are in a 21-day supply, with a 7-day break to allow withdrawal bleeding. They are one of the most popular methods of contraception. COCPs Description Monophasic…