Table of Contents Title Page Copyright Preface Acknowledgements Abbreviations How to use your textbook Features contained within your textbook About the companion website Part 1: Principles of sexual and reproductive health Chapter 1: Sexual and reproductive health fundamentals History taking Examination Investigations Part 2: Contraception Chapter 2: Combined hormonal contraception Combined oral contraceptives Combined transdermal patch Combined vaginal ring Information for CHC users Chapter 3: Progestogen-only contraceptives Progestogen-only pills Progestogen-only injectable contraception Progestogen-only implants Chapter 4: Intrauterine contraception Chapter 5: Barrier methods Male and female condoms Diaphragms and caps Barrier method failure Chapter 6: Fertility awareness methods Rhythm method Temperature method Cervical mucus method Electronic monitoring Lactation amenorrhoea method (LAM) Chapter 7: Emergency contraception Cu-IUD Levonorgestrel Ulipristal acetate Which option to choose? Vomiting after oral emergency contraception Repeat use of oral EC in a cycle Follow-up Meeting ongoing contraceptive needs Chapter 8: Male and female sterilization Vasectomy Female sterilization Chapter 9: Contraception for specific groups of individuals Young people Postpartum women Women in the later reproductive years Contraception and medical conditions Part 3: Sexual Health Chapter 10: Chlamydia trachomatis Chapter 11: Gonorrhoea and non-gonococcal urethritis Gonorrhoea Non-gonococcal urethritis (NGU) Chapter 12: Vaginal discharge Vaginal discharge Chapter 13: Bacterial vaginosis Chapter 14: Vulvovaginal candidiasis Chapter 15: Trichomonas vaginalis Chapter 16: Syphilis Background Clinical features Diagnosis Investigations Syphilis and HIV co-infection Syphilis in pregnancy Management Complications of treatment Partner notification Follow-up Chapter 17: Genital herpes Background Clinical features Diagnosis Complications Management Herpes in pregnancy (Figure 17.3, Table 17.5) HIV infection and immunodeficiency Chapter 18: Genital ulcers: tropical infections Chancroid Lymphogranuloma venereum (LGV) Donovanosis (granuloma inguinale) Chapter 19: Epididymo-orchitis and sexually-acquired reactive arthritis Epididymo-orchitis Sexually acquired reactive arthritis (SARA) Acute bacterial prostatitis Chapter 20: Molluscum contagiosum and normal genital lumps Molluscum contagiosum Physiological genital lumps Chapter 21: Anogenital warts and human papilloma virus infection Chapter 22: Genital infestations Pediculosis pubis (Figure 22.1) Genital scabies (Figure 22.2) Chapter 23: Anogenital dermatoses Lichen sclerosus (LS) Lichen planus (LP) Dermatitis Lichen simplex Psoriasis Premalignant conditions Chapter 24: Viral hepatitis A, B and C Hepatitis A (Table 24.1, Box 24.1) Hepatitis B (Tables 24.1, 24.2, Box 24.2) Hepatitis C (Table 24.1, Box 24.3) Chapter 25: HIV Chapter 26: Sexual assault Part 4: Reproductive health Chapter 27: Abortion Legal issues Referral and service providers Pre-abortion assessment Abortion procedures Risks, complications and adverse effects Disposal of fetal tissue Post-abortion care and follow-up Chapter 28: Abnormal uterine bleeding Abnormal uterine bleeding (AUB) (Table 28.1) Heavy menstrual bleeding (HMB) Unscheduled bleeding on hormonal contraception Postcoital bleeding (PCB) Intermenstrual bleeding (IMB) Chapter 29: Menstrual problems Amenorrhoea and oligomenorrhoea Polycystic ovarian syndrome (PCOS) (Figure 29.1) Dysmenorrhoea Chapter 30: Gynaecological problems in SRH Premenstrual syndrome (PMS) Dyspareunia Bartholin's cyst and abscess (Figure 30.2) Acute pelvic pain Chronic pelvic pain (CPP) Chapter 31: Pelvic inflammatory disease Chapter 32: Menopause Chapter 33: Sexual problems Sexual dysfunction in males Sexual dysfunction in females (Tables 33.4, 33.5, Box 33.2) Index End User License Agreement List of Illustrations Figure 1.1 Figure 1.2 Figure 1.3 Figure 1.4 Figure 1.5 Figure 1.6 Figure 1.7 Figure 1.8 Figure 1.9 Figure 1.10 Figure 2.1 Figure 2.2 Figure 2.3 Figure 2.4 Figure 2.5 Figure 3.1 Figure 3.2 Figure 3.3 Figure 3.4 Figure 3.5 Figure 4.1 Figure 4.2 Figure 4.3 Figure 4.4 Figure 4.5 Figure 4.6 Figure 4.7 Figure 5.1 Figure 5.2 Figure 5.3 Figure 6.1 Figure 6.2 Figure 7.1 Figure 7.2 Figure 8.1 Figure 8.2 Figure 8.3 Figure 8.4 Figure 8.5 Figure 8.6 Figure 9.1 Figure 9.2 Figure 9.3 Figure 9.4 Figure 9.5 Figure 9.6 Figure 9.7 Figure 10.1 Figure 11.1 Figure 11.2 Figure 11.3 Figure 12.1 Figure 12.2 Figure 13.1 Figure 13.2 Figure 12.3 Figure 12.4 Figure 14.1 Figure 14.2 Figure 15.1 Figure 15.2 Figure 15.3 Figure 15.4 Figure 16.1 Figure 16.2 Figure 16.3 Figure 16.4 Figure 17.1 Figure 17.2 Figure 17.3 Figure 18.1 Figure 18.2 Figure 18.3 Figure 18.4 Figure 19.1 Figure 19.2 Figure 20.1 Figure 20.2 Figure 20.3 Figure 20.4 Figure 21.1 Figure 21.2 Figure 22.1 Figure 22.2 Figure 23.1 Figure 23.2 Figure 23.3 Figure 25.1 Figure 25.2 Figure 25.3 Figure 27.1 Figure 27.2 Figure 27.3 Figure 27.4 Figure 28.1 Figure 29.1 Figure 30.1 Figure 30.2 Figure 31.1 Figure 31.2 Figure 32.1 Figure 33.1