Ovulation induction therapies in women with anovulatory infertility

Infertility is estimated to affect between 8% and 12% of reproductive-aged couples worldwide. In some regions of the world such as South and Central Asia, the Middle East, sub-Saharan and North Africa as well as Eastern Europe, the rates of infertility are much higher, reaching ∼30%.

A syndromic approach to STIs

A South African study has found that sexually transmitted infections (STIs) and bacterial vaginosis (BV) are common among men and women between 15-24 years. They warn that untreated STIs have significant immediate and long-term complications.

The pitfalls of long-term glucocorticoid therapy

We chat to Prof David Kendler, director of the Osteoporosis Programme at Providence Health Care in Vancouver (Canada) and Dr Sue Brown, council member of the National Osteoporosis Foundation of South Africa (NOFSA) about glucocorticoid-induced osteoporosis (GIOP).

Women’s acne battles

Patients diagnosed with acne vulgaris (AV) have a 63% increased risk of developing depression in the first year following diagnoses compared to their clear skinned counterparts, found a 2018 study published in the British Journal of Dermatology.

Hypertension during pregnancy

Women who experience hypertensive disorders during pregnancy are at high risk for developing hypertension, diabetes, and hypercholesterolemia later in life.

Guidelines: achieving pregnancy safely

Updated safe conception guidelines by the Southern African HIV Clinicians’ Society give healthcare providers up-to-date information to support efforts to optimise safer conception care for HIV positive patients.

What patient characteristics influence the choice of biological drug in RA?

The choice of biological drug for the treatment of rheumatoid arthritis is a highly significant one and should be informed by a clear understanding of the patient’s disease profile.

Why first trimester screening is so important

February is reproductive health month. Dr Lou Pistorius, a gynaecologist and obstetrician with a special interest in maternal foetal medicine, looks at the importance and benefits of first trimester screening.

The eye of the surgeon

We chat to Dr Suran Ramphal, Head of Urogynaecology and the Advanced Endoscopy Unit at the University of KwaZulu-Natal and the Inkosi Albert Luthuli Central Hospital (IALCH) about the future of gynaecological surgery.

Painful intercourse

Dyspareunia, an important but neglected area of female health, is characterised by persistent or recurrent pain with attempted or complete vaginal entry or penile-vaginal intercourse.

Abnormal vaginal discharge: accurate differentiation

The aetiology of vaginitis can be from infections of Candidiasis (thrush), Trichomoniasis, or bacterial vaginosis and it is important to distinguish them clearly.

GLM a GO in inflammatory rheumatic diseases

SPECIALIST FORUM AUGUST CPD 3 of 4: Rheumatoid arthritis and the spondyloarthropathies are the most common chronic inflammatory rheumatic diseases, which 5% of the population suffer from.

Cervical cancer: HPV and screening

MEDICAL CHRONICLE JULY 2018: CPD 5 of 5

How to identify patients at imminent fracture risk

Recent fragility fracture is a powerful predictor of imminent risk of fracture.

Osteoporosis: Keep it simple

At the recent National Osteoporosis Foundation of South Africa (NOFSA) Congress, held from 16 – 18 March in Cape Town, Prof Brent Tipping of the University of the Witwatersrand and Dr Zane Stevens of Stellenbosch University shared their valuable real-world experiences.

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CPD POINTS: 2

Bridging the ‘silver tsunami’ gap

Only 20% of patients who present with an index fracture receive basic therapy or are offered screening for future fracture risk.

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CPD POINTS: 2

Why bacterial vaginosis is all about balance

Bacterial vaginosis, an imbalance in vaginal flora characterised by low levels of lactobacilli and an increased frequency of facultatively anaerobic bacteria, is one of the most common reproductive tract infections in women globally.

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CPD POINTS: 3

PCOS: Perspectives from a South African infertility practice

A Polycystic ovary syndrome (PCOS) label might not be needed to effectively treat many symptoms of PCOS, as the label may not change the type or intensity of the intervention.

How to combat Vitamin deficiencies in oral contraceptive use

Contraception is one of the most powerful public health tools for any country. However, there is an unmet treatment need.

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CPD POINTS: 3

How being overweight can affect fertility

A weight loss of as little as 5%-10% can improve a woman’s chance of falling pregnant. In fact, in the world’s first comprehensive study on weight and its effect on fertility, researchers found that losing even 5% can have a significant effect on a woman’s chances of conceiving.

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