eLetters

51 e-Letters

  • Comment on 'Impact of UK Medical Eligibility Criteria implementation on prescribing of combined hormonal contraceptives'
    Sarah E Holden

    I read the article by Briggs and colleagues[1] with interest as it is, to my knowledge, the only study to assess the impact of the implementation of the UK Medical Eligibility Criteria on general practice prescribing of combined hormonal contraceptives (CHCs) in the UK. However, I have a study limitation.

    As the authors have stated, oral contraception can be accessed on prescription from a general practitioner (...

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  • Response to an unusual shaped IUS
    Adam Forrest

    I read with interest Dr MacGregor's letter[1] regarding the unusual shape of a Mirena intrauterine system (IUS) following removal. From the photograph it would appear that the capsule has become displaced and the arms of the device enclosed within it.

    We have seen a case of complete detachment of the capsule from the frame, with unrecognised retention of the capsule within the uterine cavity. This was only reco...

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  • Learning from Romanian women's struggle to manage their fertility
    Ann Furedi

    The commentary by Horga et al.[1] on the consequences of Ceausescu's attempt to ban abortion in Romania is a stark reminder of what happens when women are prevented from accessing safe and legal means to end problem pregnancies. In short, they end their pregnancies using means that are unlawful and/or unsafe, sometimes with tragic consequences.

    Although it is difficult to compare any country today with the repre...

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  • Contraceptive options for women with SLE: response to Mansour letter
    Kelly R Culwell

    We thank Dr Mansour for her interest in our article[1] and for her provocative questioning of the recommendations for use of progestogen-only contraceptives by women with systemic lupus erythematosus (SLE) who test positive for anti-phospholipid antibodies.[2] We are sensitive to any reductions in choice of contraceptive methods, particularly for women in whom pregnancy has significant health consequences, such as women w...

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  • Contraceptive options for women with SLE
    Diana Mansour

    May I congratulate the authors of the commentary describing contraceptive options for women with systemic lupus erythematosis (SLE).[1] This was a comprehensive summary and I was interested in their views regarding the suitability of progestogen-only methods in women with antiphospholipid antibodies. The authors felt these methods were unsafe in such women (World Health Organization Medical Eligibility Criteria for Contr...

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  • Nurse SRH training and accreditation in Hull, UK
    Marian Everett

    We write in response to the article in the July 2012 issue of this Journal by Shelley Mehigan and Janice Burnett entitled 'An innovative training for nurses in sexual health'[1]. We agree wholeheartedly that a nationally recognised, standardised training for nurses in sexual and reproductive health is needed and that the best way forward may be for the Faculty of Sexual and Reproductive Healthcare (FSRH) to accredit nurse...

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  • Nurse training and accreditation
    Myra Lamont

    I have read with interest in this Journal, since my retirement, the continuing debate over nurse training and accreditation by the Faculty of Sexual and Reproductive Healthcare (FSRH) and am saddened that there is still no resolution. Indeed, the October 2012 issue of the Journal included three letters on this very topic [1-3].

    Nurse and midwifery training is validated through universities at diploma or graduat...

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  • Ulipristal acetate emergency contraception
    Graham Davies

    I read with interest the letter by Webb et al.[1] about the pitfalls of adapting the Clinical Effectiveness Unit's guidance on emergency contraception.[2] Their letter discusses, in relation to maximising the pharmacodynamic attributes of ulipristal acetate (UA), the significant inaccuracies inherent in the calculation of the timing of ovulation based on the menstrual history. However, we frequently rely on such a calcu...

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  • Reducing the pain of IUD insertion
    Margaret Duncan

    As a general practitioner and intrauterine device (IUD) fitter for over 13 years now I applaud looking at new ways to reduce the pain of IUD insertion as described in Vincent and Sewell's letter in the October 2012 issue of the Journal,[1] and recently I have also looked into the possibility of getting some Entonox in our practice for IUD fitting. For most women the experience of having an IUD fitted is unpleasant and cr...

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  • Sexual abuse in children
    Gangadhararao Koneru

    Sexual abuse in children is a problem that often goes unnoticed by parents. Sometimes it is really difficult for parents to be aware of it. Children should not only receive sex education but should also be alerted to the possibility of assault by strangers, teachers, superiors in offices/workplaces, etc. Special counselling is required, and a great deal of psychological reassurance and support by their elders may also be n...

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