Internet-based self-sampling at home for Chlamydia trachomatis improves testing rates, particularly for men

Improving uptake of testing is a key component of public health planning for reducing the burden of sexually transmitted infections. Since 2006, Sweden has rolled out a national, free at point of access, internet-based self-sampling service for chlamydia testing. An evaluation of this service between 2013 and 2017 has demonstrated an increase in self-sampling across the country, particularly for men, with 67% of tested men using the self-testing method only. With appropriate investment, a similar intervention could reduce the burden on sexual health services in the UK.

Sex Transm Infect 2020; http://dx.doi.org/10.1136/sextrans-2019-054256

Levonorgestrel-releasing intrauterine systems may affect breast cancer risk

Breast cancer risk in relation to hormone use continues to concern patients and clinicians. A systematic review and meta-analysis of the evidence has suggested a small increased risk of breast cancer in intrauterine system users. However, the authors acknowledge that there were methodological limitations for all included studies that could have introduced confounding factors. As with the use of hormone replacement therapy, we must discuss the risks and benefits of hormonal contraception with …