56 e-Letters

  • 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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  • Implant removal technique
    Julia Shefras


    The two letters describing individuals' different techniques for implant removal are timely [1,2]. Routine removal with or without refit is common practice throughout the UK as implants have become widely available and popular. It is not yet clear whether introduction of Nexplanon will lead to fewer difficult removals. It is evident from th...

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  • Nurse accreditation: a better way of working
    Adrienne Swarbrick

    Well done Berkshire. I completely agree with Mehigan and Burnett[1] - it is essential that some standardisation is needed in the training of nurses in SRH across the UK and it is preferable that this should be accredited by the FSRH. There is also the valuable point that there is a belief that accreditation can only be achieved through academic institutes and the RCN! This is usually at significant cost for the course, time...

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  • Innovative training for nurses in SRH
    Susan Hunt

    We read with great interest the article[1] by Mehigan and Burnett in the July 2012 issue of this Journal about training for post-graduation nurses in this particular field of specialism and agree wholeheartedly with the authors about the deplorable lack of standardised training in the UK. It is important to equip nurses with knowledge and skills to provide competency in the delivery of safe and effective methods of contra...

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  • Training for nurses working in SRH
    Stuart Beddard

    I read the article[1] by Mehigan and Burnett in the July 2012 issue of this Journal about training for nurses working in the field of sexual and reproductive health (SRH) with interest.

    This is certainly a challenge faced by many, and one which we are trying to work on in Solihull at the moment. We have a significant number of nurses who are shining stars in the world of SRH and are waiting for funding to atten...

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  • Implanon removal technique
    Ken Menon

    I read with interest the letter by Dr Kandiyil on a method for removal of Implanon® in the July 2012 edition of this Journal [1]. The method describes stabilising the implant prior to its removal.

    Inserting a needle is an unnecessary trauma and carries the risk of damage to structures in the arm, especially in thin persons.

    I find it easier and less traumatic to remove an implant, as far as possible, t...

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