Australian-led PCOS guideline an international first

Medical Journal of Australia, Published online: 22 November 2019

An Australian-led international and multidisciplinary collaboration of health professionals and consumers has produced the first international evidence-based guideline for the diagnosis and management of polycystic ovary syndrome (PCOS) with an unprecedented international translation program, summarised today in a supplement published by the Medical Journal of Australia.

Led by Professor Helena Teede, Director of the National Health and Medical Research Council Centre for Research Excellence in PCOS, Monash and Adelaide Universities, the collaborators took 2 years to write the guideline, which includes an integrated translation program incorporating resources for health professionals and consumers.

PCOS affects 8–13% of reproductive age women, with around 21% of Indigenous women affected.

Intersex Peer Support Australia launches

Intersex Peer Support Australia (IPSA), 25th October 2019

On the eve of Intersex Awareness Day, an internationally observed awareness day designed to highlight human rights issues faced by intersex people, and observed on 26 October each year, one of the oldest intersex groups in the world is launching a new name, branding and website.

Intersex Peer Support Australia (IPSA) will carry on the important work of the 1985-founded Androgen Insensitivity Syndrome Support Group Australia (AISSGA), which for more than three decades has been dedicated to assisting people born with variations in sex characteristics and their families, providing Australia-wide peer support, information and advocacy.

Elise Nyhuis, President of IPSA said, “The new identity will make us more visible to government agencies and support funders, and is more inclusive of the more than 40 known intersex variations, our diverse community and their families.”

“Our organisation advocates for and provides peer support to its members and the wider intersex community, focusing on the lived experience of having intersex bodies that physically differ from stereotypical, medical notions of male and female.

“The intersex community in Australia is strong and growing as people come out of hiding to stand together in the face of continued challenges from medicalisation, stigma and discrimination, shame, mental health issues, social inclusion, access to affirmative healthcare, parenting and human rights protection from medically unnecessary medical interventions on intersex children.

“Beyond our core work of providing intersex peer support, IPSA advocates for intersex issues through educating service providers, liaising with medical professionals, conducting policy review and consulting with government and NGOs, as well as by building community through coordinating opportunities and events for people with intersex variations to meet and share knowledge and experiences.

“The updated IPSA website will be a great resource for the whole community to learn more about the ‘I’ in the LGBTIQ acronym, while our membership will have access to a range of online extras through password-secured access,” said Elise.

Translation and implementation of the Australian-led PCOS guideline

Translation and implementation of the Australian-led PCOS guideline: clinical summary and translation resources from the International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome

Med J Aust 2018; 209 (7 Suppl): S3-S8. || doi: 10.5694/mja18.00656
Published online: 2018-10-01

Abstract

Introduction: We have developed the first international evidence-based guideline for the diagnosis and management of polycystic ovary syndrome (PCOS), with an integrated translation program incorporating resources for health professionals and consumers. The development process involved an extensive Australian-led international and multidisciplinary collaboration of health professionals and consumers over 2 years. The guideline is approved by the National Health and Medical Research Council and aims to support both health professionals and women with PCOS in improving care, health outcomes and quality of life. A robust evaluation process will diagnoenable practice benchmarking and feedback to further inform evidence-based practice. We propose that this methodology could be used in developing and implementing guidelines for other women’s health conditions and beyond.

Main recommendations: The recommendations cover the following broad areas: diagnosis, screening and risk assessment depending on life stage; emotional wellbeing; healthy lifestyle; pharmacological treatment for non-fertility indications; and assessment and treatment of infertility.

Changes in management as a result of this guideline: •Diagnosis:▪when the combination of hyperandrogenism and ovulatory dysfunction is present, ultrasound examination of the ovaries is not necessary for diagnosis of PCOS in adult women;▪requires the combination of hyperandrogenism and ovulatory dysfunction in young women within 8 years of menarche, with ultrasound examination of the ovaries not recommended, owing to the overlap with normal ovarian physiology; and▪adolescents with some clinical features of PCOS, but without a clear diagnosis, should be regarded as “at risk” and receive follow-up assessment.•Screening for metabolic complications has been refined and incorporates both PCOS status and additional metabolic risk factors.•Treatment of infertility: letrozole is now first line treatment for infertility as it improves live birth rates while reducing multiple metapregnancies compared with clomiphene citrate.

New free MOOC from Adelaide Uni: Sex and Human Reproduction

University of Adelaide, June 2018

AdelaideX’s Massive Open Online Courses (MOOCs) offer learners free to study university-level online courses on a variety of topics.  AdelaideX’s latest MOOC, Sex and Human Reproduction, will launch on Thursday 12 July and enrolments are now open. 

Led by Professor Mario Ricci (Adelaide Medical School), and made in collaboration with experts from the Robinson Research Institute, this five-week course will cover all things related to sex and reproduction – from puberty to menopause, to fertility and contraception. The course focuses on underlying human biology, common myths, and the latest medical advances.

What you’ll learn

  • Structure and function of the male and female reproductive systems
  • Regulation of reproductive processes and cycles
  • Common reproductive disorders
  • Methods of contraception and assisted reproduction
  • Real world application of cutting-edge research in reproductive medicine

This MOOC is free (with a $50 fee for a verified certificate if desired).

 

 

New booklet: Vulva & vaginal irritation

Jean Hailes, Last updated 05 May 2017

Jean Hailes has just released a new patient information booklet: The vulva: irritation, diagnosis & treatment. 

Contents:

  • What is normal?
  • Causes of vulva irritation
  • Management & treatment
  • Dryness
  • ‘Good bacteria’ versus ‘bad bacteria’ in the vagina
  • Other natural therapies
  • Irritation
  • Diagnosis
  • Secretions or discharge
  • Odour
  • Probiotics
  • What is the vulva?

Download booklet (PDF) here 

 

 

The FRESH Course: SHine SA’s Sexual Health Course for Youth & Community Workers

SHINE SA, posted 7/4/17

The FRESH Course: SHINE SA’s Sexual Health Course for Youth & Community Workers is a dynamic 3-day course which aims to update workers to include relationships and sexual health education and support them in their work.

On completion of the FRESH Course you will have:

> an increased level of confidence working with clients in the area of sexual health

> a better understanding of how values and beliefs may influence your practice in this area of work

> a new vocabulary about sexual health and relationships to use when talking with your clients

> practical skills to address clients’ sexual health needs through assessment, program development, delivery and evaluation

> become familiar with current resources available and how to use them effectively with clients to explore the many areas of sexuality and sexual health

A further optional module, FRESH Assessment, relates to planning, delivering and evaluating a multi-session education program in the workplace.

When 10, 11 & 12 May 2017 (Wed, Thurs, Fri)

Where SHine SA, 64c Woodville Road, Woodville

Time 9am – 5pm

Cost $399 Student Concession: $199. Early Bird Concession: 10%  off if registered 2 months ahead

Topics include:

  • Introduction to Sexual Health
  • Attitudes to Sex & Sexuality
  • Anatomy & Physiology
  • Contraception
  • Pregnancy Options
  • Safer Sex & STIs
  • Gender & Diversity
  • Sexual Violence
  • Pleasure
  • Resources
  • Interactions between mental health and sexual health

Further Information & online enrolment:

www.shinesa.org.au/courses/youth-and-other-community-services-workers

Enquiries:

Phone 8300 5324 / Email shinesacourses@shinesa.org.au

Download flyer: FRESH Youth May 2017