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

What’s the point of sex? It frames gender expression and identity – or does it?

The Conversation, January 18, 2017 6.05am AEDT

The act of penetrative sex has evolved over millions of years as a mechanism to deliver sperm to eggs and initiate pregnancy. But there’s more to sex than just the meeting of two sets of genes. The ‘What’s the point of sex?’ series examines biological, physical and social aspects of sex and gender.

[This] piece looks at sexual identity and gender, and how these are expressed in a social context.

SHine SA’s Sexual Health Course for those who work with CALD communities

SHine SA, January 2017

  • Do you work with culturally and linguistically diverse communities?
  • Do you want to be confident speaking about sexual health with your clients?
  • Do you want to understand how sexual health affects the overall health of your clients?

If so, then the Relationships & Sexual Health Course is for you.

This course provides you with opportunities to explore attitudes towards sexual health and relationships. You will gain skills to support your clients to make sense of their sexual health. It is important that workers promote and support the sexual and reproductive health of their clients as well as reducing the barriers to improved sexual and reproductive health. This is also a great networking opportunity.

Who would benefit from this course?  Youth workers; sexual health workers; CALD health workers; reproductive and sexual health service providers; domestic violence workers; settlement workers; allied health workers; anyone who works with CALD communities.

A further optional day includes assessment which allows you to apply for a sexual health focused competency that may contribute towards a Certificate or Diploma in Community Services.

When 

  • Course 1: 17, 24 & 30 March 2017
  • Course 2: 19 & 27 October, 3 November 2017

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:

  • Sexuality & Sexual Health/Culture
  • Sex & the Law
  • Cultural Sexual Violence
  • Sexual Diversity
  • Anatomy & Physiology
  • Contraception
  • Sexually Transmitted Infections
  • Contradictions of Pleasure & Culture
  • Client Stories
  • Attitudes to Sex & Sexuality
  • Female Genital Mutilation
  • Resources

Further Information & online enrolment here

Enquiries Phone: 8300 5320 / Email: shinesacoursesATshinesa.org.au

Download flyer (PDF) at this link: FRESH CALD 2017