Sexual Health and Genital Medicine in Clinical Practice


Author : Chris Sonnex

Published in : Springer

ISBN : 978-1-84628-416-8

File Type : pdf

File Size : 5 mb

Language : English


This book is aimed specifically at medical practitioners in primary care who require a quick guide to help diagnose and manage genital problems. As such this is not a comprehensive text but a prompt to “what to do next” when faced with a patient presenting with a genital complaint. A list of reference textbooks is provided in Further Reading and I would suggest you have at least one of these available for perusing at a more leisurely pace at a later time. Just a word of explanation about “Genitourinary Medicine”, which is referred to in the text and is familiar to practitioners in the United Kingdom. “GU medicine” arose as a medical specialty in the mid-1980s replacing the term “Venereology” which seemed an outdated and too restrictive description for the types of problems seen in, the then, so-called “VD” or “special” clinics. Although many patients attended these clinics with sexually transmitted infections (STIs), a good number attended with other genital problems. GU medicine clinicians now routinely diagnose and manage genital skin conditions, psychosexual problems, and infections, such as candidiasis and bacterial vaginosis, in addition to sexually acquired infections. The name “genitourinary medicine” was considered more appropriate and less stigmatizing as it suggests a specialty that deals with a range of medical conditions affecting the urogenital tract. “GU medicine” has caused some confusion beyond the UK, but education rather than reverting back to old title of “STI clinician” is the preferred way forward. The stigma associated with STIs persists and, inevitably, a degree of stigma hangs over the GU medicine clinic, but the message that GU medicine has a wider sexual health remit is slowly permeating through the medical establishment and into the public psyche. Over the last few years in the UK, there has been a trend to move away from the name “GU medicine” toward “sexual health”.
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