Daily Archives: April 7, 2009

ANALYSIS OF THE FAMILY PLANNING CONSULTATION – PATIENT’S AGENDA (FIRST THING)

What is the first thing one tends to say to patients? Doctors all have stock phrases such as, ‘What can I do for you?’ It may be salutary to think about how one intervenes and what effect this may have … Continue reading

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PSYCHOSEXUAL PROBLEMS IN THE CONTRACEPTIVE CONSULTATION – COVERT PRESENTATIONS (CHOOSING METHOD OF CONTRACEPTION)

This patient’s hostility and need to be in charge had alienated one doctor and provoked him into retaliation. Uncharacteristically, he had told her that he would not do what she wanted; he had met her aggression with an attack by … Continue reading

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CONTRACEPTIVE CARE OF THE OLDER PATIENT – SPECIAL AGE

Not all women, however, have these feelings as they pass their mid-30s. Another special age seems to be 40, and for many women the ‘big 40′ heralds a decline in wellbeing and sexuality. If their mothers went through the menopause … Continue reading

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CULTURAL PERCEPTIONS AND MISCONCEPTIONS – EDUCATING THE PROFESSIONAL (INSTANCE – FAHEMA BEGUM)

Fahema Begum, aged 19, arrived in London from the rural district of Sylhet, three months after her arranged marriage. She asked for a repeat prescription of the desogestrel that had been prescribed in Bangladesh. She was rapidly learning English and, … Continue reading

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CONTRACEPTION AFTER CHILDBIRTH – CONCLUSION

After childbirth a contraceptive choice must be made as few women will want to risk another pregnancy immediately. As always, that choice will rest on the balance between what is medically appropriate and the emotional factors involved. The experience of … Continue reading

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