Minerva - December 2001
When patients are advised to visit the local genitourinary medicine clinic, the suggestion often doesn't go down well. A qualitative study of young women in Glasgow found that attending a genitourinary medicine clinic was a stressful event, but not as bad as they had expected. Family planning clinics were perceived as benign compared with genitourinary medicine clinics, which are still associated with people who hold unacceptable social and moral traits (Sexually Transmitted Infections 2001;77:340.3).
The contraceptive pill hits the headlines again. This time it's being linked with reduced bone density (Canadian Medical Association Journal 2001;165:1023.9). Data taken from a sample of 524 women enrolled in the Canadian multicentre osteoporosis study showed that premenopausal “ever users” of the oral contraceptive pill have lower bone densities than “never users.” The reduction in bone density could mean increased fracture risks of 20.30%.
A 64 year old woman at routine follow up for glaucoma