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BPJ 12 April 2008

Best Practice Journal

Understanding polycystic ovary syndrome

Polycystic ovary syndrome (PCOS) is characterised by a varied and often complex array of metabolic and endocrine abnormalities which can lead to long term health problems. Management should be individually tailored and lifestyle changes can play an important role. View Article

Hormone replacement therapy: Latest evidence and treatment recommendations

The use of HRT is associated with an increased risk of stroke, venous thromboembolism, gall bladder disease, breast cancer and dementia. However it remains the most effective therapy for treating moderate to severe symptoms of menopause. Individual risk assessment is essential View Article

Combined oral contraceptives: Issues for current users

Oral contraceptives are used by 147,000 New Zealand women. This article offers guidance for managing their use in the presence of other medical conditions, interacting medications and adverse effects. View Article

HPV vaccines: An overview

Dr Nikki Turner is the Director of the Immunisation Advisory Centre. Here she provides us with an overview of the two currently available HPV vaccinations and discusses the main issues surrounding vaccination. View Article

Erectile dysfunction

Erectile dysfunction (ED) is a common disorder that affects many New Zealand men, with both organic and psychogenic causes. Persistent ED can significantly impair quality of life for both men and their partners. There are several treatment options available View Article

Should antidepressants be used to treat depression in children and adolescents?

Depressive disorder is a major health issue for young people, affecting not only function but overall development. Recent debate has centred on the safety and effectiveness of antidepressants in this age group. Antidepressants have a place in treatment but behavioural and other psychological interventions should be considered first line. View Article

The investigation of coeliac disease: A follow up

Dr Richard Steele provides some clarification on the issue of which tests are most appropriate for investigating coeliac disease in general practice. He also comments on gluten sensitivity and the role of anti-gliadin antibodies. View Article

Upfront: Evidence based medicine

The dilemma of practicing evidence based medicine when it keeps changing. View Article

Snippet: Depo-provera and bone scans

It is generally accepted that the use of Depo-Provera results in reduced bone mineral density (BMD). This is of particular concern in young adolescent women who have not yet attained their peak bone mass. View Article