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Chapter 17 - Non-Menstrual Vaginal Bleeding Management in Primary Care

Published online by Cambridge University Press:  29 April 2017

Anne Connolly
Affiliation:
Bevan Healthcare
Amanda Britton
Affiliation:
The Hackwood Partnership, Basingstoke
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Publisher: Cambridge University Press
Print publication year: 2017

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References

Goodman, A, HPV testing as a screen for cervical cancer. BMJ 2015;350:h2372.CrossRefGoogle ScholarPubMed
Public Health England Human papillomavirus (HPV) vaccine coverage in England, 2008/09 to 2013/14. A review of the full six years of the three-dose schedule. 2015. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/412264/HPV_Vaccine_Coverage_in_England_200809_to_201314.pdf (accessed September 2016).Google Scholar
Dunne, EF, Unger, ER, Sternberg, M, et al. Prevalence of HPV infection among females in the United States. JAMA 2007;297:813819.Google Scholar
Dochez, C, Bogers, JJ, Verhelst, R, et al. HPV vaccines to prevent cervical cancer and genital warts: an update. Vaccine 2014;32:15951601.CrossRefGoogle ScholarPubMed
Clinical Effectiveness Group British Association for Sexual Health and HIV UK national guideline for the management of pelvic inflammatory disease. 2011 (updated June 2011). www.bashh.org/documents/3572.pdf (accessed September 2016).Google Scholar
Schachter, J, McCormack, WM, Chernesky, MA et al. Vaginal swabs are appropriate specimens for diagnosis of genital tract infection with Chlamydia trachomatis. J Clin Microbiol 2003;41(8):37843789.CrossRefGoogle ScholarPubMed
NICE. Referral guidelines for suspected cancer NICE guidelines, CG27. 2005. (http://guidance.nice.org.uk/CG27 (accessed September 2016).Google Scholar
Public Health England. Cervical screening: programme overview. 2015. www.gov.uk/guidance/cervical-screening-programme-overview (accessed September 2016).Google Scholar
NHS. Clinical practice guidance for the assessment of young women aged 20–24 with abnormal vaginal bleeding. 2010. www.gov.uk/government/uploads/system/uploads/attachment_data/file/436924/doh-guidelines-young-women.pdf (accessed September 2016).Google Scholar
Public Health England. Cervical cancer consultation Q&A. legacy.screening.nhs.uk/cervicalcancer-qa (accessed September 2016).Google Scholar
Connolly, A, Jones, S, Nonmenstrual vaginal bleeding in women under 40 years of age. TOG 2004;6:153158.Google Scholar
Ray, S, Ray, A, Non-surgical interventions for treating heavy menstrual bleeding (menorrhagia) in women with bleeding disorders. Cochrane Database Syst Rev 2014;11:CD010338.Google Scholar
NICE Ovarian cancer: recognition and initial management guidelines, CG122. 2011. https://www.nice.org.uk/guidance/cg122 (accessed September 2016).Google Scholar
Lacey, JV Jr, Sherman, ME, Rush, BB, et al. Absolute risk of endometrial carcinoma during 20-year follow-up among women with endometrial hyperplasia. J Clin Oncol 2010;28(5):788792.CrossRefGoogle ScholarPubMed
Smith, OP, Critchley, HO, RSRH vascular change with hormone contraception: Progestogen only contraception and endometrial breakthrough bleeding. Angiogenesis 2005;8:117126.Google Scholar
Faculty of Sexual & Reproductive Healthcare Clinical Effectiveness Unit Clinical Guidance: Problematic bleeding with hormonal contraception. 2015. www.fsrh.org/standards-and-guidance/documents/ceuguidanceproblematicbleedinghormonalcontraception/ (accessed September 2016).Google Scholar
Panay, N, Hamoda, H, Arya, R, Savvas, M, The 2013 British Menopause Society & Women's Health Concern recommendations on hormone replacement therapy. Menopause Int 2013;19(2):5968.Google Scholar
Early Breast Cancer Trialists' Collaborative Group (EBCTCG) Effects of chemotherapy and hormonal therapy for early breast cancer on recurrence and 15-year survival: an overview of the randomised trials. Lancet 2005; 365(9472):1687–1717.Google Scholar
Gredmark, T, Kvint, S, Havel, G, Mattsson, LA, Investigation of Post-Menopausal Bleeding. SIGN Publication No. 61, 2002.Google Scholar
Smith-Bindman, R, Weiss, E, Feldstein, V, How thick is too thick? When endometrial thickness should prompt biopsy in postmenopausal women without vaginal bleeding. Ultrasound Obstet Gynecol 2004;24(5):558565.Google Scholar
NICE. Ovarian cancer: recognition and initial management guidelines, CG122. 2011. https://www.nice.org.uk/guidance/cg122 (accessed September 2016).Google Scholar
Kalentzi, T, Panay, N, Safety of vaginal oestrogen in postmenopausal women. TOG 2005;7:241244.CrossRefGoogle Scholar

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