Improved communication and referral process may be a better use of resources

BMJ 1995;310:1195 (6 May)

Letters

Improved communication and referral process may be a better use of resources

EDITOR,--We agree with Yvonne Stedman and Max Elstein that coordinationand collaboration between family planning and genitourinarymedicine services are urgently needed but believe that thiscollaboration should be extended further.¹

After identifying that an appreciable number of patients attendingour genitourinary medicine unit were at risk of an unwantedpregnancy² we developed on site family planning services providedby medical and nursing staff trained in both disciplines. Inaddition we provide on site facilities for psychosexual counsellingand treatment; psychological support for patients attendingwith genital herpes simplex infection; therapy aimed at reducingthe risk of HIV infection; adolescent services and education;and clinics for specific chronic genital problems, includingvulval and penile disease.

Together with others we have shown that genital infection withChlamydia trachomatis is present in 8.0-9.5% of women undergoinga termination of pregnancy,³ ⁴ and a collaborative venture withgynaecology colleagues providing coordinated screening for sexually. . . [Full text of this article]

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