Sexual Health Advice

Good health is definitely one of the most sought after goals for every human being. No matter what you are or what you want to be, it is important that you are healthy so that you enjoy the benefits of your efforts. Physical health does not just mean that you are physically fit to do your everyday tasks: It actually means that you are fit from within. A good diet plays an extremely important role in maintaining good health. But when it comes to sexual health, how you behave is important, as you can protect yourself from sexually transmitted infections.

Sexually transmitted infections (STIs) are increasingly becoming commonplace the world over. The most common cause for the spread of these infections is unprotected sex with an infected person but some of the infections that we know as STIs can be passed by means other than sexual intercourse. It is also possible to become infected when you come in direct contact with the body fluids like semen or vaginal secretions of an infected person and some infections are blood-borne, so contact with blood is a possible route of infection. Using condoms can prevent the spread of sexually transmitted infections to a large extent and their use is highly recommended.

Most sexually active people consider themselves to be at low risk of acquiring a sexually transmitted infection - bizarre but true, according to most surveys. More important than that, many people who are at risk have never had a sexual health check. In most cases, most people simply ignore the possibility of having an STI unless they have symptoms. Much of this is from the fear of any embarrassment in a consultation with a doctor. However, it is important to understand that STIs are not embarrassing but can lead to serious trouble if left untreated. With the growing STI rates in the UK, there is an increasing concern on the need for people to understand the importance of timely and expert sexual health advice. Read More...

Ruling Out an STI

As we have previously written, sexually transmitted infections are pretty widespread but sometimes the symptoms of a sexually transmitted infection can actually be something else – we call this a differential diagnosis. For example, a woman with an unusual vaginal discharge may suspect Gonorrhoea but it may in fact be Bacterial Vaginosis. It may even be cervical cancer. I have used this rather extreme diagnosis to illustrate the need for proper testing. With the advent of the internet, everyone thinks that they are a medical expert and can make a diagnosis but as the old adage goes, a little bit of knowledge is a dangerous thing!

As a doctor, it can be extremely frustrating when patients come to me and say that they have chlamydia or they have gonorrhoea and they can tell the difference because of the way the symptoms present because they have read this somewhere on the internet. The fact is that you cannot tell the difference between these infections from reported symptoms. Testing is easy and pretty quick these days so there is really no excuse not to test. I know that if you use the NHS then you might have to wait a week or so for results but there are low cost alternatives and, quite frankly, if you can afford to pay a little bit then why not – it also has the advantage of taking a bit of pressure off the NHS, which is creaking at the edges because of new demands.

If a patient approaches me with symptoms then of course I use those symptoms to decide what tests to request from our lab but I would never make a sexual health diagnosis without following it up with lab tests for confirmation. When a woman has bacterial vaginosis then there are simple tests that you can perform in the surgery. There is something called the whiff test (although we do not use this very often) where you can put a drop of potassium hydroxide on some of the vaginal discharge and this will produce a very distinct odour if the patient has bacterial vaginosis. The more conventional way of testing is to take a high vaginal swab and send it to the lab. This can be accompanied by a PCR swab where the lab will look for Gardnerella and Trichomonas Vaginalis. For more information on these infections, please click here. Read More...

Liraglutide Given Green Light by FDA Advisory Panel

FAD’s Advisory Panel Approves Liraglutide

In November 2008, Novo Nordisk initiated a PIII clinical trial of liraglutide for the treatment of obesity. After conducting a series of Liraglutide clincal trials and overcoming major and minor set-backs, the drug has finally received a positive assessment from the advisory panel of the FDA with a vote of 14-1 in favor of the drug’s approval as a treatment for obesity. This drug which will be sold under the name Saxenda if approved as a treatment for obesity is currently available in the United Kingdom but is known to diabetics by the name Victoza as it is already licensed in the United Kingdom as a treatment for Type 2 diabetes. 

Diabetes which is one of the leading causes of death and disability in the world is the result of glucose building up in the blood due to the pancreas not producing sufficient insulin which is the hormone that regulates the amount of sugar that builds up in the blood. As Victoza, the drug is intended to lower blood sugar levels when used in combination with exercise, a proper diet and other selected diabetes medicines. Victoza is classified as a glucagon-like peptide-1 (GLP-1) receptor agonists and as such, it helps the pancreas in our body to produce more insulin after eating a meal in order to prevent glucose from building up in the blood. The most common side effects observed resulting from the use of Victoza are:

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Diagnosis and Treatment of Genital Warts

Definition of Genital Warts

If you notice a soft growth on your genitals, then they are most likely genital warts which is medical condition caused by the human papillomavirus (HPV) which is transmitted through the skin to skin contact that takes place during sexual intercourse. Although there are more than forty different types of the HPV, almost all conditions of genital warts are caused by HPV6 or HPV11.

Symptoms of Genital Warts

Genital Warts, which are not always visible because they may be very small and flesh-colored, can cause great pain and discomfort as well as a lot of itching, burning, bleeding and discharges. These warts may appear in many different areas of the body including the mouth, lips, tongue and throat if you have had oral sex with an infected person. In addition to these areas, below are some of the other areas on which genital warts may appear:

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NHS England Told to Fund PrEP

A judge from the High Court judge has allowed for NHS England to finance a HIV drug, following the argument by health leaders that they had the responsibility to provide the drugs. 

NAT is against the idea and has challenged it in court, since the officials claimed that councils were in charge of providing PrEP, because it is their duty to prevent HIV infection. NHS England claimed that according to the counsel it received, there was no legal authority for it to finance PrEP, an ARV drug with high effectiveness for preventing establishment of the virus after infection.  Read More...

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Happy Client

The view on Spenco Healthcare.

I am from such a minority community that is never recognized, it is so forgotten in almost all aspects especially health wise. But either way I want to thank you for your kind heart for building a health center in my community and keeping it up to standard so that we can get health services. Thank you
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Marina A. Ruiz
The Large Fish Web Design Company