Australian Journal of General Practice
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Chronic pelvic pain can be challenging for practitioners but more especially patients. Understanding its nature and the range of available therapies can assist significantly.*
Clinical
Endometriosis is a chronic inflammatory condition defined as endometrial-like tissue proliferating outside the uterus. This paper summarises recommendations for diagnosing and managing endometriosis.
Dysmenorrhoea is the most common gynaecologic condition affecting people assigned female at birth. This article discusses the management of dysmenorrhoea in a primary care setting.
Viewpoint
The introduction of mesh procedures for vaginal prolapse and incontinence was not managed well. Introduction of new devices or techniques must be accompanied by rigorous evaluation and ongoing audit.
This article outlines an approach for understanding, explaining and managing chronic pelvic pain in women with a normal laparoscopy.
Anal fissure is the second most common anorectal complaint in healthcare settings. This article reviews pathophysiology, clinical presentation and management of anal fissures under current guidelines.
This article summarises the aetiology and contributing factors of vaginismus, how a diagnosis can be made, the implications of vaginismus for primary care clinical practice and treatment options.
Clinical challenge
These questions are based on the Focus articles in this issue. Please choose the single best answer for each question.
Editorial
Every doctor has experienced heartsink with the realisation that the next patient encounter will be difficult. Engaging with heartsink issues is demanding and uncomfortable but necessary.
Letters
Readers express their opinions on published articles and topics of interest.
Case Study
This article discusses the assessment of a pruritic papular eruption on the right leg of a man aged 52 years.
This article discusses the causes, features and management of recurrent lower limb ulcers in a woman aged 75 years.
The article discusses the case of a woman aged 43 years who was admitted to the emergency department with hypertension and hypoglycaemia on point-of-care testing.
Research
This retrospective population-based study examines semaglutide and dulaglutide prescriptions for type 2 diabetes supplied via the Pharmaceutical Benefits Scheme from January 2021 to September 2022.
This article investigates the prevalence of chronic pain in a rural setting and the use of specialist pain clinics and examines factors associated with well-managed pain.
This article examines patient experiences of referral pathways to diagnosis and treatment of colorectal cancer and discussions about costs, comparing public, private and mixed healthcare system users.
This article discusses the consequences of abolishing the COVID-19 zero-tolerance policy for GPs in Shanghai and lessons for GPs and clinical practice management in future pandemics.