Reproductive and Sexual Health: An Australian Clinical Practice Handbook
Published by:
Family Planning NSW
8 Holker Street
Newington NSW 2127
Australia
ABN: 75 000 026 335
Phone: (02) 8752 4303
Email: rsh-handbook@fpnsw.org.au
Website: www.reproductiveandsexualhealth.org.au
Suggested citation:
Family Planning NSW. Reproductive and Sexual Health: An Australian Clinical Practice Handbook: Family Planning NSW; 2020.
All rights reserved by Family Planning NSW.
About the Handbook
The current version of the Handbook is the first to be available via a subscription-based website. It has been substantially updated since the last iteration which was published in 2016. Every chapter of this Handbook has undergone expert review to reflect the latest evidence regarding common reproductive and sexual health presentations in primary care. Each chapter includes a range of websites linking to current resources as well as to relevant guidelines and organisations to further support a best-practice holistic approach to the delivery of reproductive and sexual health care.
New and updated information in this Handbook includes:
- Chapter 2 on The Cervix has been updated to incorporate changes to the National Cervical Screening Program Clinical Guidelines regarding self-collection, intermediate risk pathway and HPV vaccination recommendations
- Chapter 7 on Abnormal Uterine Bleeding and Other Disorders of the Menstrual Cycle has been reviewed and updated to provide more information about pre-menstrual syndrome
- Chapter 11 on Menopause has been reviewed and updated
- Chapter 12 on Sexually Transmissible Infections has been reviewed and updated.
- Chapter 19 on Legal Considerations in Reproductive and Sexual Health (2023)
Future updates:
- A new chapter on Long Acting Reversible Contraceptives (LARC) is currently being developed.
- The handbook chapters are continually being reviewed and updated to support evidence-based practice.
About Family Planning NSW
Family Planning NSW provides high quality clinical information and services through our clinics and outreach services, health promotion activities, and best practice education and training in reproductive and sexual health for doctors, nurses, teachers and other health, education and welfare professionals. The Family Planning NSW Talkline 1300 658 886 is a confidential, non-judgemental referral and information service via telephone, email and LiveChat staffed by expert nurses who respond to questions from clinicians and community members.
Our services are targeted to marginalised and disadvantaged members of the community, including people from culturally and linguistically diverse and Aboriginal and Torres Strait Islander backgrounds, refugees, people with disability, young people and people from rural and remote communities.
All of our work is evidence-based and shaped by research through our nationally recognised Research Centre, our published clinical practice handbooks on reproductive and sexual health, and validated through extensive clinical practice.
Underlying values
Family Planning NSW aims to enhance the reproductive and sexual health and rights of communities by providing leadership, advocacy and a commitment to excellence in education and training, clinical services and research.
The values that underlie these aims include a commitment to:
- promoting the rights of all people to reproductive and sexual health
- maintaining a strong ethical base, being accountable and transparent
- valuing and respecting diversity without judgement
- ensuring access to our services for all, including priority populations
- placing the needs of the whole person at the centre of our work
- ensuring high standards in all our work
Acknowledgements
Family Planning NSW would like to acknowledge the contributions of the following people, without whom the production of this Handbook would not be possible.
Family Planning NSW contributors:
Dr Clea Anagnostopoulou, Medical Coordinator
Dr Jessica Botfield, Registered Nurse/Senior Research Officer
Dr Hilary Bower, Medical Coordinator
Ms Alex Robinson, Metro quality assurance nurse
Dr Margaret Stellingwerff, Medical Coordinator
Dr Sally Sweeney, Medical Coordinator
Dr Lynne Wray, Senior Medical Officer
External contributors:
Associate Professor Katherine Brown, Medical Director of Ambulatory and Primary Health Care Illawarra Sexual Health Service, South Eastern Sydney Local Health District
Dr Ellie Freedman, Medical Director of the Northern Sydney Sexual Assault Service, Royal Northshore Hospital, Northern Sydney Local Health District
Dr Michael Lowy, Sexual Health Physician, The Male Clinic, Sydney
Dr Janelle McDonald, Gynecologist, subspecialist in reproductive endocrinology and infertility, Adora Fertility, Sydney
Dr Margaret Sherburn, APA Continence and Women’s Health Specialist Physiotherapist, PhysioSpot, Victoria
Dr Michael Whishaw, Consultant Physician, The Royal Melbourne Hospital, Victoria
Dr Shannon Zawada, Gynaecologist and Infertility (IVF) Specialist, Genea Fertility, Sydney
Dr Rebecca South, The Leichhardt General Practice, Sydney
Family Planning NSW medical editors:
Adjunct Professor Deborah Bateson, Medical Director
Dr Clare Boerma, Associate Medical Director
Family Planning NSW proof readers:
Dr Jessica Botfield, Registered Nurse/Senior Research Officer
Ms Prudence Kidman, Research and Publication Officer
Reference editor:
Ms Prudence Kidman, Research and Publication Officer
Family Planning NSW reviewers:
Registered Nurses
Shannon Forsyth
Sarah Robertson
Michelle Alexander
Jenni Harrison
Lisa Bradfield
Alex Robinson
Nurse Practitioner
Kirsteen Fleming
Medical Officers
Dr Di Lawrence
Dr Hilary Bower
Social Worker
May-Lin Shutler
External reviewers:
Adjunct Professor Annabelle Farnsworth, Medical Director of Douglass Hanly Moir Pathology, and Director of Cytopathology and GynaePath
Professor Kirsten Black, Joint Head of and Associate Professor of Discipline of Obstetrics, Gynaecology and Neonatology, University of Sydney
Dr Vincent Cornelisse, Medical Unit Manager and Staff Specialist, Conjoint Senior Lecturer Kirby Institute UNSW
Mr Teddy Cook, Manager, Trans & Gender Diverse Health Equity at ACON
Clinical Professor Rod Baber, Obstetrics and Gynaecology, University of Sydney
Dr Eva Jackson, Clinical Director Nepean Blue Mountains Sexual Health & HIV Clinics
Dr Nicholas Comninos, General Practitioner, The Village Medical Practice, Summer Hill
Adjunct Professor Mary T Rickard, Discipline of Medical Imaging Science, University of Sydney, and Consultant Radiologist, BreastScreen NSW
Ms Julie Hamblin, Consultant, HWL Ebsworth Lawyers
Project management:
Adjunct Professor Ann Brassil, CEO
Ms Jane Estoesta, Director, The Research Centre
Ms Prudence Kidman, Research and Publication Officer
Chapters
- Chapter 1 – Reproductive and Sexual Health Consultations in the Australian Setting
- Chapter 2 – The Cervix
- Chapter 3 – The Ovary
- Chapter 4 – The Vagina and Vulva
- Chapter 5 – The Breast
- Chapter 6 – The Bladder and the Pelvic Floor
- Chapter 7 – Abnormal Uterine Bleeding and Other Disorders of the Menstrual Cycle
- Chapter 8 – Fertility Problems
- Chapter 9 – Preconception Care and Pregnancy
- Chapter 10 – Pregnancy Options
- Chapter 11 – Menopause
- Chapter 12 – Sexually Transmissible Infections (STIs)
- Chapter 13 – Pelvic Inflammatory Disease (PID)
- Chapter 14 – Acute Pelvic Pain and Other Gynaecological Emergencies
- Chapter 15 – Reproductive and Sexual Health for Trans and Gender Diverse People
- Chapter 16 – Management of Sexual Assault and Domestic Violence in Primary Health Care
- Chapter 17 – Female Sexual Interest and Arousal Disorder (FSIAD)
- Chapter 18 – Male Sexual Dysfunction, Prostate Disease and Testicular Lumps
- Chapter 19 – Legal Considerations in Reproductive and Sexual Health