RCH logo

Clinical Practice Guidelines

  • Contraception
    www.rch.org.au/clinicalguide/guideline_index/Contraception/
    years), acute myocardial infarction or stroke Slight increase in risk of breast and cervical cancer - … Investigations Baseline investigations are not usually required Consider STI screen if sexually active …, tender breasts and mood changes possible Side effects may improve with time, irregular menstrual bleeding …
  • Adolescent gynaecology - heavy menstrual bleeding
    www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Menorrhagia/
    factor for breast cancer, indicates early onset of ovulatory cycles, J Clin Endocrinol Metab. 57(1):82–6 … disorders  epistaxis, bleeding gums, easy bruising Sexual history and adolescent assessment (HEADSS screen … such as nausea, breast tenderness, bloating) Desire for contraception Examination Vital signs:  hypotension …
  • Dysmenorrhoea
    www.rch.org.au/clinicalguide/guideline_index/Dysmenorrhoea/
    , lasting up to 72 hours Associated symptoms include headache, breast tenderness, diarrhoea, nausea …, gynaecological cancers) Previous pelvic infection or abdominal surgery Renal anomaly or other congenital … anomalies (especially spine, cardiac, gastrointestinal) Adolescent assessment (HEADSS screen) Examination …