This issue is dedicated to outpatient gynecology and addresses three very different topics, all of which are nevertheless relevant to the family physician in daily practice.
The first article is about incontinence, an area that is very stressful for women and still has a taboo. Older patients in particular often find it very difficult to address urinary incontinence and seek clarification from a specialist. This article summarizes the key points to enable the primary care physician to take the history, perform the basic workup, and initiate primary therapy and manage adverse events.
The second article focuses on the cervical cancer screening program. The discussion is topical, as the expert letter of the Society for Colposcopy of the SGGG on screening for cervical cancer was published only a year ago. The critical points of the currently practiced screening program are rightly pointed out, since in Switzerland too often we examine the healthy patients, while those at risk are still not reached enough.
The final article focuses on contraception in obese women, a topic that is gaining prominence with the increase in obesity. Particularly in light of the discussion about the risk of thrombosis associated with the pill, this article offers guidance to the primary care physician on what to consider when prescribing contraceptives to overweight patients. Family physicians play a critical role in preventing unplanned pregnancies.
We hope you enjoy reading it!
Ruth Draths, MD
