No abstract

A case note audit was undertaken of HIV-positive men who have sex with men (MSM) to ascertain whether national guidelines for taking sexual histories, including recreational drug use and sexually transmitted infection (STI) screening were being met. The notes of 142 HIV-positive men seen in 2015 were available, of whom 85 were MSM. Information was collected regarding sexual history, recreational drug use documentation, sexually transmitted infection screen offer and test results. Seventy-seven (91%) of the MSM had a sexual history documented, of whom 60 (78%) were sexually active. STI screens were offered to 58/60 (97%) of those who were sexually active and accepted by 53 (91%). Twelve (23%) of these had an STI. A recreational drug history was taken in 63 (74%) with 17 (27%) reporting use and 3 (5%) chemsex. The high rate of STIs highlights that regular screening in this group is essential. Additionally, the fact that over a quarter reported recreational drug use and given the increasing concern around chemsex, questions about this should be incorporated into the sexual history proforma.

No abstract

The progesterone-only pill is a popular and effective contraceptive method. It is particularly useful when either an oral method of contraception is preferred or there are contraindications to the combined pill. It is taken daily without a pill-free interval, and works mainly by increasing the cervical mucus. Desogestrel also inhibits ovulation. The progesterone-only pill is useful for those needing a reliable form of contraception within a short period, as it is effective after 48 hours when ‘quick started’. This article reviews current guidelines and answers some common clinical queries.