Gender health presentations
- Gender identity exploration and diversity
Sexual and reproductive health presentations
- Abnormal uterine bleeding:
- amenorrhoea
- irregular (anovulatory)
- menorrhagia
- Genital skin lesions
- Pelvic discharge
- Pelvic pain:
Sexual and reproductive health conditions
- Bacterial vaginosis
- Common genital dermatological conditions
- Endometriosis
- Gynaecomastia
- Menstrual conditions
- Polycystic ovary syndrome (PCOS)
- Precocious puberty
- Pregnancy
- Pubertal delay
- Sexually transmitted infections:
- chlamydia
- gonorrhoea
- hepatitis:
- herpes simplex virus (HSV)
- human immunodeficiency virus (HIV)
- human papillomavirus (HPV)
- human T-lymphotropic virus 1 (HTLV-1)
- syphilis
- trichomonas
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, pathophysiology, and clinical science
- take a relevant clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigation
- consider the impact of illness and disease on patients and families, and their quality of life
Manage
- provide evidence-based management
- for less common or more complex presentations and conditions the trainee must also seek expert opinions
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
Presentations
- Sexual:
- abuse
- assault
- dysfunction
Conditions
- Ectopic pregnancy
- Female genital mutilation
- Ovarian cysts:
- Pelvic inflammatory disease
- Uterine abnormalities:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, pathophysiology, and clinical science
- take a relevant clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigation
- consider the impact of illness and disease on patients and families, and their quality of life
Manage
- provide evidence-based management
- for less common or more complex presentations and conditions the trainee must also seek expert opinions
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
Gender health
- Pharmacology, mechanism of action, and side effects of:
- assessment for pubertal stage
- assessment of capacity to consent
- management of gender affirming hormones:
- management of menstrual suppression
- management of pubertal suppression
Sexual and reproductive health
- Adolescent reproductive health care needs
- Aetiology, epidemiology, and management of sexually transmitted infections
- Hormonal and physiological changes during puberty
- Normal menstrual cycle, and the concept of anovulatory cycling during pubertal development
- Normal physical growth and pubertal development, including expected chronology and Tanner staging
- Normal physiological changes in pregnancy
- Pharmacology of common contraceptive agents, such as:
- adverse effects
- common myths
- contraindications
- failure rate
- mechanism of action
- options for contraception, such as:
- barrier methods
- emergency
- hormonal
- implantable
- injectable
- permanent, such as hysterectomy, and oophorectomy
- other indications for use of contraceptive agents
- side effects
- suitability
- use of contraception in adolescents with chronic illness, disability, and intellectual impairment
- Prevalence of health risk behaviours and mental health issues during puberty
- Sexual and reproductive anatomy and physiology
- Stages of normal sexual development
- Role of immunisations in sexual health
Investigations
- Blood investigations, such as:
- blood-borne virus serology
- menorrhagia, such as iron and coagulation studies
- reproductive bloods, such as:
- follicle-stimulating hormone (FSH)
- luteinising hormone (LH)
- oestradiol
- testosterone
- Bone age
- Bone mineral density scan (DEXA)
- Initial assessment and examination of victims of sexual assault
- Microbiology tests, such as:
- rectal
- throat swab
- vaginal
- Ultrasound
- Urine tests
- X-ray
Procedures
- Immunisations, such as:
- Long-acting reversible contraceptive insertion and removal, such as:
- Implanon
- intrauterine devices
- Specific considerations for the following groups:
- Aboriginal and Torres Strait Islander peoples and Māori adolescents
- adolescents whose parents have a mental illness or substance misuse
- adolescents with a disability
- asexual individuals
- homeless young people
- LGBTQIA+ adolescents
- neurodiverse young people
- refugee and asylum seeker families
- socioeconomically disadvantaged young people
- victims of physical and/or sexual abuse
- young people in custody or out-of-home care
Gender health
- Medical gender affirming care:
- pharmacological management of gender
- surgical gender affirming care
- Non-medical gender affirming care:
- binding
- social transition
- Principles of gender identity
Sexual and reproductive health
- Considerations in adolescent and young adult pregnancy, such as:
- impact on adolescent development
- impact on chronic disease, including medication safety
- management of patients with neurodevelopmental conditions / intellectual impairment
- public health impact of unintended adolescent pregnancy, such as adoption and common issues faced by AYA as parents
- termination, including clinical issues and local laws
- Considerations of the implications for the individual of the recognition of an LGBTQIA+ identity and orientation
- Impact of sexual development on adolescents with chronic physical and neurodevelopmental conditions
- Principles of sexuality, including consensual safe sexual practices
