Preface

This handbook provides a wealth of simple and easy to follow information on sexually transmitted infections (STIs), human immunodeficiency virus (HIV), other genitourinary conditions, contraception and sexual health, and the principles of providing a safe, high-quality service. Although designed for the trainee and practitioner in the UK it is envisaged that it will be of global use to all those with an interest in sexual health whatever their level of expertise and wherever they may practice.

The book provides comprehensive practical guidance on genitourinary medicine (GUM) and sexual health, and includes HIV infection in the adult. STIs and related genitourinary problems, contraception, and sexual health together with other areas of practical relevance are also covered (e.g. practice within GUM or sexual health services, medico-legal/ethical issues and frequently asked questions). The chapter on contraception has been enhanced in this edition as the integration of traditionally separate GUM and family planning (now known as sexual and reproductive health—SRH) services gathers momentum.

The continuing rise of STIs has resulted in an extended workforce. This includes the creation of specialist nurses and primary healthcare teams with extended roles. Greater involvement of primary care teams in the provision of both the GUM and SRH aspects of sexual health is essential for promotion of good sexual health. It is intended that the information contained should address the needs of both the generalist and the specialist practitioners in different settings.

The contents start with service development and administration proceeding to medico-legal and ethical issues, routine patient management and flow charts detailing common clinical situations. This is followed by a series of chapters describing STIs and other problems commonly presenting to GUM in a disease-orientated style. Additional material and UK medical eligibility criteria for different contraceptive methods published by the Faculty of Sexual and Reproductive Health are included in the enhanced chapter on contraception. Chapters on HIV infection and the acquired immunodeficiency syndrome (AIDS) follow including an epidemiological overview, basic viral biology, and pathogenesis before proceeding to systematic description of conditions both directly related and opportunistic, their management and concluding with special situations (pregnancy and travel). Commonly used abbreviations are summarized and useful resources provided.

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