Australia’s peak colleges, societies and associations have developed lists of recommendations of the tests, treatments, and procedures that healthcare providers and consumers should question. Each recommendation is based on the best available evidence.
Importantly, they are not prescriptive but are intended as guidance to start a conversation about what is appropriate and necessary.
As each situation is unique, healthcare providers and consumers should use the recommendations to collaboratively formulate their own appropriate healthcare plan together.
According to the Australasian Chapter of Sexual Health Medicine, these are the top five things that clinicians should question when it comes to seeing patients for sexual health issues:
- Do not order herpes serology tests unless there is a clear clinical indication
- Do not screen for chlamydia using serological tests
- Do not treat recurrent or persistent symptoms of vulvovaginal candidiasis (thrush) with topical and oral anti-fungal agents without further clinical and microbiological assessment
- Do not test for ureaplasma species in asymptomatic patients
- Reconsider the use of nucleic acid amplification testing for gonorrhoea in low-prevalence (i.e. <1% prevalence) populations and people who do not belong to a higher risk group.
These recommendations are endorsed by The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) and Choosing Wisely Australia – an initiative of NPS MedicineWise.
Find out more here
or visit Gold Coast Sexual Health