title: Contraceptive provision in genitourinary medicine clinics in the UK.
abstract: The objective of this study was to assess current and future contraceptive provision in genitourinary (GU) medicine clinics in the United Kingdom. Questionnaires were sent to 18 British Co-Operative Clinical Group regional representatives for distribution to clinical leads. Of 185 clinics, 124 (67%) responded. All clinics provided condoms, 116 (94%) the 'morning after' pill and 31 (25%) would fit an intrauterine contraceptive device (IUCD) for emergency contraception. Twenty-three (18.5%) regarded their clinic as already providing a comprehensive service and most of these could provide a wide range of contraceptive methods. Of all clinics, which included eight (34%) clinics already providing a comprehensive service, 69 (56%) anticipated developing their contraceptive provision within the next five years. In conclusion, contraceptive provision varies between clinics. A reduction in unwanted pregnancies and sexually transmitted infections (STIs) would most likely be achieved if clinics expanded their provision of contraceptive services.
authors.affiliation: Department of Genitourinary Medicine, Level 5, Derriford Hospital, Devon PL6 8DH, UK. Jeremy.Willcox@phnt.swest.nhs.uk
authors.forename: J R
authors.initials: JR
authors.lastname: Willcox
authors.forename: M
authors.initials: M
authors.lastname: Huengsberg
authors.forename: Phillip
authors.initials: P
authors.lastname: Kell
authors.forename: Damitha
authors.initials: D
authors.lastname: Edirisinghe
authors.forename: Karen
authors.initials: K
authors.lastname: Rogstad
authors.forename: Gail
authors.initials: G
authors.lastname: Crowe
authors.forename: Anne
authors.initials: A
authors.lastname: Meik de Reuter
authors.forename: Sarah
authors.initials: S
authors.lastname: Edwards
authors.forename: Gurdeep
authors.initials: G
authors.lastname: Singh
authors.forename: Noreen
authors.initials: N
authors.lastname: Desmond
authors.forename: Deb
authors.initials: D
authors.lastname: Mandal
authors.forename: Raymond
authors.initials: R
authors.lastname: Maw
authors.forename: Alexander
authors.initials: A
authors.lastname: McMillan
mesh_terms: D000554:Ambulatory Care Facilities / Q000592:standards / Q000706:statistics & numerical data*; D003267:Contraception / Q000379:methods / Q000706:statistics & numerical data; D003276:Contraceptives, Oral / Q000008:administration & dosage* / Q000600:supply & distribution; D005193:Family Planning Services / Q000592:standards / Q000706:statistics & numerical data*; D005260:Female; D052776:Female Urogenital Diseases / Q000517:prevention & control; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008485:Medical Audit; D017060:Patient Satisfaction; D011247:Pregnancy; D011275:Pregnancy, Unwanted; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D011795:Surveys and Questionnaires; D006113:United Kingdom
chemical_list: D003276:Contraceptives, Oral