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48 O&G Magazine
Office gynaecology
commonly seen in children and in these cases abuse must be to proteins within semen. Symptoms include discharge, pruritus and
considered.9 Forgotten tampons or condom pieces are common burning of the vagina and these can be relieved by antihistamines or
culprits in reproductive-aged women. Speculum examination and/ topical steroids. Removing the causative agent is curative.
or examination under anaesthesia may be required for visualisation
and removal. Chronic sequelae can include embedding of objects Psychosocial distress, such as abuse, has been shown to cause an
in the vaginal wall, dysparunia or development of fistulae between increase in vaginal discharge. Appropriate counselling and support
the bladder, rectum or peritoneal cavity. are required for these women.10
Are you interested in joining the RANZCOG Expert Witness Register? Do you have the capacity
to give expert medical opinion in the field of obstetrics, gynaecology or a subspecialty? Expert
witnesses must have reasonable practice, scientific data and three years of practice in any of
the following:
General obstetrics Reproductive endocrinology and infertility
General gynaecology Maternal fetal medicine
Gynaecological oncology Urogynaecology
Obstetric and gynaecological ultrasound