Postal semen testing can be safely used to confirm success after vasectomy, even in the presence of sperm

By Melanie Atkinson  Vasectomy offers non-reversible contraception to men but efficacy is not immediate and requires post-vasectomy semen testing (PVSA) to confirm success. Clearance to discontinue alternative contraception is given on a fresh semen sample with <100,000 non-motile sperm/mL. However, many men still fail to submit samples following a vasectomy, risking pregnancy by being unaware […]

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Exploring the role of birth doulas as liminal actors in medical law and regulation

By Beverley Clough and Anna Nelson Birth doulas are not medically trained, but are seen as a source of physical and emotional support for the birthing person. Doula UK, the largest UK Doula Organisation, has explained the doula role as: “providing practical, emotional and nurturing support to the whole family during pregnancy, labour and after […]

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Criminalised, Stigmatised, and Underprovided: Why Germany’s Abortion Law Fails both Patients and Providers

By Amelie Kolandt, Susanne Michl & Mirjam Faissner In Germany, access to abortion remains legally restricted and structurally constrained. Our recent qualitative study “Understanding structural barriers to abortion care under the counselling regulation in Germany”, published in BMJ Sexual and Reproductive Health, highlights how criminalisation, stigma, and a lack of training undermine equitable, patient-centred abortion […]

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On being left alone, finally

By Ezio Di Nucci Imagine being a woman living under the patriarchy for 45 to 50 years. Then, slowly but surely, men finally begin to leave you alone. Wouldn’t that be liberating?   Reclaiming menopause as the long-awaited (genotypically and phenotypically) women’s liberation has been in high fashion of late, so I was surprised when one of […]

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​​​Women are open to receiving pre-pregnancy care invitations from general practices​​

By Nishadi Withanage, Sharon James, Jessica Botfield, Kirsten Black, Jeana Wong & Danielle Mazza  Pre-pregnancy, the phase before conception, is an opportunity for health professionals to work with women and their partners to enhance health and pregnancy outcomes by managing risk factors such as obesity, alcohol consumption, smoking, and physical and mental health conditions. General […]

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Recommending Privately Developed FemTech in Healthcare Part 2: Understanding Healthcare Professionals’ Responsibilities

By Anna Nelson, Maria Tzanou and Tsachi Keren-Paz In the previous blog, we introduced the issues associated with healthcare professionals (HCPs) recommending privately-developed FemTech apps. In this second blog, we turn our attention to regulatory considerations associated with this practice. There are two distinct questions which could be asked here: (1) whether HCPs should recommend […]

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Recommending Privately-Developed FemTech in Healthcare Part 1: Promises and Pitfalls

By Anna Nelson, Maria Tzanou and Tsachi Keren-Paz   Introduction  FemTech refers to apps and wearable devices (eg. smart breast pumps and bluetooth-enabled fertility monitors) purporting to empower women and non-binary users to manage their sexual, gynaecological and reproductive health. During their recent review of the data practices of period and fertility tracking apps, the […]

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