Pharmacist prescribers Linda Bryant and Leanne Te Karu discuss positive polypharmacy for heart failure. Current evidence shows the intensive implementation of four medications offers the greatest benefit to most patients with heart failure, with significant reductions in cardiovascular mortality, heart failure hospitalisations and all-cause mortality
A vagina is a vagina is a vagina, except when it’s not
+Practice
In print
Sexual health
A vagina is a vagina is a vagina, except when it’s not
Wednesday 25 September 2024, 12:25 AM

Transwomen go to Thailand for gender-affirming genital surgery as the waiting list in Aotearoa is glacially slow [Image: Niels Steeman on Unsplash]
Sexual health specialist Massimo Giola discusses feminising gender-affirming genital surgery and why you need to know the surgical technique used for each patient
Key points, Clinicians need to know how gender-affirming genital surgery was performed and what tissues were used, in order to provide optimal care and advice.
, Pract Green w Pale Yellow
References
Cornelisse VJ, Jones RA, Fairley CK, Grover SR. The medical care of the neovagina of transgender women: a review. Sex Health 2017;14(5):442–50.
Hontscharuk R, Alba B, Hamidian Jahromi A, Schechter L. Penile inversion vaginoplasty outcomes: Complications and satisfaction. Andrology 2021;9(6):1732–43.
The New Zealand Sexual Health Society. Guidelines. www.nzshs.org/guidelines