• Estimated incidence of family and domestic violence in Australia

• Impact of family and domestic violence and coercive control

• Dealing with Family and Community Services where domestic violence is suspected to be impacting a child's wellbeing

• Ways to support a patient who discloses that they are a victim of domestic violence

Host: Dr Terri Foran | Total Time: 32 mins

Expert: A/Prof Elspeth McInnes AM, Associate Professor of Sociology in Education

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• COPD is a leading and largely preventable cause of morbidity among First Nations Australians

• Smoking cessation must be addressed with cultural sensitivity and clinical nuance

• Spirometry is essential for accurate diagnosis yet remains severely limited and underutilised

• Inhaler technique and adherence are critical and frequently overlooked

• Community-driven, multidisciplinary models are key to delivering culturally care

Host: Dr David Lim | Total Time: 44 mins

Experts: Philippa Cotter, Physiotherapist & Michael Hewson, Pharmacist

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• Vaginal oestrogen is safe at any age, including over 70, with regular review

• Use vaginal oestrogen cautiously in younger women; rule out other causes such like vulval dermatitis

• In breast cancer survivors, vaginal oestrogen is off-label; prefer estriol and involve oncology

• Vaginal DHEA (Intrarosa) is effective with minimal absorption; lacks long-term safety data; no washout needed when switching

The questions answered in this podcast are listed below.
They were compiled by GPs and health professionals around Australia who attended Healthed’s face-to-face seminars.

1. What are the main symptoms for women with vaginal atrophy, and what is the general approach when a woman comes to talk about these symptoms?
2. How long can women use vaginal oestrogen for?
3. If you saw a woman over the age of 70, would you feel comfortable allowing her to continue using vaginal oestrogen?
4. Is it safe to use vaginal oestrogen in a younger woman who might be breastfeeding or taking the combined oral contraceptive pill and experiencing vaginal dryness or discomfort?
5. Do you need to take the same precautions for side effects as you would with systemic hormone therapy? For example, if there was a woman who was prone to venous thromboembolism (VTE), is it safe for her to use vaginal oestrogen?

6. Is there any role for vaginal oestrogen in reducing the frequency of recurrent genital herpes outbreaks?

7. Are there situations where you would use vaginal oestrogen in combination with a non-hormonal product for better results?
8. Thoughts on laser treatments, microneedling, or PRP for vaginal or vulval symptoms?
9. In women who present with urethral caruncles, is there a role for vaginal oestrogen as part of the treatment? How long would you try using vaginal oestrogen for that?
10. What about the doses of oestrogen when treating someone who's had breast cancer? What do we have to be mindful of? 
11. What about women with a history of endometrial, cervical, or vulval cancer? Can we use vaginal oestrogen if they've got symptoms?
12. Can DHEA (Intrarosa) be used safely in women with a history of cancer?

13. For women without breast cancer, when would you use DHEA instead of oestrogen?

14. Would you ever use both oestrogen and DHEA together?

15. What about using DHEA in conjunction with systemic menopausal hormone therapy?
16. Are there any thoughts around the improvements in libido with the use of DHEA?

17. If you had tried someone on Ovestin (estriol) and wanted to switch to Intrarosa, is a washout period required before starting?

Host: Dr Marita long | Total Time: 33 mins

Expert: Dr Terri Foran, Sexual Health Physician

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• Reasons why patients might stay in a sexually violent relationship rather than leave

• Signs that a health provider should look for in patients they suspect or know to be in a sexually violent relationship

• Long-term outcomes of sexual violence

• Developing referral networks to assist patients in leaving a sexually violent relationship

Host: Dr Terri Foran | Total Time: 36 mins

Expert: Dr Ellie Freedman, Sexual Health Physician

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In this Healthed lecture, Prof Sonia Grover shares her clinical expertise and real-world experience about the best way to assess and manage adolescent girls who present with heavy and/or painful periods. She will also highlight the importance of recognising and treating these patients early to, not only improve their quality of life at the time but also improve their long-term health outcomes including their long-term fertility.

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In this Healthed lecture, A/Prof Samantha Hocking provides an update on this latest study and what it means for prescribing clinicians who are using these agents as part of their management of patients with obesity.

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In this Healthed lecture, A/Prof Gino Pecoraro discusses the prevalence and pathophysiology of this condition as well as providing the latest, evidence based recommendations for its treatment. Importantly, he will also be talking about commonly-advertised therapies that have no evidence of effectiveness, and some that have actually been shown not to work.

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In this Healthed lecture, Prof Paul Griffin provides an update on which viruses are currently causing disease and which are predicted to pose a threat this winter.  He will also discuss the latest recommendations in terms of vaccinations and target populations, as well as advising how best to manage some of the challenges faced by clinicians advocating immunisation. 

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• Be alert to atypical symptoms, such as fatigue or reduced exercise tolerance, particularly in younger patients

• Serial Holter monitoring and attention to atrial ectopy burden can guide suspicion

• Wearables like the Apple Watch and Samsung Galaxy Watch are effective adjuncts for rhythm detection

• Early ablation may be appropriate, even in younger patients with a low CHA₂DS₂-VASc score, if they are symptomatic

• Collaboration between healthcare professionals and Electrophysiologists is essential to optimise patient outcomes

The questions answered in this podcast are listed below.
They were compiled by GPs and health professionals around Australia who attended Healthed’s face-to-face seminars.

1. Atrial fibrillation – it's not an uncommon arrhythmia in Australia, is it?
2. What are some of the environmental factors that have been identified as contributing to atrial fibrillation, apart from COVID?
3. Why are we picking up more cases of atrial fibrillation? Are patients becoming more symptomatic?
4. Obstructive sleep apnoea doesn't cause atrial fibrillation, but can it make it permanent?
5. How can the pulmonary veins cause a cardiac arrhythmia?

6. What are the indications for treating patients with ablation?

7. How is it managed? What's the current thinking?
8. How far should a healthcare professionals go in trying to detect atrial fibrillation in patients with unusual symptoms?

Host: David Lim | Total Time: 32 mins

Expert: Prof Rukshen Weerasooriya, Sub-specialist Cardiac Electrophysiologist

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In this episode:

• Lips are a high-risk anatomical site for actinic damage and non-melanoma skin cancers

• Differentiation is critical - inflammatory, neoplastic, allergic, autoimmune, and drug-induced causes should all be considered

• Early recognition, appropriate biopsy, and referral can prevent serious complications

• Patch testing is useful in chronic cases, and laser resurfacing is an option for recurrent lesions

Host: Dr David Lim, GP and Medical Educator

Expert: Dr Philip Tong, Dermatologist

Total time: 25 mins

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