#219 Fast Facts in Sexual and Reproductive Health with Dr Sara Whitburn

Dr. Sara Whitburn is the Medical Director of Sexual Health Victoria, Chair of the RACGP Sexual and Reproductive Health Special Interest Group, and a Senior Lecturer in Sexual Health at the University of Melbourne.  Her clinical and advocacy interests span STIs, unplanned pregnancy, genital health, menopause care, and long-acting reversible contraception (LARC) training. She is passionate about supporting health professionals to deliver great sexual and reproductive healthcare and enabling equitable access to care for patients. Connect with the RACGP Sexual and Reproductive Health Special Interest Group:  Join the community (open to all RACGP members) by emailing gpsi@racgp.org.au. The group offers peer case discussion, newsletters, and webinars covering topics including PrEP, sexual pain, heavy menstrual bleeding, and more. Resources •          MAGIC App — National Cervical Screening Program guidelines (searchable): search "National Cervical Screening Program MAGIC App" •          Australian STI Management Guidelines — sti.guidelines.org.au  •          ASHM (Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine) — PrEP and DoxyPEP decision aids: ashm.org.au  •          FSRH Medical Eligibility Criteria (UK Faculty of Sexual and Reproductive Healthcare, updated December 2025): fsrh.org  •          RANZCOG Contraception Guidelines: ranzcog.edu.au  •          Australasian Menopause Society — clinical resources and find-a-practitioner: menopause.org.au  •          Sexual and Reproductive Health Australia (SRHA) / AusLARC scholarship: srha.org.au    Timestamps 00:00 — Introduction & acknowledgement of country 01:00 — Guest introduction: Dr. Sara Whitburn 02:56 — Contraception: Pill Choice, Medical Eligibility Criteria Considerations, PBS Updates 12:18 — The menopausal transition: contraception vs. MHT, managing bleeding on MHT 23:10 — IUD pain management and post operative considerations 30:40 — Progesterone sensitivity and MHT options 33:00 — Monitoring patients on MHT 39:20 — Genitourinary syndrome of menopause and genital skincare 44:57 — Vaginal treatments vs. lubricants — clarifying the difference 45:42 — Libido: a biopsychosocial approach 49:00 — STIs: asymptomatic screening and approaching vaginal discharge 54:39 — Symptomatic STIs and trauma-informed examination 57:18 — Bacterial vaginosis and partner treatment 59:12 — STI prevention: PrEP and DoxyPEP <p class="