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The following case study discusses a woman who presents in primary care and is written from a GP perspective. GPs work across speciality domains to fuse different guidelines and in this case medical, psychological, gynaecological and obstetric aspects of the presentation are brought together in order to provide the best care for the woman's presenting complaint and for future health. In primary care, unlike in secondary care, patients present in an undifferentiated, untriaged manner; however, the GP has the advantage of being able to offer repeated consultations to achieve health goals over a period of years.

As you work through this case study, you will be asked to reflect on how the case was managed by the GP and whether the woman should have been referred to secondary/tertiary care.

Claiming CPD points

You can claim 1 CPD point for competing this case study in the personal/professional category under reflection. Once you have completed this case study and entered the answers to the reflective tasks, download your certificate (select the option that contains your reflective notes) from your learning history and upload this to your CPD/revalidation ePortfolio as evidence of completion (please select the reflective learning form in the personal/professional category).


If you are a Fellow, Member or Assocaite of the RCOG or a trainee on the Trainees' Register you can access this tutorial for free. (If you have not already done so, you need to log in to the website in order to access the tutorial).

Non-members can purchase the tutorial from the CPD/Advanced training landing page.

Launched October 2015.