Attending Sexual Clinic Flashcards
What are the roles of the sexual health clinic?
- diagnosis and managment of STIs
- partner notification
- infection prevention
- genital dermatology
- contraception
- community gynaecology
- menopause
- psychosexual counselling
What are the benefits of partner notification?
- effective form of case finding
- cost effective
- early diagnosis reduces morbidity/mortality
- reduces incidence of STI in community
What is the look back period for chlamydia?
Male urethral- 4 weeks
Any other infection- 6 weeks
What is the look back period for gonorrhoea?
Male urethral- 2 weeks
Any other infection- 3 weeks
What is the look back period for non-specific urethritis?
4 weeks
What is the look back period for trachomonas vaginalis?
4 weeks
What is the lookback period for epididymitis?
As CT/GC or if negative, 6 months
What is the look back period for PID?
As CT/GC or if negative, 6 months
What is the look back period for HIV?
4 weeks before negative test, or before most likely time of infection
What is the look back period for syphillis?
Primary; 90 days
Secondary; 2 years
Other infections; 3 months before most recent negative test
What infections do not require partner notification?
- warts
- herpes
- vaginal thrush
- bacterial vaginosis
What infections can be vaccinated against?
- hepatitis B
- MSM
- high prevalence countries
- sexual assault
- contacts
- hepatitis A
- MSM (sexually transmitted enteric infection)
- HPV
- MSM <46 years
What is PrEP
Pre exposure prophylaxis
Taken before exposure to reduce risk of infection
What are the PrEP medications?
Tenofovir disoproxil/emtricitabine
What is a PrEP regime and who is given it?
Daily or event dosing
High risk patients
PrEP reduces HIV incidence by what %?
86%
What is PEPSE?
Medicine taken after exposure to reduce risk of infection
What is PEPSE for hepatits B and HIV?
Hepatitis B
- HBV vaccine (up to 7 days)*
- Immunoglobulin (vaccine non-responders)*
- *HIV**
- 3 antiretrovirals*
- Start within 72 hours*
- 28 days total*
- 80% effective*
What is the definition of rape?
Penetration of the vagina, anus or mouth by the penis without consent
How is consent invalidated?
Incapacitated by alcohol or drugs.
Incarcerated.
Violence or threat of violence.
What is the management of a recent rape?
- consider forensic examination
- immediate safety
- injuries
- HBV vaccination
- consider PEPSE
- STI/pregnancy care
What is the medium- long term management of rape?
- Screening for STIs
- Assessment of coping capabilities
- PTSD
- HBV vaccines if indicated
- practical and psychosocial support
What are 6 examples of GBV?
- domestic abuse
- rape and sexual assault
- childhood sexual abuse
- commercial sexual exploitation
- stalking/harassment
- harmful traditional practices (FGM, breast ironing)
What are the risk factors for GBV?
- being female
- disability
- pregnancy
- addiction
- HIV
