Common in Women Flashcards
VAGINAL THRUSH
What is it
What are symptoms
Inflammation of the vulva/vagina caused by superficial fungal infection with candida yeast
itchy (intense and burning)
Discharge-cream coloured, thick and curdy (cottage cheese
No smell
Painful urination
(Partner may have itchy dick)
VAGINAL THRUSH
What are referral criteria?
First occurence
Pregnant or suspected pregnancy
More than 2 occurrences in last 6 months
History of STI
<16 yrs or over 60 years
Abnormal/irregular vaginal bleeding
Vulval/vaginal sores, ulcers or blisters
No improvement after 7 days
VAGINAL THRUSH
What are treatment options?
Fluconazole
clotrimazole pessary/cream
wipe from front to back
cotton underwear
not using soaps but aqueous cream as wash
BACTERIAL VAGINOSIS
symptoms?
treatment?
Symptoms of bacterial vaginosis include white and watery vaginal discharge that often has a strong fishy smell.
use water and plain soap to wash your genital area
have showers instead of baths
Don’t:
do not use perfumed soaps, bubble bath, shampoo or shower gel in the bath
do not use vaginal deodorants, washes or douches
do not put antiseptic liquids in the bath
do not use strong detergents to wash your underwear
do not smoke
DYSMENORHEA
What is treatment
what are symptoms?
ibuprofen
naproxen 250mg
hyoscine
Heat patches, exercise
tiredness, bloating, diarrhoea, headaches, moods change, painful periods
DYSMENORRHEOA
What are red flags?
presence of abnormal vaginal discharge
abnormal bleeding, severe intermenstrual pain and bleeding, failure of medication, pain with a late period, presence of fever
CYSTITIS
What are common symptoms?
pain, burning or stinging when you pee
needing to pee more often and urgently than normal
urine that’s dark, cloudy or strong smelling
pain low down in your tummy
feeling generally unwell, achy, sick and tired
Emergency contraception
What age can be supplied”
What scenarios can it be used?
What must pharmacists do if a patient missed pill
16 years as a P medicine
most commonly for EHC to be requested are failure of a barrier contraceptive method such missed contraceptive pill and unprotected sexual intercourse
Pharmacists should follow the guidance of the faculty of family planning and reproductive healthcare clinical effectiveness unit.
EHC
What should be done if unprotected sex/contraceptive failure occurred?
EHC needs to be started within 120 hours if (ulpipristal) or 72 hours if lenvorgestrel , the sooner it is started the higher its efficacy. If this is unsuitable for the womanish can be referred to have IUD fitted as a method of contraceptive as long as the is done within 120 hours.
EHC
What are referral criteria?
What should occur if the patient vomits within 2 hours of taking the medication?
Aged under 16 years
Longer than 120 hours since unprotected sex
taking medication that interacts with EHC
Request for future use
Must take another pill
EHC
What are common side effects
What medications interact with Ulipristal?
Which women cannot take ulipristal?
Headaches
nausea
CYP3A4 inducer e.g phenytoin, st johns wort; efficacy of ulipristal
Absorption may be reduced when in patients who are taking medicines that increase the gastric pH
Pregnant women, severe hepatic dysfunction, severe malabsorption
repeated administration within a menstrual cycle is not recommended
EHC
What medications interact with levonorgestrel?
Which women cannot take levonorgestrel?
if patient is taking CYP3A4 inducer
women who are pregnant
have severe hepatic dysfunction or has severe malabsorption.
PREGNANCY
What are symptoms?
constipation
haemorrhoids
backache
cystitis
headache
heartburn
nausea/vomiting
vaginal discharge
skin irritation and stretch marks
BACTERIAL VAGINOSIS
