Gynae/ sexual health Flashcards
What is prescribed for severe premenstrual syndrome
SSRI either continuously or during the luteal phase
What part of HRT increases the risk of breast cancer
adding a progestogen
What is the only contraception licensed to be used as the progesterone component in HRT
Mirena coil - licensed for 4 years if used as HRT
Which ovarian tumour is associated with the development of endometrial hyperplasia
Granulosa cell tumours
Copper intrauterine device is licensed for use within how many hours of unprotected sex
120 Hours
Ulipristal acetate is licensed for use within how many hours of unprotected sex
120 Hours
Levonorgestrel is licensed for use within how many hours of unprotected sex
72 hours
Side effects of copper intrauterine device
- spotting or cramping after insertion
- heavier periods
- more painful periods
*infection - it can fall out
treatment for bacterial vaginosis
metronidazole
symptoms of chlamydia in biological male
Dysuria / urethral discharge / urethral discomfort / testicular pain / epididymo-orchitis / reactive arthritis
Management of mild pelvic inflammatory disease
- Start antibiotics immediately, before the results of the swabs
- Prescribe doxycycline, metronidazole, and IM ceftriaxone
- Leave in a recently inserted coil. If there is no response to antibiotics within 48-72hrs, remove the coil and prescribe any other necessary emergency contraceptives
Management of stress incontinence
- 1st: pelvic floor exercises 3 months
- 2nd: duloxetine if decline surgery
- surgery: Retropubic mid-urethral tape
Management of urge incontinence
- 1st: Bladder retraining - 6 weeks
- 2nd: Oxybutynin
- anticholinergic are associated with confusion in elderly, mirabegron is preferrable
Causes of raised CA125
- adenomyosis
- ascites
- menstruation
- breast, ovarian and endometrial cancer
- endometriosis
Describe the features of pelvic pain required for the consideration of endometriosis
Chronic
* cyclical or continuous
* present for over 6 months