Gynae/ sexual health Flashcards

1
Q

What is prescribed for severe premenstrual syndrome

A

SSRI either continuously or during the luteal phase

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2
Q

What part of HRT increases the risk of breast cancer

A

adding a progestogen

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3
Q

What is the only contraception licensed to be used as the progesterone component in HRT

A

Mirena coil - licensed for 4 years if used as HRT

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4
Q

Which ovarian tumour is associated with the development of endometrial hyperplasia

A

Granulosa cell tumours

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5
Q

Copper intrauterine device is licensed for use within how many hours of unprotected sex

A

120 Hours

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6
Q

Ulipristal acetate is licensed for use within how many hours of unprotected sex

A

120 Hours

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7
Q

Levonorgestrel is licensed for use within how many hours of unprotected sex

A

72 hours

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8
Q

Side effects of copper intrauterine device

A
  • spotting or cramping after insertion
  • heavier periods
  • more painful periods
    *infection
  • it can fall out
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9
Q

treatment for bacterial vaginosis

A

metronidazole

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10
Q

symptoms of chlamydia in biological male

A

Dysuria / urethral discharge / urethral discomfort / testicular pain / epididymo-orchitis / reactive arthritis

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11
Q

Management of mild pelvic inflammatory disease

A
  • 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
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12
Q

Management of stress incontinence

A
  • 1st: pelvic floor exercises 3 months
  • 2nd: duloxetine if decline surgery
  • surgery: Retropubic mid-urethral tape
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13
Q

Management of urge incontinence

A
  • 1st: Bladder retraining - 6 weeks
  • 2nd: Oxybutynin
  • anticholinergic are associated with confusion in elderly, mirabegron is preferrable
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14
Q

Causes of raised CA125

A
  • adenomyosis
  • ascites
  • menstruation
  • breast, ovarian and endometrial cancer
  • endometriosis
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15
Q

Describe the features of pelvic pain required for the consideration of endometriosis

A

Chronic
* cyclical or continuous
* present for over 6 months

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16
Q

What is the nature of dyspareunia in PID

A

deep dyspareunia

17
Q

Causes of superficial dyspareunia

A
  • Genital herpes
  • Lichen sclerosus
  • Vaginismus
  • Thrush
18
Q

Causes of retrograde ejaculation

A
  • bladder neck injury
  • congenital abnormality
  • diabetic autonomic neuropathy
  • transurethral resection of the prostate
19
Q

Suspected miscarriage: If the status of the fetus can’t be determined on initial TVUS, what should be done

A

a repeat scan will be done after a minimum of 7 days

20
Q

Management of individuals with cervical intraepithelial neoplasia 1

A

do not treat, discharge and screen again at 12 months in the community

21
Q

Most common cause of hyperandrogenaemia in postmenopausal women

A

Ovarian hyperthecosis