Gynae, uro, sexual Flashcards
what class of medication is finasteride?
5 alpha reductase
which cocp is no longer licensed for contraception?
dianette due to VTE risk
but can be used still for e.g. hirsutism
Ullipristal acetate/EllaOne emergency contraception:
- mechanism
- timeframe to take
- contraindications
- when to restart cocp/hormonal contra if had this
- delay ovulation
- 5 days after UPSI
- ineffective if ovulation already occurred, not to take if asthma & taking steroids
- delay breastfeeding by 7 days after taking
-wait 5 days to restart
Levonorgestrel/Levonelle emergency contraception:
- mechanism
- timeframe to take
- contraindications
- when to restart cocp if had this
- inhibit ovulation for next 5 days
- 72 hrs after UPSI
- if taking enzyme inducing meds/if BMI>26 need bigger dosec
- can continue breastfeeding
- can take COCP directly after having
what is the best emergency contraception?
- mechanism
- timeframe to take
copper coil
- inhibits ovulation - toxic to sperm/ova, inflammation of endometrium
- 5 days after UPSI or within 5 days after likely ovulation
- 0.1% failure rate, the only emergency contraception that works after ovulation
Vaccinations while pregnant:
- covid, flu - when in gestation is it ok?
- pertussis - when in gestation?
covid and flu - any time during pregnancy
pertussis - 18-20 weeks
According to the Civil Aviation Authority (CAA) what is the gestation at which most airlines no longer permit flying?
36 weeks for singleton pregnancy
32 for multiple gestation
How to treat hirsutism in pcos?
topical eflornithine
SSRI of choice for breastfeeding women?
sertraline
paroxetine
Diagnosis of gestational diabetes - what is the threshold for fasting glucose? and for 2-hour glucose?
5.6 mmol/L for fasting
7.8 for 2-hour glucose
list 2 possible complications of diabetes in pregnancy
polyhydramnios
what level of progesterone at ovulation is indicative of it?
> 30mmol/l
How long does it take for POP to become effective, if not taken on day 1 of period?
2 days
How long does it take for COCP & depot to become effective, if not taken on day 1 of period?
7 days
what is the most appropriate time to test for STIs after UPSI?
2-12 weeks
64 y/o F, recurrent lower abdominal pain associated with urinary urgency and frequency + Hunner lesions on cystoscopy. Dx?
Interstitial cystitis
1st, 2nd line treatments for chlamydia?
- doxycycline 200mg 7 days
- azithromycin or 1st line if pregnant. If pregnant, erythromycin, amoxicillin.
Tx for PID?
Intramuscular ceftriaxone 1000mg single dose plus
Oral doxycycline 100mg BD for 14 days plus
Oral metronidazole 400mg BD for 14 days
How long to go back for, in partner notification for:
gonococcal infections
non-gonococcal infections
Patients with gonococcal urethritis: all partners since, and in the two weeks prior to, the onset of symptoms
Patients with non-gonococcal urethritis: all partners since, and in the four weeks prior to, the onset of symptoms
how long to avoid sexual intercourse after treating chlamydia with azithromycin?
7 days
You see a 21-year-old woman who is taking a combined contraceptive pill. She is worried because she went away for a weekend and has missed two pills. She is on the second week of her 21-day pill pack. Her last period was two weeks ago. She had unprotected sexual intercourse last night.
Take the most recent missed pill as soon as possible and continue the remaining pills at the usual time. Condoms should be used or sex avoided until pills have been taken for 7 consecutive days
What is the ideal method to obtain sample to test for chlamydia for men & women?
women: endocervical swab
men: first catch urine
what is the most type of hpv virus to cause genital warts?
what about cervical ca?
genital warts: hpv 6, 11
cervica ca: hpv 16, 18
An 18-year-old woman is on day 14 of her cycle and has had unprotected intercourse two days previously. You prescribe single dose levonorgestrel 1500 microgram as emergency contraception and agree to restart her previous combined pill (ethinylestradiol 30 microgram/levonorgestrel 150 microgram) immediately.
For HOW MANY days should she take additional contraceptive precautions according to current guidance?
7 days
If quick starting combined hormonal contraception (except Qlaira) immediately after progestogen-only emergency contraception, condoms or avoidance of sex should be advised for seven days if the woman is day six or beyond in her cycle. No precautions are required between days 1–5.
