ILA 3 - sex matters:

Question 1

What is thrush and what is usually seen in it?

Answer 1

• Candadisis (yeast infection)
• ‘White curds’
• Itching
• Miconazole gel

Question 2

What is seen in trichomonas vaginalis? what is the treatment?

Answer 2

• Fishy frothy yellow smelling discharge
• Soreness/itching pain
• ‘strawberry cervix’
  Rx - metronidazole

Question 3

What is seen in bacterial vaginosis? Is it sexually transmitted? what is its treatment?

Answer 3

• Fishy smelling discharge
• Not sexually transmitted
  Rx: nitromidasole
  (can try to neutralise acidic environment)

Question 4

What is seen in Gonorrhoea and what is is caused by? What is its treatment?

Answer 4

• Copious, offensive, yellow urethral pus
• Neisseria gonorrhoea
• Cephatriaxone

Question 5

What is the treatment for chalmydia?

Answer 5

Rx - doxycycline/azithromycin

• Ring STI clinic for contact tracing
• 80% asymptomatic

Question 6

Give 2 problems with the COCP:

Answer 6

• Increased risk of venous thromboembolism

- Mood swings

Question 7

Give the 6 types of contraceptions:

Answer 7

• COCP
• Progesterone only pill
• Progesterone-only injectable
• Progesterone implant
• Intrauterine contraceptive device (copper coil)
• Progesterone - releasing intrauterine system (Mirena)

Question 8

How do progesterone only contraceptives work?

Answer 8

• By preventing ovulation.
• Makes endometrium unsuitable for implantation
• Increase viscosity of cervical mucus
• No periods

Question 9

What are the issues with progesterone only pill?

Answer 9

• Has to be taken at same time each day

- Slight increase risk of breast cancer

Question 10

When are progesterone only pills/alternative used?

Answer 10

• When breast feeding

- When COCP is contraindicated

Question 11

How to intrauterine devices work (IUCD)? (copper and progesterone)

Answer 11

Copper:

• Fertilisation prevented due to effect of copper on ova and sperm
• Increase viscosity of cervical mucus
• Endometrial inflammatory reaction

Progesterone (Mirena):

• Reduced endometrial growth thus preventing implantation
• Increases thickness of cervical mucus
• Ovulation is not usually inhibited

Question 12

Outline Fraser competence:

Answer 12

• Young person is <16 and understands proffessions advice
• Cannot be persuaded to tell parents
• Will carry on having sex
• Not giving contraception with cause person physical or mental harm
• Best interest