Promotion of Health & Provison of Care for Sexual Health Flashcards
What are some examples of sexual infections?
- Chlamydia
- HIV
- Pubic lice
- Gonorrhoea
- Genital warts
- Syphilis
- Herpes
What are some symptoms of sexual infections?
- Unusual discharge
- Itches/rashes/blisters
- Pain/bleeding during/after sex, or when urinating
- Pain in lower abdomen/lower testicles
- Bleeding between periods (spotting)
What can women develop if they have chlamydia?
PID (Pelvic inflammatory disorder) - leading to infertility
What type of infection is chlamydia?
Bacterial (from C. Trachomatis)
Where in the body is chlamydia found in those infected?
Semen & vaginal fluids.
What screening programme is used to test for chlamydia?
NCSP - National Chlamydia Screening Programme.
What testing procedures are done to test for chlamydia?
- Swab of the cervix or urethra
- Urine test
- Rectum/throat swab for anal/oral sex
What is the 1st line treatment for chlamydia?
Clamelle (azithromycin) 500mg tablets, or 1g single dose.
What is the second line treatment for chlamydia?
Doxycycline 100mg BD for 7 days
What should the pharmacist say to a patient who is being treated for chlamydia?
- No sex must be performed a week after completing treatment
- Partner must be treated too
When does pregnancy begin?
At the point of implantation, which is around 5-7 days after fertilisation.
When are emergency contraceptives used?
- Condom breakage
- Forgotten pills
- Unprotected sex
- Penetration but no ejaculation
When should levonorgestrel (Levonelle) be given?
Within 72h (3 days)
What is the mechanism of Levonelle?
It prevents/delays ovulation
When should EllaOne be given?
Within 120h (5 days)
At what point of the menstrual cycle is EllaOne most effective?
During LH surge (ovulation)
When should an IUD be fitted after sexual intercourse?
Within 5 days.
What is the mechanism of an IUD?
It releases copper ions which affects sperm & stops implantation.
When would a patient on contraceptives not require EHC (emergency hormone contraception)?
Depending on the type of contraceptive they are on, and if they have missed a dose.
- Missed pill for COC: >2 pills in the 1st week, or >7 in contraceptive therapy weeks
- Missed pill for POP: pill has been missed for >12h
How can the stigma of sexual infections be minimised?
- Education
- Safe sex
- Target specific groups
- Easier access to screening/treatment
- Raising awareness
