Promotion of Health & Provison of Care for Sexual Health Flashcards

1
Q

What are some examples of sexual infections?

A
  1. Chlamydia
  2. HIV
  3. Pubic lice
  4. Gonorrhoea
  5. Genital warts
  6. Syphilis
  7. Herpes
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2
Q

What are some symptoms of sexual infections?

A
  1. Unusual discharge
  2. Itches/rashes/blisters
  3. Pain/bleeding during/after sex, or when urinating
  4. Pain in lower abdomen/lower testicles
  5. Bleeding between periods (spotting)
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3
Q

What can women develop if they have chlamydia?

A

PID (Pelvic inflammatory disorder) - leading to infertility

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4
Q

What type of infection is chlamydia?

A

Bacterial (from C. Trachomatis)

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5
Q

Where in the body is chlamydia found in those infected?

A

Semen & vaginal fluids.

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6
Q

What screening programme is used to test for chlamydia?

A

NCSP - National Chlamydia Screening Programme.

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7
Q

What testing procedures are done to test for chlamydia?

A
  1. Swab of the cervix or urethra
  2. Urine test
  3. Rectum/throat swab for anal/oral sex
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8
Q

What is the 1st line treatment for chlamydia?

A

Clamelle (azithromycin) 500mg tablets, or 1g single dose.

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9
Q

What is the second line treatment for chlamydia?

A

Doxycycline 100mg BD for 7 days

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10
Q

What should the pharmacist say to a patient who is being treated for chlamydia?

A
  1. No sex must be performed a week after completing treatment
  2. Partner must be treated too
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11
Q

When does pregnancy begin?

A

At the point of implantation, which is around 5-7 days after fertilisation.

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12
Q

When are emergency contraceptives used?

A
  1. Condom breakage
  2. Forgotten pills
  3. Unprotected sex
  4. Penetration but no ejaculation
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13
Q

When should levonorgestrel (Levonelle) be given?

A

Within 72h (3 days)

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14
Q

What is the mechanism of Levonelle?

A

It prevents/delays ovulation

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15
Q

When should EllaOne be given?

A

Within 120h (5 days)

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16
Q

At what point of the menstrual cycle is EllaOne most effective?

A

During LH surge (ovulation)

17
Q

When should an IUD be fitted after sexual intercourse?

A

Within 5 days.

18
Q

What is the mechanism of an IUD?

A

It releases copper ions which affects sperm & stops implantation.

19
Q

When would a patient on contraceptives not require EHC (emergency hormone contraception)?

A

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
20
Q

How can the stigma of sexual infections be minimised?

A
  1. Education
  2. Safe sex
  3. Target specific groups
  4. Easier access to screening/treatment
  5. Raising awareness