Sexual health

Question 1

Causes of erectile dysfunction

Answer 1

Vascular - HTN, smoking, high cholesterol, diabetes
Skin - foreskin issues, lichen sclerosis
Neuro - tumour, spinal cord disease, MS, Parkinsons, stroke
Endocrine - hypogonadism, cushing, thyroid, hyperprolactin
Iatrogenic - DIuretic, SSRI, antipsychotics

Question 2

Erectile dysfunction Mx

Answer 2

Sildenafil
CI: on nitrate, recent MI/ stroke

Tadalafil - lasts longerC

Question 3

Gynae Hx

Answer 3

Menstrual - onset, LMP, IMB, PCB, cycle pattern

Gynae - UTD smears, contraception, operations, FH

Obstetric - gravida, parity

Sexual - Current partners, previous infections

Question 4

Long acting reversible contraception

Answer 4

Implant - lasts 3 years
Injection - 12 weeks
IUS (mirena) - 5 years
IUD Copper - 5 or 10 years

Question 5

Transgender

Answer 5

an umbrella term to describe people whose gender is not the same as the sex they were assigned at birth.

Question 6

Gender dysphoria

Answer 6

when a person experiences discomfort or distress because there is a mismatch between their gender assigned at birth and their gender identity

Question 7

Ways parents can help their children with gender dysphoria

Answer 7

It is normal for young people to explore gender
how does the child fit into the family
encourage the young person to talk about their feelings
accept uncertainty of the future and encourage exploration
consider where sources of anxiety come from