Sexual Health Flashcards
How does the implant work?
- Inhibits ovulation
- Thickens mucus
- Thins endometrial lining
What is a disadvantage of the implant?
Irregular bleeding but this improves
What are benefits of the implant?
- Easy removal
- Rapid resumption of fertility
How does the injection work?
- Inhibits ovulation
- Thickens mucus
- Thins endometrial lining
What are disadvantages of the injection?
- Irregular bleeding in first few weeks
- 6 months for fertility to return to normal
- Reduced bone density after 2-3 years of use
- Weight gain
What are advantages of the injection?
- Amenorrhoea
- Improves PMS
- Effective in heavy/painful periods
After birth, how soon can the UD be inserted?
- Either within 48hrs or
- >4 weeks
How does the mirena coil work?
- Thickens mucus
- Thins endometrial lining
- Inhibits sperm survival
When can the COC be started after birth?
- after 21 days or >6 weeks if breast feeding
- Require additional contraception for 7days when starting
When can the POP be used after birth?
Anytime however extra contraception should be used for the first 2 days after day 21
What UKMEC is BMI >35 for with regards to the COCP?
UKMEC 3
What UK MEC is epilepsy + COCP?
UKMEC 3
When does smoking make the UKMEC with COCP a 4?
> 35 + smoking >15 a day
Which contraception is a UK MEC 3 when taking phenytoin,carbamazepine, barbiturates, primidone, topiramate, oxcarbazepine?
COCP
POP
How does the Desogestrel-only pill work?
- Inhibits ovulation
- Thickens mucus
- Thins endometrial lining
What are the risks of the COCP?
- Stroke, VTA, CVA
- Cervical cancer
- Breast cancer
What is the window for the COCP?
24hours
When does the POP provide immediate protection?
When started on the first 5days of the cycl
What are the risks of the POP?
- Ovarian cysts
- Ectopic pregnancy
- Irregular bleeding initially
- Slightly less effective than the COCP
What is a contraindication of using the copper coil as emergency contraception?
STI
Which emergency contraceptive works within 72hours of UPSI?
Levonorgestrel
Which emergency contraceptive works within 120hours of UPSI
Ullipristal
What is the advice given following taking ullipristal?
- Wait 7 days to take hormonal contraceptive
- Avoid enzyme induces
- Ranitidine and PPIs make it less effective
- Avoid/discard breast feeding for 1 week
When taking levonorgestrel as an emergency contraceptive, when is it safe to start taking hormonal contraceptive again?
- Immediately
- Use condoms/abstain from sex for 7 days
What advice is given RE starting hormonal contraceptives following taking ullipristal?
- 5 days for COC
- 7 days for POP
- Condoms/abstain for 12 days for COC
What does the high-vaginal swab detect?
- Candida
- BV
- TV
Give 2 complications of Chlamydia
- Reiter’s syndrome
- Fitz-Hugh Curtis Syndrome
Which urine sample would you obtain from men with dysuria?
First void urine to test for gonorrhoea/chlamydia
In MSM, what swabs are necessary?
Pharyngeal
Rectal
Urethral
If a man has thrush, what test would you do?
Urinalysis to test for glucose
How do you treat lichen sclerosis?
potent topical steroid
What do you treat scabies with?
Permethrin and household contacts
How do you treat Condyloma Latum?
Benzathine penicillin IM
What is Condyloma Latum?
Manifestation of secondary syphilis very contagious, most, wart-like non-tender ulcer
What symptoms does Condyloma Latum present with?
Fever, malaise, adenopathy
What is Molluscum Contagiousum?
DNA poxvirus
What is the treatment for Molluscum?
Wait, try cryotherapy, currette or podophyllotoxin
What causes syphilis?
Treponema Pallidum
What are the primary symptoms of syphilis?
- 3 weeks post infection
- Painless, solitary ulcer - chancre
- Inguinal lymphadenopathy
What are the secondary symptoms of syphilis?
- 5 weeks after primary, within first 2 years
- Proliferation of spirchetes in skin and mucous membranes
- widespread rash
- Lymphadenoapthy
- Genital condyloma Lata
- Anterior uveitis
What are the tertiary symptoms of syphilis?
- 5 years post-infection
- Neurosyphilis - dementa, Tabes dorsalis
- Cardiosyphilis - aortic aneurysm can form
- Gummata - Granuloma like in liver, brain, heart, skin, bone, testes
What pregnancy complications are there of syphilis?
- Preterm delivery
- Stillbirth
- Congenital syphilis - rash, hepatomegaly, skeletalproblems
What is the Hutchinson Triad?
Late signs of syphilis:
- Notched central incisors
- Blindness
- Deafness from 8th cranial nerve injury
What is the management for Lymphogranuloma Venerum?
Doxycyline
What is the management for acute epididymo-Orchitis?
Ceftriaxone IM
Doxycyline 10-14days
