Sexual health and contraception

Question 1

What is the most appropriate first-line drug management for genital tract chlamydia infection?

Answer 1

NICE guidelines in non-pregnant female adults:
doxycycline PO 100mg BD 1/52

For pregnant, oral erythromycin 500 mg BD 2/52 or oral amoxicillin.

Question 2

What is the most appropriate first-line drug management for bacterial vaginosis and trichomonas vaginitis?

Answer 2

Oral metronidazole 400–500 mg BD 5-7 / 7, alternatively 2 g x 1

is recommended in anaerobic bacteria and protozoa infections, including bacterial vaginosis and trichomonas vaginitis

Question 3

What is the most appropriate first-line drug management for vulvovaginal candidiasis?

Answer 3

butoconazole vaginal

Question 4

symptoms of Urogenital infections with Chlamydia trachomatis

Answer 4

mucopurulent discharge along with symptoms such as dysuria, dyspareunia, postcoital and intermenstrual bleeding

Question 5

Trichomoniasis is a sexually transmitted infection caused by the parasite _______

Answer 5

Trichomonas vaginalis

Question 6

Sx of trichomoniasis

Answer 6

It is frequently asymptomatic,
but can also present with a frothy, offensive, yellow-green discharge and urinary symptoms.
Vaginal infection with Trichomonas vaginalis causes an elevated pH.

Question 7

Tx of chlamydia

Answer 7

doxycycline 100mg bd 1 week OR erythromycin 500mg qds 2/52 OR azithromycin 1g stat po

Question 8

Tx of gonorrhoea

Answer 8

ceftriazone 500mg IM once + azithromycin 1g stat po