Sexual Medicine Flashcards
What is the treatment for Gonorrhoea?
Ceftriaxone (IM)
What is the treatment for Chlamydia?
Azithromycin
What symptoms might a woman with Chlamydia present with?
Intermenstrual bleeding, dysuria, discharge
What diseases can occur as a complication of Chlamydia? (2 mark)
Pelvic Inflammatory Disease
Reiter’s syndrome
What symptoms make up Reiter’s syndrome?
Conjunctivitis
Urethritis
Reactive arthritis
What test do you do for chlamydia or gonorrhoea?
Nucleic acid amplification test
First line treatment for ED (and what class of drug)?
Sildenafil - phosphodiesterase inhibitor
Side effects of ED medication?
Headaches, flushing
Contraindication for ED treatment?
Hypotension
What might you suspect if a woman presents with frothy, green/yellow discharge?
Trichomonas vaginalis
What is Tx for trichomonad vaginalis?
Metronidazole
What virus causes genital warts - be specific!
HPV 6 and 11
What do you give as 2nd line Tx in ED?
Alprostadil - injectable or intraurethral
What tests would you do for someone presenting with a sexual disorder?
Fasting glucose Prolactin Oestrogen FSH / LH Testosterone TSH Gonadotropin releasing hormone
Name 4 psycho therapies used in sexual disorders
- CBT
- Psychodynamic therapy
- Integrative therapy
- Systematic therapy
Define female arousal disorder
Lack of sexual desire, lack of response to sexual stimuli and lack of sexual pleasure
What drug treatment can be given for Hypoactive Sexual Desire Disorder?
F l i b a n s e r i n (if pre-menopausal)
What is the treatment for BV?
Metronidazole
What is the first line treatment for rapid ejaculation?
Dapoxetine (SSRI)
Treatment for Female Orgasmic Disorder?
Topical Oestrogen
Definition of vaginismus
Spasm of the pelvic floor muscles that surround the vaginal opening
What might you see on MC+S of Candida albicans
Mycelia spores
