Sexual medicine

Question 1

What is dyspareuria?

Answer 1

Pain during intercourse

Question 2

What are the 3 types of dyspareuria?

Answer 2

pain on manipulation
introitus (pain on entry)
mid-deep vaginal pain

Question 3

Name 3 causes of dyspareuria

Answer 3

manipulation - infection, injury
introitus - circumcision, herpes, cyst
mid-deep vaginal pain - IBS, constipation

Question 4

Name 3 treatments of dyspareuria

Answer 4

couples therapy
sensate focus
personal sexual growth program

Question 5

Name some of the blood tests you would do when investigating a sexual problem

Answer 5

glucose and lipid
testosterone, SHBG, albumin 
prolactin 
TSH
oestrogen 
FBC

Question 6

What are the 5 stages of sexual interaction?

Answer 6

Drive
Desire/libido
excitation 
orgasm 
resolution

Question 7

What is paraphilias?

Answer 7

abnormal sexual behaviours or impulses characterized by intense sexual fantasies
- usually arousal to non-sexual or unusual subjects or situations

Question 8

What is the difference between primary and secondary and situational and generalised sexual aversion disorder?

Answer 8

SAD - inhibited sexual desire
Primary - never had sexual desire
Secondary - began relationship with normal sexual desire and later developed problem
General - no desire for anyone
Situational - desire for others but not partner

Question 9

What are the steps for treatment of a transmale?

Answer 9

1. assessment and diagnosis
2. social and transitional therapy
3. fertility option
4. androgens +/- GNrH analogue
5. voice and communication
6. male chest reconstruction
7. hysterectomy and b/loophorectomy
8. phalloplasty/metacloplasty

Question 10

What are the steps for treatment of a transfemale?

Answer 10

1. assessment and diagnosis
2. social and transitional therapy
3. fertility option
4. estrogen +/- antiandrogens
5. voice and communication
6. facial hair removal
7. vaginoplasty
8. augmentation mammoplasty
9. facial feminisation surgery

Question 11

What is voyeurism?

Answer 11

deriving sexual pleasure from watching others while they are naked or engage in sexual activity

Question 12

What is frotteurism?

Answer 12

getting sexual pleasure from touching genitals against strangers without consent

Question 13

What is the drug name for PrEP?

Answer 13

truvada (not currently available)

Question 14

Which STI is becoming increasingly antibiotic resistant?

Answer 14

Gonnorhea

Question 15

How do you treat gonnorhoea?

Answer 15

cefriazone IM asap

Question 16

What are some symptoms of gonnorhoea?

Answer 16

discharge, dysuria, conjunctivitis,PID

Question 17

Which STIs affect pregnancy and neonates?

Answer 17

gonnorhoea, chlamydia, sphyillis, herpes

HPV (neonate only)

Question 18

How long is the gonnorhoea incubation period?

Answer 18

2-7 days

Question 19

What is chlamydia’s incubation period?

Answer 19

2 weeks

Question 20

What are some symptoms of chlamydia?

Answer 20

discharge, dysuria, PID, conjunctivitis

Question 21

How do you treat chlamydia?

Answer 21

doxycyline for 1 week

or 3 weeks for chlamydia trachomatis serovar L1-3

Question 22

What are some symptoms of syphilis?

Answer 22

genital ulcer

rash, lymphadenopathy, flu symptoms, bone pain, deafness, meningitis

Question 23

How do you treat syphilis?

Answer 23

penicillin

Question 24

What are the symptoms of trichomona vaginalis?

Answer 24

vaginal discharge

vulval itch

Question 25

How do you treat TV?

Answer 25

metronidazole

Question 26

How do you treat herpes?

Answer 26

aciclovir

Question 27

What are some symptoms of the herpes simplex?

Answer 27

ulcers
dysuria
discharge

Question 28

What are some symptoms of HPV?

Answer 28

warts

Question 29

How do you treat HPV?

Answer 29

There is no treatment apart from prevention