sexual + reproductive health Flashcards
What are the features of Bacterial vaginosis? Which swab is It tested for using? How is it treated?
Fishy odour
Grey-white discharge
Due to reduction of lactobacilli in vagina + overgrowth of other bacteria + rise in pH
Presence of clue cells in biofilm (g-ve )
Metronidazole/ clindamycin cream
High Vaginal Swab (Non-STD)
what are the features of candida? Which swab is it tested for using? How is it treated?
White cottage cheese discharge vulval irritation + itching superficial dyspareunia/ dysuria red vulva/ vagina High vaginal swab topical clotrimazole or oral fluconazole
What is contact tracing?
ID recent partners of individual (approx 6m) with +ve STI test. Contact them for screening (pref of all STIs) + treatment. Anonymous process. Reduces risk of onward transmission + risk of developing complications associated with STIs e.g. infertility.
What are the clinical features of chlamydia?
Women- mostly asymptomatic
increased vaginal discharge, PCB/ IMB, dysuria, lower abdo pain, deep dyspareunia. Signs- mucopurulent discharge may bleed on contact, pelvic + cervical motion tenderness.
Men- urethral discharge, dysuria
Rectal usually asymptomatic but can be anal discharge + anorectal discomfort.
What are the complications of chlamydia?
Women: PID, Endometritis, Salpingitis
Tubal infertility, ectopic pregnancy, Sexually acquired arthritis, Perihepatitis
Men: Sexually acquired reactive arthritis (triad urethritis, arthritis, conjunctivitis), Epididimyorchitis,
How is chlamydia diagnosed? What is the treatment?
NAAT
Vulvovaginal swab preferable in women. Can also do endocervical swab but less sensitive.
First catch urine preferable in men (first void in AM). Urethral swab but less common than first catch.
Doxycycline 100mg BD 7d (not allowed pregnancy) OR Azithromycin 1g stat (allowed in pregnancy)
or Erythromycin 500mg BD for 10-14d (allowed in pregnancy)
What are the features of gonorrhoea?
ADDDD tooo
