A 32-year-old man visits his doctor with worries about ongoing premature ejaculation that he has encountered with multiple partners over a long period of time, causing him considerable mental anguish. He reports no issues with achieving or maintaining an erection.
What is the initial recommended treatment for this patient? Choose ONE answer.
What is the next most appropriate management step for a 40-year-old man with erectile dysfunction and repeat reduced serum total testosterone levels?
You are consulting with a 50-year-old man who is experiencing erectile dysfunction. After a thorough discussion, he expresses interest in starting medication and you prescribe sildenafil, a phosphodiesterase inhibitor (PDE-5). However, he brings up a concern about a friend who had a painful experience with prolonged erections while taking the medication and had to seek medical attention.
What underlying condition would increase the risk of priapism in a patient taking sildenafil?
A middle-aged man presents with a lesion on his penis – clinically this is suggestive of syphilis. On questioning he is in a relationship with another man.
With regard to syphilis, which one of the following statements is true?
A 25-year-old patient comes to you with complaints of painful ulcers on the shaft of his penis. He reports having a new sexual partner recently, but she has not shown any symptoms. The patient feels generally unwell and has tender enlarged inguinal lymph nodes on both sides. He denies experiencing dysuria or urethral discharge.
What could be the possible diagnosis?
A middle-aged couple attend clinic seeking advice on contraception. They are currently using condoms.
Which of the following topical agents would you recommend as safe to use with latex condoms?
A 16-year-old woman comes in seeking post-coital contraception after engaging in unprotected sexual intercourse four days ago.
Which one of these statements is true regarding post-coital contraception?
A 26-year-old female presents with complaints of an offensive, frothy, yellow discharge from the vagina accompanied by vulva itch and dysuria. During pelvic examination, punctuate mucosal haemorrhages are observed on the cervix. What is the probable causative organism?
A 35-year-old Nigerian woman is undergoing treatment for TB.
Which of the following medications speeds up the metabolism of her combined oral contraceptive?
A 25-year-old woman visits the clinic and asks for progestogen-only birth control due to her mother’s recent breast cancer diagnosis.
What are the characteristics of progestogen-only contraception?