Sophie is a 22-year-old woman who doesn’t use any form of regular contraception. Last night she had unprotected sexual intercourse. She has taken levonorgestrel 3 hours ago and has vomited twice since.
During your phone consultation with Sophie, she expresses uncertainty about what steps to take next.
What is the most crucial advice to provide Sophie regarding her pregnancy risk?
A 25-year-old woman presents to the clinic seeking emergency contraception. She had unprotected sexual intercourse 20 hours ago and has not had any other instances of unprotected sex. She is not currently using any form of regular contraception and her last menstrual period was 10 days ago, with a regular 30-day cycle. The patient has a history of asthma. She expresses interest in taking levonorgestrel.
Her weight is 80 kg and her blood pressure is 120/70 mmHg. What is the next appropriate step in managing this patient?
A 27-year-old woman is worried about her contraception. She is currently taking rigevidon but has forgotten to take the last two pills due to misplacing her medication. She is concerned about the possibility of pregnancy. Her pill-free break started 16 days ago, and she had unprotected sex 2 days ago.
What is the best course of action for managing this situation?
A 33-year-old woman comes to you with concerns about exposure to Chickenpox. Her 4-year-old nephew has the virus and she was in close contact with him yesterday. She is currently 16 weeks pregnant with her first child and is unsure if she had Chickenpox as a child. The midwife advised her to avoid exposure to the virus. You urgently test her blood for varicella antibody.
VZV IgG NOT DETECTED
What is the best course of action in this situation?
A 28-year-old nanny at 17 weeks gestation contacts her doctor for guidance. She recently cared for a child with Chickenpox and has been feeling slightly unwell for the past few days. However, she still feels well enough to continue working. Today, she woke up with small red dots on her face, scalp, torso, upper arms, and legs. Some of the dots are beginning to form blisters. The patient is of Indian descent and reports never having had Chickenpox before.
What is the most appropriate action to take in this situation?
You are seeing a couple who are trying to conceive. She is 35 years old and he is 38 years old and they have been trying to conceive for 6 months. She has a normal sounding, regular cycle and has never been pregnant. She had chlamydia when she was 20 which was successfully treated (she had a test of cure).
They are both normally fit and well and neither of them has ever conceived before. They both take no regular medications and do not smoke or drink alcohol. Her body mass index (BMI) is 31 kg/m2 and his is 27 kg/m2.
She states that not being able to conceive is having a negative impact on her psychological health.
Why should this patient be referred to secondary care earlier?
A 23-year-old woman schedules a routine appointment. She has recently become sexually active and wants to start using long term contraception as she and her partner do not plan on having children anytime soon. Her mother was diagnosed with breast cancer a decade ago, and the patient, along with her family, underwent testing at that time, revealing that she has a BRCA1 mutation.
As per the guidelines of the Faculty of Sexual and Reproductive Health (FSRH), what is the safest contraception method?
Sophie is 25 years old and has come to you seeking contraception. She is currently using condoms and doesn’t believe she is at risk of pregnancy. She smokes 4 cigarettes a day, has a body mass index of 22 kg/m², and a blood pressure of 120/65 mmHg. She has no personal or family history of blood clots, heart disease, strokes, or migraines. Sophie has a regular 30-day menstrual cycle and is on day 3 of her cycle. She wants to start contraception immediately and you decide to prescribe Yasmin. Which of the following statements is true?
A 21-year-old woman presents herself for consultation a day after being discharged from the hospital following a termination of pregnancy at 16 weeks. Despite discussing long-acting reversible contraceptives, she expresses her eagerness to commence the combined oral contraceptive (COC) pill. What is the best course of action in this scenario?
A 27-year-old patient visits you on a Wednesday morning after having unprotected sex on Saturday. She is worried about the possibility of an unintended pregnancy and wants to know the most effective method to prevent it. Her last menstrual cycle was two weeks ago.
What would be the best course of action?