A 29-year-old female patient visits her general practitioner complaining of dyspareunia and intermenstrual bleeding. She is not on any hormonal contraceptives. Following the exclusion of sexually transmitted infections and fibroids, she is referred for colposcopy. The diagnosis is a grade 1A squamous cell carcinoma of the cervix. The patient is married and desires to have children in the future. What is the best treatment option for her cancer?
A 28-year-old female presents to the Emergency Department with severe vomiting and diarrhoea accompanied by abdominal bloating. She has been undergoing ovulation induction treatment. During the US examination, ascites is detected. Her blood test results are as follows:
– Hb: 130 g/L (normal range for females: 115-160)
– Platelets: 300 * 109/L (normal range: 150-400)
– WBC: 10 * 109/L (normal range: 4.0-11.0)
– Na+: 133 mmol/L (normal range: 135-145)
– K+: 5.0 mmol/L (normal range: 3.5-5.0)
– Urea: 10 mmol/L (normal range: 2.0-7.0)
– Creatinine: 110 µmol/L (normal range: 55-120)
– CRP: 8 mg/L (normal range: <5)
– Haematocrit: 0.5 (normal range for females: 0.36-0.48; normal range for males: 0.4-0.54)
What is the medication that is most likely to have caused these side effects?
A 25-year-old female patient presents to her GP seeking emergency contraception. She started taking the progesterone-only pill on day 10 of her menstrual cycle and had unprotected sex with a new partner 3 days later. She is concerned about the lack of barrier contraception used during the encounter. What is the best course of action for this patient?
A 32-year-old woman visits her GP seeking advice on contraception four weeks after giving birth to her second child. She is currently breastfeeding and has a BMI of 27 kg/m^2. Her husband has a vasectomy scheduled in two months. What is the best contraceptive option for her?
A 27-year-old female comes to the GP seeking advice on her contraceptive options. She has been relying on condoms but has recently entered a new relationship and wants to explore other methods. She expresses concern about the possibility of gaining weight from her chosen contraception.
What should this woman avoid?
A 27-year-old female patient comes in seeking advice on contraception. She is currently on day 14 of her regular 28-30 day cycle and has no medical history or regular medications. She desires a method that is effective immediately and does not require daily attention. What contraceptive option would be suitable for her?
A 27-year-old woman visits her GP seeking advice on contraception. She and her partner frequently travel abroad for charity work and are not planning to have children at the moment. The woman is undergoing treatment for pelvic inflammatory disease and desires a low-maintenance contraceptive method that does not require her to remember to take it. The GP has already emphasized the significance of barrier protection in preventing the transmission of sexually transmitted infections. What is the most suitable contraceptive option for her?
A 20-year-old patient presents to you seeking advice on hormonal contraception. She reports occasional condom use and has no regular partners. Her last menstrual period was two weeks ago. She has a history of menorrhagia and mild cerebral palsy affecting her lower limbs, which requires her to use a wheelchair for mobility. She is going on vacation in two days and wants a contraceptive that will start working immediately. She prefers not to have an intrauterine method of contraception. What is the most appropriate contraceptive option for her?
A 20-year-old woman visits a sexual health clinic without an appointment. She had sex with her partner on Sunday and they typically use condoms for contraception, but they didn’t have any at the time. The patient has a medical history of severe asthma that is managed with oral steroids, but is in good health otherwise. Today is Thursday. What is the best emergency contraception option for her?
A 25-year-old woman visits her GP to discuss contraceptive options as she is in a committed relationship. She has been diagnosed with partial epilepsy and takes carbamazepine regularly. Additionally, she has a history of heavy menstrual bleeding. Apart from this, her medical history is unremarkable. What would be the most suitable contraception method for her at present?