A 23-year-old woman schedules a routine appointment. She has begun a sexual relationship and wants to start 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 the time. She was found to have a BRCA1 mutation. Based on FSRH guidelines, what is the safest contraception method available?
A 32-year-old woman visits her GP clinic for contraception advice. She is a smoker, consuming 20 cigarettes daily, and has a BMI of 25 kg/m². She has no history of venous thromboembolism in her family or personal medical history. She underwent a right-sided salpingectomy for an ectopic pregnancy six years ago. Which of the following contraceptive methods would be unsuitable for this patient?
A young woman in her early twenties visits your GP clinic. She plans to start trying for a baby in a year’s time but wants to avoid pregnancy until then as she has important exams to take. She hopes to conceive soon after completing her exams. Which contraceptive method is known to cause a longer delay in the return to fertility?
A 36-year-old woman with a history of chronic pelvic pain has been diagnosed with endometriosis. Which of the following is not a recognized treatment for this condition?
A 25 year old woman visits the family planning clinic seeking advice on contraception. She has a history of epilepsy and is currently on carbamazepine medication. Additionally, her BMI is 39 kg/m² and she has no other medical history. What would be the most appropriate contraceptive option to suggest for her?
A 14-year-old girl comes to your GP clinic seeking contraception. She has been in a relationship with her 15-year-old boyfriend for 10 months. What is the best initial step to take?
Sarah is a 33-year-old woman who presents with severe pelvic pain that is unresponsive to paracetamol. The pain started four months ago and occurs four days before the onset of her menstrual cycle. The pain worsens as her period approaches and gradually improves once it ends. She also reports changing her menstrual pads every four hours.
Sarah began menstruating at the age of 14 and has had fairly regular cycles. In the past, she only experienced mild pain that was relieved with paracetamol, and her periods were not heavy. She is sexually active but uses condoms during intercourse.
During pelvic examination, no abnormalities were observed on speculum examination, and her abdomen examination was unremarkable.
What is the most appropriate next step in Sarah’s management?
What is considered an unacceptable risk (UKMEC4) when prescribing the COCP for women under the age of 18?
A 73-year-old woman with ovarian cancer is attending the gynaecological oncology clinic. The consultant is discussing her pre-surgical prognosis, which is based on her risk malignancy index (RMI). Can you identify the three components of the RMI?
A 22-year-old woman at 36 weeks gestation contacts her doctor seeking advice on contraceptive options post-childbirth. She expresses interest in the contraceptive implant after a thorough discussion. The patient has no medical issues and does not intend to breastfeed. When can she start this treatment?