A 38-year-old woman visits her GP complaining of symptoms consistent with premenstrual syndrome. She reports experiencing severe pain that prevents her from working for 3-4 days before the start of her period each month. She has a regular 29-day cycle and has only recently started experiencing pain in the past year. She has never given birth and uses the progesterone-only pill for contraception. What is the best course of action for managing this patient’s symptoms?
A mother brings her 13-year-old daughter to the GP with concerns about her daughter’s lack of menstrual periods and cyclical pain. Upon examination, the daughter appears to be in good health. What is the probable diagnosis?
An 18 year old girl comes to the clinic with a complaint of never having started her menstrual cycle. Upon further inquiry, she reports having developed secondary sexual characteristics like breast tissue growth and pubic hair. Additionally, she experiences pelvic pain and bloating. What is the probable cause of her symptoms?
A 26-year-old female patient visits your clinic six days after having unprotected sex following her recent vacation. She mentions having a consistent 28-day menstrual cycle with ovulation occurring around day 14, and she is currently on day 16 of her cycle. What is the most suitable emergency contraception method for this patient?
Samantha, a 50-year-old woman visits your clinic complaining of menopausal symptoms. She reports experiencing mood swings, irritability, hot flashes, night sweats, and a decreased sex drive. These symptoms are affecting her daily routine and work life. Samantha has had no surgeries and has three children. A friend recommended oestrogen hormone replacement therapy (HRT) and Samantha is interested in trying it out.
What is the primary danger of prescribing oestrogen-only HRT instead of combined HRT for Samantha?
A 68-year-old woman comes to the GP complaining of urinary incontinence. Upon further inquiry, she reports that the incontinence is most severe after coughing or sneezing. She has given birth to four children, all through vaginal delivery, with the most recent being 35 years ago. These symptoms have been getting worse over the past eight weeks.
What tests should be requested based on this woman’s presentation?
A 25-year-old woman comes to see you for advice on contraception. She has just started taking the progesterone-only pill (POP) and is leaving for a vacation with her partner tomorrow. They have both been tested for STIs and the results were negative. She wants to know if it’s safe to have unprotected sex while on holiday.
What guidance would you provide her?
A 28-year-old woman is scheduled for an elective laparoscopic cholecystectomy in 2 months. She is currently taking the combined oral contraceptive pill and no other medications. What actions should be taken regarding her surgery and pill usage?
A 54-year-old woman has been diagnosed with ovarian cancer. She has had a positive CA125 blood test, ultrasound scan and CT abdomen and pelvis. She is found to have stage 2 ovarian cancer. What is the primary treatment?
A 22-year-old student contacts the GP telephone clinic seeking advice. Her housemate has been diagnosed with meningococcal meningitis and she has been prescribed ciprofloxacin as a preventive measure. However, she is hesitant to take it as she fears it may interfere with the effectiveness of her contraceptive pill. She has a medical history of migraine with aura, but no allergies. Although she is unsure about the type of contraceptive pill she uses, she takes it daily without any breaks. What precautions should she take regarding her contraceptive pill while taking ciprofloxacin?