A 49-year-old woman visits her GP for her routine cervical smear, which is performed without any complications. She receives a notification that her cervical smear is negative for high-risk strains of human papillomavirus (hrHPV).
What should be the next course of action?
A 29-year-old woman had gone for her regular cervical smear test which was carried out without any complications. The GP receives the result of the smear indicating that it was positive for high-risk HPV but there were no signs of cytological abnormalities.
What would be the most suitable course of action to take next?
A 35-year-old woman had gone for her routine cervical smear and the result came back as inadequate. It was noted in her medical history that she had an inadequate smear 4 years ago but subsequent smears were fine. What should be the next course of action?
A 20-year-old woman was diagnosed with an early miscarriage 3 weeks ago through transvaginal ultrasound. She has no significant medical history and was G1P0. Expectant management was chosen as the course of action. However, she now presents with light vaginal bleeding that has persisted for 10 days. A recent urinary pregnancy test still shows positive results. She denies experiencing cramps, purulent vaginal discharges, fever, or muscle aches. What is the next appropriate step in managing her condition?
A 42-year-old woman returns to her GP after attempting lifestyle modifications and pelvic floor exercises for four months without success in managing her urinary stress incontinence. She expresses a desire for additional treatment options but prefers to avoid surgery. What is the next appropriate step in managing this patient?
A 38-year-old woman is seeking advice on contraception options. She has been relying on barrier methods but is now interested in exploring long-acting reversible contraceptives (LARCs), specifically the progesterone-only depo injection. What medical conditions would make this method of contraception unsuitable for her?
Sophie is a 27-year-old woman who has presented to her doctor with complaints of feeling down, difficulty sleeping and frequent headaches. She reports that these symptoms occur around the same time every month and cease just before her menstrual cycle. Sophie is worried about how these symptoms are impacting her work performance but does not have any immediate plans to start a family.
What is the recommended treatment for Sophie’s likely diagnosis at this point?
A 30-year-old woman with a regular 28-day menstrual cycle reports experiencing mood changes during the week leading up to her period. She describes feeling increasingly anxious and irritable, and these symptoms are severe enough to affect her work and social life. She has a history of migraine with aura. What is the most suitable intervention to alleviate her premenstrual symptoms?
An 80-year-old woman comes in with postmenopausal bleeding that has been occurring for the past 5 months. After an endometrial biopsy, she is diagnosed with well-differentiated adenocarcinoma (stage II) and there is no indication of metastatic disease. What is the most suitable course of treatment?
A 32-year-old woman has been experiencing fatigue, bloating, and significant weight loss over the past two months. She visits her GP, who discovers that two of her first-degree relatives died from cancer after asking further questions. During the physical examination, the GP observes an abdominal mass and distension. The GP is concerned about the symptoms and orders a CA-125 test, which returns as elevated. What gene mutation carries the greatest risk for the condition indicated by high CA-125 levels?