A 19-year-old female visits the nearby sexual health clinic after engaging in unprotected sexual activity four days ago. She is not using any contraception and prefers an oral method over an invasive one. What is the most suitable course of action?
A 27-year-old patient visits you on a Wednesday afternoon after having unprotected sex on the previous Saturday. She is worried about the possibility of an unintended pregnancy and wants to know the most effective method to prevent it. She had her last menstrual cycle two weeks ago.
What would be the best course of action?
Linda is an 80-year-old woman who has been experiencing urinary incontinence for the past 2 years without relief. Her symptoms occur when she laughs or coughs, but she has not had any episodes of nocturia. She has tried pelvic floor exercises and reducing caffeine intake, but these have not improved her symptoms. Her urinalysis shows no signs of infection, and a pelvic examination does not reveal any uterine prolapse. Linda has declined surgical intervention. What is the next best course of action for managing her incontinence?
An 18 year old female patient visits her GP complaining of abdominal pain that occurs towards the end of every month. Despite having secondary sexual characteristics, she has not yet started menstruating. She confirms that she is not sexually active and a pregnancy test comes back negative. What is the most probable diagnosis for her symptoms?
A 28-year-old woman at 16 week gestation presents to the early pregnancy assessment unit with complaints of light vaginal bleeding, fevers for 2 days, and increasing abdominal pain for 6 hours. On examination, she has diffuse abdominal tenderness and foul-smelling vaginal discharge. Her temperature is 39.2ºC and blood pressure is 112/78 mmHg. Her full blood count shows Hb of 107 g/L, platelets of 189 * 109/L, and WBC of 13.2 * 109/L. An ultrasound confirms miscarriage. What is the most appropriate management?
A 33-year-old woman finds herself with an unexpected and undesired pregnancy. She has two children and experienced a miscarriage 4 years ago. Her medical history indicates subclinical hypothyroidism, but she is generally healthy. After an ultrasound scan estimates her gestation at 7 weeks and confirms an intrauterine pregnancy, she decides on a medical termination of pregnancy. What treatment options will be available to her?
A 30-year-old woman complains of dyspareunia and abnormal vaginal discharge that looks like ‘cottage cheese’. She is currently taking the combined oral contraceptive pill (COCP) and had her last period 5 days ago. What treatment should be recommended for the probable diagnosis?
A 25-year-old female comes to the clinic seeking emergency contraception after having unprotected sex with her long-term partner approximately 12 hours ago. She has no medical or family history worth mentioning and is not currently using any form of contraception. Her BMI is 30 kg/m², and she does not smoke. What is the most efficient emergency contraception method for this patient?
A 28-year-old woman presents to the clinic with a 2-day history of feeling generally unwell. She reports discomfort and distension in her abdomen, as well as loose stools and dyspnea on exertion. Upon examination, there is generalised abdominal tenderness without guarding, and all observations are within normal range. The patient is currently undergoing fertility treatment and received a gonadorelin analogue injection the previous week. What is the most probable diagnosis based on this information?
A 26-year-old woman with a history of polycystic ovarian syndrome (PCOS) presents to your clinic. Despite receiving optimal medical treatment for her condition, she and her husband have been trying to conceive for 2 years without success. Considering her medical history, you think that she may be a good candidate for in-vitro fertilisation (IVF) therapy. What specific risks should be considered for women with PCOS undergoing IVF?