A 28-year-old woman with polycystic ovarian syndrome is having difficulty getting pregnant. She and her partner have been attempting to conceive for 2 years without any luck. During examination, she displays hirsutism and has a BMI of 25 kg/m².
What would be the best course of action for managing this patient?
A 25-year-old woman presents to the GP with a three-day history of vaginal itching and thick, non-odorous white discharge. She had a similar complaint four months ago but has no other medical history. The patient is married and sexually active with her husband, and her menstrual cycle is regular, following a 28-day cycle. Vaginal pH testing shows a value of 4.3. What further tests should be conducted before initiating treatment?
A 60-year-old patient who has not undergone a hysterectomy visits her GP clinic for a follow-up on her hormone replacement therapy (HRT). She is currently using an estradiol patch that she changes once a week and taking norethisterone orally on a daily basis.
What is the primary advice that the patient should be mindful of when taking progestogens?
A 35-year-old woman is being evaluated for obesity, hirsutism, and oligomenorrhea. After an ultrasound scan, she is diagnosed with polycystic ovarian syndrome (PCOS). As she desires to conceive, her physician prescribes metformin to enhance her fertility. What is the mechanism of action of metformin in treating PCOS?
A 28-year-old woman visits her doctor to discuss contraception options. She is in a committed relationship and has no plans for children at the moment. She assures her doctor that she can adhere to a daily medication routine. Her primary concern is avoiding weight gain. Which contraceptive method is most commonly linked to this side effect?
A 28-year-old female patient presents to her GP complaining of cyclical pelvic pain and painful bowel movements. She has previously sought treatment from gynaecology and found relief with paracetamol and mefenamic acid, but the pain has returned and she is seeking alternative options. She is not pregnant but plans to start a family within the next few years. What would be the most appropriate next step in managing her condition from the options provided below?
A 25-year-old woman comes to you with complaints of feeling low for about a week every month, just before her period starts. She reports feeling tearful and lacking motivation during this time, but her symptoms improve once her period begins. Although her symptoms are bothersome, they are not affecting her work or personal life. She has a regular 28-day cycle, experiences no heavy or painful periods, and denies any inter-menstrual bleeding. She is in a committed relationship and uses condoms for contraception, without plans to conceive in the near future. What treatment options can you suggest to alleviate her premenstrual symptoms?
A 28-year-old woman who has never given birth comes to the gynaecology clinic complaining of worsening menstrual pain over the past three years. Despite taking ibuprofen, she has found no relief. She is sexually active with her husband and experiences pain during intercourse. Additionally, she has dysuria and urgency when urinating. She has been trying to conceive for two years without success. During the examination, her uterus appears normal in size, but there is tenderness and uterosacral nodularity upon rectovaginal examination.
What is the most likely diagnosis?
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?