A 29-year-old woman presents to her GP seeking guidance on conception, specifically regarding the use of supplements or medication. She has no significant medical or family history and has previously given birth to two healthy children in the past three years without complications. Upon examination, she appears to be in good health, with a BMI of 31 kg/m2. What is the most suitable course of action for this patient?
A 29-year-old woman visits her GP six weeks after giving birth, seeking advice on contraception. She prefers to use the combined oral contraceptive pill (COCP), which she has used before. She has been engaging in unprotected sexual activity since week three postpartum. Currently, she is breastfeeding her baby about 60% of the time and supplementing with formula for the remaining 40%. What recommendation should the GP give to the patient?
A 28-year-old transgender male patient (assigned female at birth) comes to the clinic seeking advice on contraception. He is receiving testosterone therapy from the gender identity clinic and has a uterus, but plans to have surgery in the future. He is sexually active with a male partner and wants to explore other contraceptive options besides condoms. What recommendations can you provide for this patient?
A 55-year-old woman is prescribed tamoxifen for the management of an oestrogen receptor positive breast cancer. What types of cancers are linked to the use of tamoxifen?
A 16-year-old presents to your clinic with worries about not having started her periods yet, despite most of her peers having done so. She is 150 cm tall and weighs 45 kg. The patient reports the onset of pubic hair at 14 years of age and has normal breast development. During speculum examination, the cervix is not visible and the patient experiences discomfort, making it difficult to continue. Hormone screening in the serum shows no significant abnormalities. What course of action would you recommend?
A 35-year-old woman visits her GP clinic urgently seeking advice as she had unprotected sex last night. She has recently started taking the combined oral contraceptive pill but missed two pills because she forgot to bring them along while on vacation. She is currently in the first week of a new pack. What steps should her GP take now?
A 23-year-old woman contacts her GP clinic seeking a more dependable form of contraception. She had visited her pharmacist the day before and received the levonorgestrel emergency contraceptive pill after engaging in unprotected sexual activity. As her healthcare provider, you recommend the combined oral contraceptive pill (COCP). What is the appropriate time for this patient to begin taking the COCP?
A 25-year-old female presents with an ectopic pregnancy and requires surgical intervention. During laparoscopy, what is the most common location for the ectopic pregnancy to be found?
A 32-year-old woman visits a fertility clinic after trying to conceive for more than two years. She is worried that she may not be ovulating despite having a regular menstrual cycle lasting 30 days. She is not using any form of birth control and her pregnancy test is negative. What is the most effective method to detect ovulation?
As an FY-1 doctor working on a gynaecology ward, you have a postmenopausal patient who has been diagnosed with atypical endometrial hyperplasia. She is in good health otherwise. What is the recommended course of action for managing this condition?