A 19-year-old visits her doctor to discuss birth control options. After being informed about the different choices, she decides to begin taking a progesterone-only pill. Currently, she is on day 16 of her regular 29-day menstrual cycle. If she were to start taking the pill today, how many more days would she need to use additional contraception to avoid getting pregnant?
A 55-year-old woman is being staged for her ovarian cancer diagnosis. The scan reveals that the tumor has extended beyond the ovary, but remains within the pelvic region. What is the stage of her cancer?
A 28-year-old woman goes to her doctor’s office. She had a termination of pregnancy two weeks ago at 8 weeks gestation. She calls the doctor’s office, worried because her home pregnancy test is still positive. What is the maximum amount of time after a termination that a positive pregnancy test is considered normal?
A 25-year-old woman is seeking advice on switching from the progesterone-only pill to combined oral contraception due to irregular bleeding. She is concerned about the risk of blood clotting adverse effects. What advice should be given to her regarding additional contraception when making the switch?
Which of these patients have an absolute contraindication for the COCP?
A 52-year-old woman comes in for her routine cervical smear. She reports discomfort during the insertion of the speculum and reveals that she has been experiencing dyspareunia and a burning sensation when using tampons for the past few months. The pain can persist for several hours after sexual intercourse. She denies having any vaginal discharge, and her skin appears normal. What is the most probable cause of her symptoms?
A 70-year-old woman with a lengthy history of vulval lichen sclerosus et atrophicus complains of escalating itching and bleeding upon contact of the vulva. Upon examination, a 2.2 cm unilateral ulcer with an aggressive appearance is discovered. Biopsy results indicate invasive squamous cell carcinoma. There is no clinical indication of lymph node metastasis, and the patient is in good health. What is the suggested course of action?
A woman aged 74 comes in with a 2-cm unilateral, invasive vulvar carcinoma, without signs of lymph node involvement. What is the suggested course of action?
A 30-year-old woman presents with a 3-week history of episodes of postcoital bleeding. She has had some lower abdominal pain but no tenderness or urinary symptoms. She is sexually active, with regular periods and her last menstrual cycle was one week ago. Her temperature is 37.1 °C and she has no systemic symptoms. She is a smoker and takes the oral contraceptive pill. Her last smear test was two years ago.
What is the most appropriate initial investigation?
A 68-year-old woman presents to her gynaecologist with vaginal irritation and itching. On examination, the clinician notes a 3 cm by 2 cm lump extending from the left side of the vulva. A biopsy of the lump is taken for histological diagnosis.
Which of the following is the most common vulval carcinoma?