A 25 year-old woman and her partner visit their GP due to their inability to conceive after trying for 4 months. The woman reports having regular periods and no identifiable cause in her medical history. What would be the most suitable course of action for her management?
A 28-year-old female, who is 28 weeks pregnant with her first child, arrives at the emergency department. She attended a friend’s gathering yesterday. Her friend’s child, who was also present at the gathering, has been diagnosed with chickenpox this morning. The patient is uncertain if she has ever had chickenpox before, but reports feeling well at present.
Upon examination, the patient’s vital signs and physical exam are unremarkable, and there is no evidence of chickenpox rash. The patient had a routine appointment with her midwife the day before the gathering, and there were no concerns regarding her pregnancy.
What is the most appropriate course of action for management?
A 23-year-old woman visits her GP with concerns about UPSI she had four days ago. She has a medical history of asthma and psoriasis, and is allergic to latex. She uses oral steroids for her asthma but takes no regular medication. You suggest the copper coil as a form of emergency contraception, but the patient prefers a pill and mentions that her housemate recently took the ‘EllaOne emergency pill’ (ulipristal acetate). Why is the same method not suitable for this patient?
A 32-year-old female with rheumatoid arthritis visits her GP for advice on starting a family. She and her partner are eager to conceive and she has been taking folic acid for the past four weeks. The patient has no other medical history and is currently taking methotrexate, paracetamol, ibuprofen, and lansoprazole. She is aware that her sister had to stop some of her rheumatoid arthritis medications before getting pregnant and wants to know if she needs to do the same.
What is the appropriate management advice for this patient?
You are having a conversation about contraceptive options with a 17-year-old girl. What would be the most appropriate method to suggest?
A 25-year-old is diagnosed with an ectopic pregnancy at 8 weeks gestation and undergoes a salpingectomy. She is also rhesus negative. What is the advice regarding anti-D?
A 35-year-old woman complains of recurrent pain that occurs in a cyclical pattern around the time of her menstrual cycle. The pain begins a few days before the onset of her period and persists for several days after. Additionally, she experiences discomfort during sexual intercourse, especially with deep penetration. Upon examination, tender nodularity is observed in the posterior fornix. The patient has already attempted to alleviate her symptoms with paracetamol and ibuprofen, but they are no longer effective. What is the most suitable next course of action?
A 19-year-old visits her GP the day after having unprotected sex and requests emergency contraception to prevent pregnancy. After a negative pregnancy test, what is the next best course of action for the GP to take?
A 19-year-old female patient presents to the GP surgery with a 2-year history of heavy menstrual bleeding. She reports that it has been manageable since the start of her menarche at the age of 14 but last 2 years it has become increasingly heavy that it has been causing problems at college. She has to change the sanitary towels every hour on the first 3 days of her periods and has been experiencing significant social embarrassment associated with over-flowing. She reports mild cramping pain on the first 2 days of the menstruation and denies dyspareunia. She is currently not sexually active. You arrange some blood tests which showed a mild iron deficiency anaemia but otherwise normal. An ultrasound revealed a normal looking uterus.
What is the most likely diagnosis?
A 26-year-old woman comes to the clinic 10 days after giving birth. She reports a continuous pink vaginal discharge with a foul odor. During the examination, her pulse is 90 / min, temperature is 38.2ºC, and she experiences diffuse suprapubic tenderness. The uterus feels tender on vaginal examination, but her breasts appear normal. The urine dipstick shows blood ++. What is the best course of action for management?