A 25 year old woman and her partner visit a fertility clinic due to her complaints of oligomenorrhoea and galactorrhea. Despite 18 months of regular unprotected intercourse, they have been unable to conceive. Blood tests reveal a serum prolactin level of 6000 mIU/l (normal <500 mIU/l) and a pituitary MRI shows a microprolactinoma. What is the initial treatment option that is likely to be offered to her?
A 28-year-old female patient visits your clinic with a complaint of fishy-smelling vaginal discharge. You suspect bacterial vaginosis and decide to prescribe metronidazole. The patient has no known drug allergies and is generally healthy, except for taking the combined oral contraceptive pill (COCP). What is the most crucial advice you should provide her regarding the potential side effects of metronidazole?
A 25-year-old patient comes to you with a complaint of painful ulcers on the shaft of his penis. He reports having a new sexual partner, but she has not shown any symptoms. The patient feels generally unwell and has tender enlarged inguinal lymph nodes on both sides. He denies experiencing dysuria or urethral discharge. What is the most probable diagnosis?
A 28-year-old woman is experiencing dysuria, dyspareunia, and abnormal vaginal discharge during her 16th week of pregnancy. She is concerned as she has had unprotected sex with multiple partners. Her medical history is unremarkable except for a penicillin allergy. Nucleic acid amplification tests (NAAT) confirm a Chlamydia infection. What is the recommended treatment?
A 32-year-old woman visits a sexual health clinic with a concern about a lesion on her vulva that has been present for 2 weeks. She has no medical history, takes no regular medications, and has no known allergies. On examination, a single ulcer is found on the left labia majora, but the patient reports no pain and the rest of the examination is unremarkable. She has been having regular, unprotected oral and vaginal intercourse with her husband of 4 years. What is the most suitable management for the most probable diagnosis?
A 23 week pregnant woman presents with offensive vaginal discharge and is diagnosed with bacterial vaginosis (BV) based on high vaginal swab results. She has no known drug allergies and is in good health otherwise. What treatment options are recommended for her?
A 28-year-old female patient presents to her GP complaining of a foul-smelling vaginal discharge that has persisted for 5 days after having unprotected sex. She reports feeling generally well and denies any fever or urinary symptoms. The patient also confirms that she is not pregnant. During the examination, the doctor observes multiple punctate lesions on her cervix and a green discharge with a strong odor. What is the probable diagnosis?
A 25-year-old woman in her second trimester of pregnancy complains of a malodorous vaginal discharge. Upon examination, it is determined that she has bacterial vaginosis. What is the best initial course of action?
A 30-year-old woman who is 10 weeks postpartum and currently breastfeeding presents with a complaint of a foul odor in her vaginal area. Upon examination, clue cells are detected. What treatment option would you suggest for this probable diagnosis?
A 35-year-old female patient complains of a malodorous vaginal discharge that appears white. She denies any associated dyspareunia or itch. The clinician suspects bacterial vaginosis. Which organism is most likely responsible for this presentation?