A 24-year-old teacher attends her first cervical smear appointment. She has never been pregnant before, but she had pelvic inflammatory disease that was treated 3 years ago. Currently, she has an intrauterine device in place. She has no other significant medical or social history. During the appointment, she asks what the test is for.
How would you explain it to her?
Which of the following statements about the correlation between the menstrual cycle and body temperature is accurate?
A 16-year-old girl comes to your clinic complaining of lower abdominal pain during her menstrual cycle for the past 6 months. The pain usually begins 1-2 hours after the start of her period and subsides after 1-2 days. She reports that her period is not abnormally heavy, and she is not sexually active at the moment. What is the best course of action for managing her symptoms?
A 27-year-old woman who has never given birth presents to your clinic seeking contraception. She complains of experiencing extremely heavy menstrual periods and desires a long-term contraceptive option that can alleviate her heavy bleeding. What is the most appropriate contraceptive method for this patient?
A 49-year-old woman presents to her primary care physician complaining of severe hot flashes and vaginal dryness that have been ongoing for 6 weeks. She suspects that she may be experiencing menopause. The patient has a medical history of hypothyroidism and psoriasis and is currently taking levothyroxine and has a Mirena intrauterine system in place.
What would be the most suitable course of action to address the patient’s symptoms?
A 25-year-old woman presents to the clinic seeking contraception. She has a history of Chlamydia infection 2 years ago, which was treated and confirmed negative after treatment. She is interested in starting the mini pill but is concerned about potential side effects, as her friend reported developing acne after starting the medication. She has been relying on condoms for contraception until now. What is the most frequently reported side effect in patients who initiate this medication?
A 25-year-old woman visits the GP clinic complaining of right-sided abdominal discomfort during sexual intercourse, specifically during deep penetration, which has been ongoing for a month. A transvaginal ultrasound scan is scheduled, and it reveals a 5cm ovarian cyst filled with fluid and having regular borders. What type of ovarian cyst is most probable?
Which of the following is less frequent in women who use the combined oral contraceptive pill?
A 14-year-old girl presents to the GP with concerns regarding menstruation, as she has not yet started her periods. She has no past medical history.
On examination, there is little to no axillary or pubic hair, and she has a tall stature. Bilateral lower pelvic masses are noted. Her BMI is 19 kg/m².
Investigations are performed:
Hb 130 g/L (115 – 160)
Platelets 200 * 109/L (150 – 400)
WBC 5.7 * 109/L (4.0 – 11.0)
FSH 9 IU/L (1 – 12)
LH 7 IU/L (1 – 9)
Testosterone 100 ng/dL (15-70)
Estradiol 30 pg/mL (30 – 400)
What is the most likely diagnosis?
What is the most commonly associated factor with the use of combined oral contraceptive pills among women in their reproductive years?