contraindications to hormone replacement therapy
- current hormone dependant cancer
- current active liver disease
- uninvestigated/ abnormal bleeding
- VTE/ PE
- seek advice if previous breast cancer
pregnancy hormones with anti-insulin action
- human placental lactogen
- cortisol
- progesterone
- human chorionic gonadotrophin
pre-eclampsia biochemical abnormalities
- raised liver enzymes
- raised urea
- raised creatinine
- raised urate
- bilirubin if HELLP present
azoospermia investigations
- FSH
- LH
- testosterone
- karyotype
- cystic fibrosis screening
what is a karyotype
picture of someones chromosomes
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define 2nd stage of normal labour
from full cervical dilation to birth of baby
management stress urinary incontinence
duloxetine
causes vestibulodynia
excessive sensitivity of nerve fibres and on occasion overgrowth of nerve fibres in the area
presentation of double uterus/ cervix/ vagina
- often asymptomatic
- discomfort/ difficulty having sex
- painful periods
- infertility
- abnormal lie in pregnancy
chlamydia presentation in men
- 50% asymptomatic
- dysuria
- white/ cloudy discharge
- burning/ itching @ urethra
- pain in testicles
common organism behind vulvovaginal candidiasis
Candida albicans
management pubic lice
cream/ shampoo/ lotion
describe baby blues
- normal
- 3-5 days post partum
- does not affect functioning and requires no specific treatment
management of sepsis in pregnant/ suspected pregnant woman
- prompt IV antibiotics
- anti pyretic measures
- IV fluids
- hospital admission
potential diagnosis?
isolated localised pain to entrance of the vulva
vestibulodynia
posthitis
foreskin infection
organism responsible for erythrasma
corynebacterium minutissimum
what is this the clinical presentation of:
- yellow/ green offensive discharge
- vaginal soreness
- vaginal itching
- 3->7 years
vulvovaginitis
define lactogenesis 2
onset of copious milk secretion occurring 32->96hours after birth
management hypermesis gravidarum
- anti-emetics
- IV fluids
- B6+12
- steroids
- hospital admission
fibroadenoma management
benign. leave alone. may regress with age
