Fertility And Sexual Health

Question 1

Bacterium causing Chlamydia?

Answer 1

Chlamydia trachomatis

Question 2

Common symptoms of Chlamydia in women?

Answer 2

Abnormal vaginal discharge, burning sensation during urination, and abdominal pain.

Question 3

Common symptoms of Chlamydia in men?

Answer 3

Discharge from the penis, burning sensation during urination, and pain in the testicles.

Question 4

Percentage of people with Chlamydia who are asymptomatic?

Answer 4

50% men
70% women

Question 5

Investigations for Chlamydia?

Answer 5

1. NAAT (Nucleic Acid Amplification Testing)
2. First catch urine (men)
3. Culture (vaginal, urethral, rectal, oral)

Question 6

Epidemiology of Chlamydia?

Answer 6

Nearly 200,000 cases in the UK yearly. Most common 15-24.

Question 7

Complications of untreated Chlamydia in women?

Answer 7

1. Pelvic inflammatory disease (PID)
2. Infertility
3. Ectopic pregnancy.

Question 8

Complications of untreated Chlamydia in men?

Answer 8

1. Epididymitis
2. Infertility.

Question 9

Treatment for Chlamydia?

Answer 9

1. Doxycycline 100 mg twice daily for 7 days (contraindicated in pregnancy and breastfeeding).
2. Azithromycin 1 g orally for 1 day, 500 mg orally for 2 days.

Question 10

Incubation period for Chlamydia?

Answer 10

1 to 3 weeks.

Question 11

Can Chlamydia be transmitted through childbirth?

Answer 11

Yes

Question 12

Recommended follow-up after treatment for Chlamydia?

Answer 12

Follow up test 3 months after treatment

Question 13

Policy for TOC for Chlamydia? When?

Answer 13

Only in pregnancy, resistant to treatment or poor adherence.
3 weeks after treatment.

Question 14

Aetiology of gonorrhoea?

Answer 14

Neisseria gonorrhoeae.

Question 15

Common symptoms of gonorrhoea in men?

Answer 15

1. Painful urination
2. Pus-like discharge from the penis
3. Swollen testicles.

Question 16

Common symptoms of gonorrhoea in women?

Answer 16

1. Painful urination
2. Increased vaginal discharge
3. Vaginal bleeding between periods.

Question 17

Investigations for gonorrhoea?

Answer 17

1. NAAT (Nucleic Acid Amplification Testing)
2. First catch urine (men)
3. Culture (vaginal, urethral, rectal, oral)

Question 18

Treatment of gonorrhoea?

Answer 18

1. Ciprofloxacin 500mg PO
2. Ceftriaxone 1g IM (pregnant or allergy)
3. Azithromycin 2g PO

Question 19

Complications of gonorrhoea in women?

Answer 19

1. Pelvic inflammatory disease (PID)
2. Infertility

Question 20

Incubation period for gonorrhoea?

Answer 20

1 to 14 days.

Question 21

Asymptomatic women with gonorrhoea?

Answer 21

Up to 50%

Question 22

Can gonorrhoea be transmitted through childbirth

Answer 22

Yes

Question 23

Impact of untreated gonorrhoea on pregnancy?

Answer 23

1. Premature birth
2. Low birth weight.

Question 24

Complications of gonorrhoea for men?

Answer 24

1. Epididymitis
2. Infertility

Question 25

Epidemiology of gonorrhoeal?

Answer 25

85,000 cases in the UK. Common in young people and MSM and black Caribbean