Sexual Health Flashcards

(46 cards)

1
Q

Who has breast screening?

A

Women aged 50-70 evert 3 years

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2
Q

What are some visual signs of breast abnormalities that patients can keep and eye out for?

A
  • Change in size/shape of one breast
  • Lumps or thickening
  • Change in skin texture
  • Redness or rash
  • Inversion of the nipple
  • Discharge from nipples
  • Pain or discomfort
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3
Q

What are the 4 stages of cancer?

A

1 - Early stage
2 - Localised
3 - Regional spread
4 - Distant spread

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4
Q

What is the most common cancer?

A

Breast cancer

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5
Q

Which imaging tests are safe in pregnancy?

A
  • Chest x-ray

- Abdominal USS

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6
Q

Which imaging tests are unsafe in pregnancy?

A
  • Isotope scan
  • PET scan
  • CT scan
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7
Q

If chemotherapy is needed, when is it safest to perform in pregnancy?

A

2nd and 3rd trimesters, but should finish at least 3 weeks before delivery

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8
Q

What are the different types of treatment for cancer?

A
  • Hormone therapy
  • Targeted therapy
  • Systemic treatment (e.g. chemo)
  • Immunotherapy
  • Radiotherapy
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9
Q

Describe hormone therapy

A
  • Blocks/lowers hormone levels

- Only effective in hormone-sensitive cancers

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10
Q

Describe targeted therapy

A

Potential ability to target cancer cells by identifying specific proteins on the cells

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11
Q

Describe immunotherapy

A
  • Cancer cells usually not recognised by immune system

- This therapy helps to identify and destroy cancer cells using immune system

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12
Q

What are the contraceptive options containing oestrogen?

A
  • The pill
  • Evra
  • Nuva-ring
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13
Q

How does the pill work?

A
  • Take 1 at same time each day for 21/7, then break for 7/7
  • Perfect use = 99% effective
  • Typical use = 91% effective
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14
Q

How does the evra work?

A
  • Contraceptive patch
  • Releases hormones through skin
  • Must be changed once a week
  • Perfect use = 99% effective
  • Typical use = 91% effective
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15
Q

How does the nuva-ring work?

A
  • Ring inserted into the vagina
  • In for 21/7, out for 7/7, then insert new one
  • Can be inserted by the user
  • Perfect use = 99% effective
  • Typical use = 91% effective
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16
Q

How do the contraceptive options containing oestrogen and/or progesterone work?

A

Tricks the body into thinking its pregnant so follicles don’t develop, eggs aren’t released each month and cervical mucus thickens

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17
Q

What are the contraceptive options containing progesterone?

A
  • Progesterone-only pill
  • Injection
  • Implant
  • IUS (intra-uterine system)
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18
Q

How does the progesterone-only pill work?

A
  • Take 1 pill every day, no breaks
  • Perfect use = 99% effective
  • Typical use = 91% effective
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19
Q

How does the injection work?

A
  • 1 injection every 12-13 weeks
  • Perfect use = 99% effective
  • Typical use = 94% effective
20
Q

How does the implant work?

A
  • Inserted under the skin in the upper arm once every 3 years
  • > 99% effective
21
Q

How does the IUS work?

A
  • Mirena (5 years) or Jaydess (3 years)
  • Inserted into the uterus
  • > 99% effective
22
Q

What are the barrier methods of contraception?

A
  • Male condom
  • Female condom
  • Diaphragm
  • Cap
23
Q

How does the male condom work?

A
  • Apply to penis before sexual intercourse
  • Perfect use = 98% effective
  • Typical use = 82% effective
24
Q

How does the female condom work?

A
  • Insert into vagina and ensure external plastic ring remains outside
  • Perfect use = 95% effective
  • Typical use = 79% effective
25
How does the diaphragm/cap work?
- Placed over the cervix - Should be used with spermicide - Should be left in for 6 hours after sex - 92-96% effective
26
What are the options for emergency contraception?
- Morning-after pill | - IUD (intrauterine device)
27
How does the morning-after pill work?
Levonelle: - Take within 3 days - Releases progesterone which delays ovulation EllaOne: - Take within 5 days - Inhibits progesterone to delay ovulation
28
How does the IUD work?
- Inserted within 5 days - Releases copper which is toxic to sperm, thickens mucus and prevents implantation - Stays in for 5-10 years
29
What is lactation amenorrhoea?
Method of contraception for BF women. Only effective if: - Exclusively BF - <6 months old - Amenorrhoea (no periods) - Intervals <4 hours between feeds - 98% effective if all these criteria met
30
Why should hormonal contraceptives not be recommenced within 3 weeks of delivery?
Increased risk of VTE
31
How long should BF women wait before recommencing hormonal contraception?
6 weeks
32
What is the preferable method of contraception for BF mothers?
Progesterone-only pill
33
What is FGM Type 1?
Partial/total removal of the clitoris/prepuce
34
What is FGM Type 2?
Partial/total removal of the clitoris and labia minora with/without excision of the labia majora
35
What is FGM Type 3?
Narrowing the vaginal orifice by creating a seal (e.g. suturing the labia minora/majora together
36
What is FGM Type 4?
All other harmful procedures to the female genitalia for non-medical purposes (e.g. piercing, incising)
37
In which countries is FGM prevalent?
- Egypt - Somalia - Ethiopia - Sierra Leone - Kenya - Nigeria - Ghana - Tanzania - Sudan
38
What is infibulation?
Excising the clitoris/labia of a female and stitching together the edges of the vulva to prevent sexual intercourse
39
If de-infibulation is necessary, when should it take place?
Around 20/40 to allow time to heal before delivery
40
What are some signs that suggest a woman is fertile?
- Waking temperature increased by 0.2-0.4 - 'Stretchy' vaginal discharge - Breast changes - Back pain - Skin/mood changes
41
What is the average time that women start having sex again after delivery?
6-8 weeks
42
What is dyspareunia?
Pain during sex
43
What are some of the causes of postnatal dyspareunia?
- Decreased vaginal lubrication (can be due to decreased libido) - Inflammation and infection - Perineal scarring - Vaginismus due to expecting pain
44
What advice could be given to women experiencing dyspareunia?
- See GP if infection/ inflammation/ bleeding - Change positions - Use of lubricants - Pelvic floor exercises
45
Who should teenage mothers be referred to?
Family Nurse Partnership
46
What is the legal age of consent?
16