OSCE phase2

For review your knowledge

🌼After initiating Depo-Provera 2 months ago, a female presents complaining of unscheduled bleeding. ↪️reassure and advice to return if bleeding become problematic 🪻The majority of females who start Depo-Provera (Progesterone-only 1M injections taken once every 3 months "12 weeks") tend to have intermenstrual spotting. 🪻This usually settles after a year of Depo-Provera use. #Gynecology

🌼25 YO female is now 22 days after delivery and wishes a contraceptive method that does not include needles. She would like to get pregnant after 6 months. ↪️Progesterone-only pill . #Gynecology

🌼18 YO with some learning difficulties using condoms and want an alternative contraceptive method. ↪️nexplanon (implant) 🪻COCP is safe < 20 YO with no Cis. However, she has learning difficulties and thus may forget to take the pills. 🪻< 20 YO: IUS (Mirena) and Depo-Provera are better avoided (UKMEC2). #Gynecology

🌼A 31 YO female wants a reversible contraceptive method. She had C-section one year ago. She also complains of menorrhagia and dysmenorrhea. ↪️mirena 🪻C-section is not a contraindication for Mirena! 🪻In sexually active (requires contraception) + menorrhagia/ Dysmenorrhea/ or fibroids not distorting the uterine cavity The first line Mirena (IUS) = Levonorgestrel Intrauterine System (See above). #Gynecology

🌼A 16 YO female who is not sexually active present complaining of menorrhagia (heavy bleeding), Dysmenorrhea (Painful cycles) and Irregular cycles. ↪️COCP 🪻In young pt. Not sexually active (don't requires contraception) ➖Menorrhagia only (Heavy menstruation) ↪️Tranexamic acid ➖Menorrhagia + Dysmenorrhea ↪️Mefenamic acid. ➖Metrorrhagia (irregular menses) +-Menorrhagia/ Dysmenorrhea ↪️COCP. #Gynecology

🌼A 40 YO smoker and overweight female presents with heavy periods (Menorrhagia). She would like a long-term contraceptive method. ↪️mirena #Gynecology

Breaking bad new اكو احد عنده فد جيك لست نقرا عليه 🙏🏻

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