Clinical Gynecology and Sexual Health Lecture Review

Flashcards covering diagnostic criteria, treatment protocols, and screening guidelines for common gynecological and sexual health conditions.

BV (Bacterial Vaginosis)

A condition characterized by thin gray/white discharge, fishy odor, pH $> 4.5$, and the presence of clue cells.

Amsel criteria

A clinical tool where Meeting $3$ of $4$ criteria confirms a diagnosis of Bacterial Vaginosis (BV).

Metronidazole 500 mg BID $\times 7$ days

The first-line treatment regimen for Bacterial Vaginosis (BV).

Chlamydia treatment

Diagnosis via NAAT and treatment with doxycycline $100\,mg$ BID for $7$ days.

Gonorrhea treatment

Ceftriaxone $500\,mg$ IM once if $< 150\,kg$; $1\,g$ if $> 150\,kg$.

Syphilis treatment (primary/secondary)

Benzathine penicillin G $2.4$ million units IM administered once.

STI screening (age $\le 25$)

Annual chlamydia and gonorrhea screening for sexually active women in this age group.

Menopause

Defined as $12$ consecutive months without menstruation.

GSM (Genitourinary Syndrome of Menopause)

Treated with local vaginal estrogen.

Estrogen contraindications

DVT/PE, migraine with aura, uncontrolled HTN, current or recent breast cancer, smoker $\ge 35$, and postpartum period $< 21$ days.

Contraceptive implant

A method that is $> 99\%$ effective and lasts approximately $3$ years.

Copper IUD

A contraceptive with $\sim 99.2\%$ typical-use effectiveness; also identified as the most effective form of Emergency Contraception (EC).

Levonorgestrel EC

Emergency contraception to be used within $\le 72$ hours.

Ulipristal

Emergency contraception to be used within $\le 120$ hours.

2020 ACS cervical screening

Routine screening starts at age $25$, with primary HPV testing every $5$ years preferred.

USPSTF 2018 (ages 30–65)

Screening options include Pap every $3$ years, HPV every $5$ years, or co-testing every $5$ years.

Secondary amenorrhea

A condition where a pregnancy test must be performed FIRST during evaluation.

PCOS (Polycystic Ovary Syndrome)

A diagnosis of exclusion where lifestyle modification is emphasized for metabolic health or overweight concerns.

PID (Pelvic Inflammatory Disease)

Treated empirically if CMT, uterine, or adnexal tenderness is present; includes ceftriaxone plus doxycycline $\pm$ metronidazole, with reassessment in $72$ hours.