GU / pregnancy first line

Practice flashcards covering treatments for infections, reproductive health issues, and urological conditions based on the lecture notes.

Pelvic Inflammatory Disease (PID) Treatment

A triple therapy consisting of Ceftriaxone, Doxycycline, and metronidazole.

Vaginal Candidiasis Treatment

miconazole (OTC) or Fluconazole (Rx).

Bacterial Vaginosis (BV) Treatment

metronidazole or clindamycin.

Trichomoniasis Treatment

metronidazole.

Prostatitis (STI/Age <35) Treatment

Ceftriaxone and Doxycycline.

Prostatitis (Non-STI/Age >35) Treatment

Fluoroquinolones such as levofloxacin or ciprofloxacin.

Syphilis Treatment

IM Penicillin G (Alternative: Doxycycline).

Dysmenorrhea Management

NSAIDs or birth control.

Kidney Stone Passage

Tamsulosin (an alpha blocker) facilitates stone passage; NSAIDs or Opioids are used for pain.

Kleinfelter syndrome

A genetic condition characterized by an extra X chromosome ($XXY$), resulting in a tall male with small testes, infertility, and gynecomastia; treated with TESTOSTERONE replacement.

GBS positive in pregnancy

Requires IV penicillin G administered during labor. PCN allergy: IV clindamycin

CAMP (Antibiotics safe in pregnancy)

Cephalosporin, amoxicillin, macrolides/marobid, and penicillin.

Avoid bactrim and macrobid when during pregnancy

Avoid bactrim and macrobid (nitrofurantoin) in the 1st semester and also macrobid in 3rd semester

Mastitis Treatment

Dicloxacillin; use Clindamycin or Keflex (Cephalexin) if the patient has a penicillin allergy.

Uncomplicated UTI Treatment

Nitrofurantoin (Macrobid); Alternatives include Ciprofloxacin, Levofloxacin, Bactrim, or Fosfomycin.

UTI in pregnancy

Cephalexin or amoxicillin; nitrofurantoin is acceptable after the 1st trimester and before 36 weeks (avoid in late pregnancy/after 36 weeks).

UTI in children >2

Cephalosporin or alt bactrim

Pyelonephritis Treatment

Ciprofloxacin or Bactrim

BPH (Benign Prostatic Hyperplasia) Treatment

Alpha blockers like tamsulosin; use Terazosin if the patient also has hypertension (HTN).

5-Alpha Reductase Inhibitors (5-ARIs)

Medications ending in -ride (e.g., Dutasteride/Avodart, Finasteride) that reduce prostate size.

Erectile Dysfunction Treatment

PDE-5 inhibitors such as Sildenafil (viagra)

Epididymitis (

Ceftriaxone and Doxycycline for age

Gonorrhea Treatment

Ceftriaxone (Rocephin).

Chlamydia Treatment

Azithromycin or alt doxycycline.

Medications to avoid during pregnancy

ACE inhibitors (lisinopril, enalapril), ARBs (losartan, valsartan), statins (atorvastatin, rosuvastatin), isotretinoin, warfarin, tetracyclines (doxycycline), fluoroquinolones (ciprofloxacin, levofloxacin), valproic acid, methotrexate, and NSAIDs (ibuprofen, naproxen) in the third trimester; TMP-SMX (Bactrim) should also be avoided especially during the first trimester and near term.