A thoroughly summarised revision tool to understand cardiovascular medicine.
Key features include:
1. Most common conditions such as sexually transmitted infections, pelvic inflammatory disease, epididymo-orchitis and many more.
2. Pathophysiology and clinical presentation including buzzwords...
Sexual Health – History and Conditions
History
“Are you currently sexually active?” or “Have you ever been sexually active?”
Partners? Practices? Pregnancy prevention? Protection? Past STIs?
Problems/pleasure?
Don’t forget to signpost – and give rationale for asking personal questions
Check biases – do not make assumptions
Clear, understandable language
Symptom Presentations
Erectile Dysfunction
Definition Persistent inability to attain or maintain an erection
Referrals:
- Urology – young patients with ED or if abnormalities found in
penis/testicles
- Endocrinology – abnormal blood results
- Cardiology – disease contraindicates PDE-5i OR if uncontrolled and
affecting erectile function
- Mental health – psychogenic ED
Questions *Organic – onset? normal libido? risk factors?
*Psychogenic – sudden onset? decreased libido? normal self-stimulated
erections? stressors/problems within relationship?
Premature Ejaculation
, Definition Ejaculation that occurs sooner than desired
= distress to one or both partners
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