Estradiol
✔✔most common type in women of reproductive age
,Estrone
✔✔Most common estrogen after menopause
Estriol
✔✔estrogen of pregnancy
Most common class of antidepressants for menopause are..?
✔✔SSRIs .
A form of paroxetine (sample brand name: Brisdelle) is an SSRI and is the
only nonhormonal therapy that is specifically approved for hot flashes in
the United States
how is bacterial vaginosis diagnosed?
✔✔3 out 4 findings: AMSELS CRITERIA
thing white discharge
positive Whiff test (fishy odor)
pH > 4.5
clue cells on wet mount
what test is used to diagnosed bacterial vaginosis?
✔✔swab, wet mount
what are Amsel's criteria to diagnose bacterial vaginosis?
✔✔thin white d/c
fishy odor (+whiff)
clue cells
,ph >4.5
what is the first line treatment for bacterial vaginosis?
✔✔****Metronidazole 500 mg orally 2 times/day for 7 days
OR
Metronidazole gel 0.75% one full applicator (5 g) intravaginally, once a
day for 5 days
OR
Clindamycin cream 2% one full applicator (5 g) intravaginally at bedtime
for 7 days
How is vulvovaginal candidiasis diagnosed?
✔✔wet mount - will see presence of budding yeast, pseudohyphae
ph normal
normal vaginal pH
✔✔3.8-4.5
what are the symptoms of vulvovaginal candidiasis?
✔✔Thick, curdy white vaginal discharge, itching, dysuria, dyspareunia
what are the risk factors for vulvovaginal candidiasis?
✔✔atb use, increased estrogen levels, uncontrolled DM, poor vaginal
hygiene (wet)
what is the first line treatment for vulvovaginal candidiasis?
✔✔Fluconazole 150 mg orally in a single dose
, OR
-azole intravaginal agents
How is trichomoniasis diagnosed?
✔✔-saline wet mount of vaginal discharge
- motile trichomonads
- pH >5
- "strawberry cervix"
what is the treatment for trichomoniasis?
✔✔Metronidazole 500 mg 2 times/day for 7 days * (rec)
Metronidazole 2 g orally in a single dose (pregnancy)
Tinidazole 2 g orally in a single dose
education when someone is taking flagyl...
✔✔avoid etoh
does the partner of someone with trichomoniasis need treated?
✔✔YES - need TOC in 3 months as well
round/oval mass near vestibular entrance, non-tender (unless infected),
swelling, usually unilateral, without erythema or inflammation
✔✔bartholins cyst
infected Bartholin's cyst- often the causative organism is...
✔✔E.Coli
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