genito-urinary

when to refer women presenting with urinary incontinence

persistent bladder or urethral pain;
pelvic mass that is clinically benign;
associated faecal incontinence;
suspected neurological disease, urogenital fistulae;
history of previous incontinence surgery, pelvic cancer surgery or pelvic radiation therapy;
r

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first line drug treatment for urgency incontinence

oxybutynin hydrochloride, tolterodine tartate or darifenacin

mirabegron is an alternative

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for stress incontinence drug trmt is not usually recommended but can use

duloxetine

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acute urinary retention requires catheterisation which drug should be given at least 2 days before?

alpha-adrenoceptor blocker
alfuzosin, doxazosin, tamsulosin, terazosin

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S/E's of alpha-adrenoceptor blocker

hypotension, postural hypotension

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Combined oral contraceptives have a one-week free interval.
True / False

True

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COC's are not for women over 50
True / False

true

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How do I take POP

one tablet daily continuously

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Example of COC and POP

COC - Zoely, Qlaira, Microgynon
POP - desogestrel

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COC - missed pill rules

One missed pill - Take ASAP and next one at normal time even if yiu take 2 at once

Two missed pills - Take ASAP and use condom for 7 days (9days for zoely/qlaira)
If missed in last 7 days omit 7 day pill-free interval

Use EHC if missed in first 7 days a

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POP - missed pill rules

Take ASAP + use condom for 2 days

Use EHC if you miss 2 pills and have UPSI

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EHC; Levonogestrel is given when?

<72 hrs after UPSI

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Ulipristal is given when?

<120 hrs of UPSI

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Get Revising

genito-urinary

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