Case Study Discussion:
A female patient, age 18-year-old, presents with complaints of “problems with her birth control.” She was evaluated last month for a WWE and placed on OCs. She says this has been her first month on OCs. She experienced spotting X1 week prior to the “white pills” and then had her period. She also complains of a foul smelling discharge that she has noticed for the past few days. She is requesting to change her pills and requests “something for this discharge.” Her pelvic exam reveals minimal discharge without odor, cervix bleeds easily to touch, and negative CMT. Her UhCG is negative and she is positive for Gonorrhea and negative for Chlamydia.
1. What history questions do you need to ask this patient to screen for health behaviors that place her at risk?
2. What additional questions will you ask regarding her OCs?
3. What are the leading STIs in this age group?
4. What additional screenings are recommended for this patient?
5. What medications will you prescribe and why?
6. Will you change her OC yes/no and why?
7. What patient education will you provide?