ILA 6 - Sex Matters-Medicine, Study notes of Medicine

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3/12/25, 1:33 PM about:blank ILA 6 - Sex Matters Phase 3a Community and Public Health, ILA6 Sex Matters Scenario Ashley Cooper is a 15 year old girl, who has been registered with your practice since she was a baby. Ashley comes to see you with a friend, She is worried about an offensive vaginal discharge which she noticed last week. She has also noticed that sexual intercourse with her 18 year old boyfriend has been painful recently, and there was some slight bleeding afterwards. She has been with her current partner for 3 months, and this is her first sexual relationship. They have not been using any contraception and Ashley was relieved that her period started a week ago as she was worried that she was pregnant. She is afebrile and haemodynamically stable. Pelvic examination is normal. You check that she is happy to take her own vaginal swab, and give her clear instructions. You also send an MSU. A pregnancy test is negative. You arrange a follow up appointment. You discuss contraception with her, and provide her with some family planning leaflets. Her friend asks if she can book an appointment with you to discuss her contraception needs, and 'get tested for infections and stuff Both girls are very anxious that their parents will find out, because Ashley’s mother’s best friend is working on the practice reception desk today. 113.