LGBTQIA Health and STIs Overview

LGBTQIA Care

• Crucial to ask about preferred pronouns and body part terms rather than assuming.
• Provide a safe and supportive environment to avoid retraumatization.

STIs

• Barrier methods don't always prevent all sexually transmitted infections (STIs).
• Contact tracing is important for gonorrhea and chlamydia.
• HPV: Vaccination and regular Pap smears help with prevention.

Vaginitis

• Bacterial vaginosis (BV) is characterized by a fishy odor and grey discharge; treated with Metronidazole (Flagyl).
• Candidiasis (yeast infection) presents with a cottage cheese-like discharge and itching; treated with Miconazole (Monistat).

Cancer Screening

• Cervical cancer: PAP smears are crucial. Patients should avoid intercourse for 48 hours before the test.
• Breast cancer: Annual mammograms, self-breast exams, and avoiding deodorants or powders are preventative measures.
• Endometrial cancer: Endometrial biopsies are important for postmenopausal bleeding.

Surgery and PCOS

• Fibroids: Removing benign tumors may increase fertility.
• Hysterectomy: A major surgery with possible risks including hemorrhage, infection, and deep vein thrombosis (DVT).
• Polycystic ovary syndrome (PCOS): Treatment includes Metformin, clomiphene citrate (clomid), and lifestyle changes for improved fertility.

Menopause & Postmenopausal Health

• Menopause: Defined as 12 consecutive months without menstruation.
• Postmenopause: Increased risk for cardiovascular disease, osteoporosis, and stroke; DEXA scans are used to screen for osteoporosis.

Intimate Partner Violence (IPV)

• Pregnancy complications: Increased risk of premature birth, low birth weight, and newborn deaths when experiencing IPV.

Review Tips

• Master evaluating basic assessments including vital signs, fundal tone, lochia, and psychological well-being.
• Memorize major complications like hemorrhage, infection, preeclampsia, and hypoglycemia.
• Know when to act immediately on critical findings, such as jaundice and respiratory distress.

This quiz covers essential topics related to LGBTQIA healthcare, including the importance of preferred pronouns and creating safe environments. It also touches upon sexually transmitted infections, including prevention, contact tracing, and screening for various cancers.