Contraception, preconception and infertility

A woman has an amniocentesis at 17 weeks after a cell-free DNA test reported a high chance of trisomy 21. She is booked to fly interstate in three days for a fa…

Pre-internship · middle twist

A 39-year-old woman at 12 weeks of her fourth pregnancy is told that her cell-free DNA screening test reports a high chance of trisomy 21. Her nuchal translucen…

Pre-internship · common

A couple attend at nine weeks of a planned pregnancy. Their first child has cystic fibrosis, and both parents are known carriers of the same CFTR variant. They…

Clinical rotations · common

A 28-year-old woman who has had type 1 diabetes since she was twelve asks how to prepare for a pregnancy she hopes to start in about six months. Her most recent…

Pre-internship · middle twist

A 16-year-old girl with focal epilepsy attends a general practice alone and asks for contraception. She has been seizure-free for two years on carbamazepine and…

Pre-internship · middle twist

A 34-year-old woman wants reliable contraception while receiving rifampicin for pulmonary tuberculosis. She has previously used a combined oral contraceptive pi…

Clinical rotations · common

A 39-year-old woman wants reliable contraception and has heavy, painful periods. She is taking rifampicin for tuberculosis and has no uterine abnormality on exa…

Clinical rotations · middle twist

A 34-year-old woman who is breastfeeding at four weeks after birth requests contraception. She has migraine with visual aura and reports that her periods were p…

Clinical rotations · common

A 29-year-old woman requests emergency contraception four days after unprotected intercourse. She has a body mass index of 34 kg/m² and takes carbamazepine for…

Mechanisms of disease · middle twist

A 27-year-old nulliparous woman requests reliable long-term contraception. Several times a year she has severe unilateral throbbing headaches that are preceded…

Clinical rotations · middle twist

A 29-year-old woman requests emergency contraception 4 days after unprotected intercourse. Her BMI is 36 kg/m², she is not pregnant and has no contraindication…

Pre-internship · middle twist

A 32-year-old woman wants highly effective contraception and would prefer predictable light bleeding. She does not want a method requiring daily action and has…

Clinical rotations · middle twist