A 62-year-old postmenopausal woman presents with severe vulvar pruritus and dyspareunia. On exam, you note thin, hypopigmented plaques involving the vulva and perianal area in a “keyhole” distribution. The vagina appears normal. What is the most appropriate first-line treatment?

A 39-year-old woman reports decreased sexual desire for the past 4 months. She states the change does not bother her and she feels satisfied with her relationship. Which is the most appropriate clinical conclusion?

A patient using norethindrone progestin-only pills asks about adherence. Which statement by the provider is most accurate?

A 31-year-old reports rapidly worsening vulvar pain and swelling over 3 days. She has difficulty walking and notes dyspareunia. Exam shows a 4 cm unilateral, erythematous, tender mass lateral to the vestibule. Which diagnosis is most likely?

A 29-year-old has chronic pelvic pain for 2 years. She reports alternating constipation and diarrhea, bloating, and pain that improves after defecation. She also endorses dyspareunia and dysmenorrhea. Which statement best reflects clinical reasoning for her evaluation?

For adolescent girls, menarche most commonly occurs between which Tanner (SMR) stages?

A 47-year-old woman presents with decreased sexual desire, dyspareunia, and inability to achieve orgasm for the past 8 months. She has type 2 diabetes, hypertension, and depression treated with sertraline. Pelvic exam shows vaginal atrophy and pelvic floor hypertonicity. Which is the most appropriate initial management approach?

What is the recommended first-line pharmacologic treatment for nausea and vomiting in early pregnancy?

A patient presents 4 days after unprotected intercourse and has a BMI of 34 kg/m². Which emergency contraception option is most effective?

A 40-year-old woman reports pain with penetration. She is anxious about pelvic exams due to prior painful intercourse. On exam, Q-tip testing is minimally tender, but she has marked involuntary pelvic floor tightening during attempted speculum insertion and cannot voluntarily relax the pelvic floor despite coaching. Which initial intervention is most appropriate?