A 25 year old woman and her husband present to your office c…

A 25 year old woman and her husband present to your office complaining of sexual dysfunction. They have been married for two months and have not had intercourse because “I just tense up down there” according to the woman. They read a book about sexual dysfunction and think the issue is vulvodynia. Which of the following would help in the diagnosis of vulvodynia?

You are treating a woman for infertility and after her work…

You are treating a woman for infertility and after her work up you believe she is not ovulating. You determine that she has PCOS. Her BMI is 32.7. Based on current evidence-based guidelines, which of the following medications would be the most appropriate first line of treatment that you would prescribe?