The medication is taken orally for 5 days early in the menstrual cycle (eg, beginning on days 3-5 of menses). This medication blocks estrogen receptors in the hypothalamus and pituitary, which causes the release of hormones (ie, gonadotropin-releasing hormone, follicle-stimulating hormone, luteinizing hormone) that stimulate the ovaries to release an egg. Take sitz baths, in which the hips and buttocks are immersed in warm water, to help relieve symptoms.Ĭlomiphene (Clomid, Serophene) is a selective estrogen receptor modulator that is used as a first-line treatment for infertility for women and works by stimulating ovulation. Take stool softeners as prescribed to reduce straining during defecation tension of the pubic muscles presses against the prostate, causing pain (Option 4). Clients should use a barrier prophylactic method (eg, condoms) when engaging in sexual activity with a partner to prevent transmission of the causative organism (Option 1). Engage in sexual intercourse or masturbation to reduce discomfort related to retained prostatic fluid. Complete the full course of antibiotics regardless of symptom improvement to ensure infection resolution (Option 3). Avoid coffee, tea, and other caffeinated beverages due to diuretic and stimulant properties, which may worsen symptoms (Option 2). Clients should be instructed to: Hydrate with clear liquids (eg, water, fruit juices). Urethral catheterization is contraindicated due to the risk of exacerbating pain and urethral inflammation. Suprapubic catheterization may be necessary for urinary retention in severe cases of acute prostatitis. Alpha-adrenergic blockers (eg, tamsulosin, alfuzosin) help relax the bladder and prostate. Management of prostatitis includes antimicrobialand anti-inflammatory medications (eg, ibuprofen). Symptoms include rectogenital pain, burning, urinary hesitancy, and/or urinary urgency. Prostatitis is inflammation of the prostate gland, usually caused by a bacterial infection. This client received treatment today and therefore must wait 7 days before resuming intercourse (Option 2). Clients should be taught to abstain from sexual intercourse for 7 days after initiation of drug therapy (eg, single dose of azithromycin, 7 days of doxycycline). Clients should also be instructed in general safe sex practices (eg, using condoms, avoiding multiple partners) to help prevent transmission of sexually transmitted infections. If not treated appropriately, chlamydia can ascend the female genital tract, producing serious complications such as pelvic inflammatory disease and infertility (Option 1). The client's sexual partners should also receive treatment to prevent transmission and reinfection (Option 5). Therefore, all sexually active women age <25 and any client age ≥25 at high risk (eg, new or several sexual partners) are screened annually for chlamydia and gonorrhea (Option 4). Many clients are asymptomatic or have minor symptoms (eg, spotting after sex, dysuria, abnormal vaginal discharge) but can still transmit the infection (Option 3). Chlamydia is the most common sexually transmitted infection and is diagnosed frequently among women, adolescents, and those with multiple sexual partners.
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