Case Scenario 2 Table 1 Term Sexuality Sexual health Sexual identity Sexual orientation Sexual agency Sex Gender Identity Transgender Gender dysphoria Cisgender Transmale Transfemale Definition Table 2 Name 5 medical (physical) causes of female sexual dysfunction Name 5 medication-induced sexual dysfunction Name 5 psychological cases of female sexual dysfunction Name at least 4 management plan to help with sexual dysfunction (include 2 pharmacologic and 2 non pharmacologic interventions) Table 3 Define Vulvodynia Define Vaginismus What is the difference between the 2 diagnoses? What are treatment options? Ty is 22-year-old who comes to your office for an annual physical exam. On the intake paperwork, you note the gender box is blank. Ty was female assigned as birth but identifies as They/Them. The patient selected both the “have sex with females” and the “have sex with males” box in the sexual history. Answer the following in complete sentences or in question format as if you are asking the patient these questions: 1. How will you verify the patient’s name and preferred name? 2. How will you ask for the patient’s gender 3. How will you ask for the patient’s preferred pronouns? Write a brief SOAP note regarding this patient. Make sure to include your answers to these questions in your SOAP note. 1. Subjective: a. What other relevant questions should you ask regarding the HPI? b. What other medical history questions should you ask? c. What other family history questions should you ask? d. What other social history questions should you include? 2. Objective: a. Write a detailed focused physical assessment on this patient. b. Is a pap smear necessary for this patient? Why? c. Explain what other test(s) you will order and perform, and discuss your rationale for ordering and performing each test. 3. Assessment/ Diagnosis: a. What is your presumptive diagnosis? Why? b. Any other diagnosis or differential diagnosis you would like to add? 4. Plan: a. What are some educational considerations should you include in regarding having a male partner? b. What are some educational considerations should you include in regarding having a female partner? c. Are there any treatment or medication would you prescribe and why? d. Explain treatment/management guidelines including any possible side effects and/or consideration management of the diagnosis. e. What patient education is important to include for this patient? (Consider including pharmacological, supplements, and non pharmacological recommendations and education) f. What is the follow-up plan of care?