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Case StudiesThese case studies are designed to be completed after you have studied the content in each section, but you can complete them any time you feel ready. Case studies allow you to apply what you have learned in this course to real-world situations. Case Study #1:Rose, a 25-year-old woman, who has been married for three years and has no children, comes to see you in the clinic. She tells you that her husband travels for work and is away at least two weeks out of every month. When you gently ask if she thinks that he may have other partners, she responds that she is almost positive that he does. One time he came home and gave her some medicine to take, and she thinks it may have been treatment for a disease that you can get sexually. Sometimes her lower belly hurts a lot for no apparent reason. When you ask her about her history of use of family planning, she looks uncomfortable and says that she has never tried it because she has been hoping to get pregnant. She says that despite the traveling, she and her husband have intercourse regularly when he is home and at various times during the month. She has been receiving a lot of pressure to produce a child from her husband’s family. She wants to know what she can do. What do you tell her? Case Study #2:Maria comes to see you in the clinic for an antenatal checkup. She is eight weeks pregnant with her third child. Over the course of conversation, you discover that she suspects that her husband, John, has several other sexual partners besides his wife.When you ask her about what she knows about STIs, she responds that she knows very little. After telling her about STIs—how they are caused, treated and prevented, and the fact that sometimes they are asymptomatic—you explain how syphilis screening is done. When Maria says that she would rather not get screened because she is afraid of the finger stick, how do you respond?
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