Station 87
Aisha Khan
Age: 35 year old female
Patient
Patient's Story (Role player’s brief)
Patient’s Story
You are Aisha Khan, a 35-year-old female.
Opening Statement: “Hi Doctor, I came to discuss my scan results.”
If asked why you had the scan: You have experienced heavy menstrual bleeding for most of your adult life, but this was well controlled when you were taking the combined oral contraceptive pill (Microgynon). However, you chose to stop the pill nine months ago as you and your husband are trying for a baby. Since then, for the past seven months, the heavy bleeding has returned and has become difficult to manage.
Your periods are regular (every 28 days), and although they are not painful, the bleeding is very heavy. You feel it is beginning to affect your quality of life. You often have to take time off work during your periods because of fatigue and inconvenience related to the bleeding. You do not experience dizziness, chest pain, or palpitations, but you do feel occasionally tired.
Gynaecology History: Your period started yesterday, and you are currently bleeding. You are sexually active with your husband, and do not experience pain or bleeding during intercourse. You have never been pregnant.
Family History: You recall that your sister had similar symptoms and was later diagnosed with fibroids.
Social History: You do not smoke or drink alcohol. You work full-time as a solicitor and live with your husband.
Ideas: You are not sure what the underlying cause is.
Concerns: You want the heavy bleeding to stop and are worried it might affect your ability to get pregnant.
Expectations: You would like the doctor to explain the scan results, clarify what is causing the heavy bleeding, and recommend treatment. You also stopped taking the iron tablets (ferrous sulfate) recently because they were causing constipation, and you would like advice on what to do next.
Say NO to any other questions asked outside of the details already provided in the scenario. Accept anything offered to you by the doctor.