How are physical and biological aspects interrelated with health, population and environment education?​

A32-year-old woman presents for a routine gynecological exam. she has been married for 5 years and plans to start a family with her husband in the near future. her first menstrual period was at the age of 11. she is in a 28/4 cycle with no irregularities or discomfort. at age 18, she had an induced abortion and has used oral contraceptives since then. in the recto-vaginal exam, you palpate a mass on the left side. an ultrasound confirms a complex cystic tumor 6cm in diameter on the left ovary. there is no free fluid in the pelvis. there is no family history of any malignant tumors. what is your therapeutic approach?

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*edit* i took the test and i picked a and it was incorrect for its c! rank the following suggestions for preventing std, in order of increasing effectiveness. 1) using latex condoms properly 2) using spermicidal foam or jelly with a monogamous partner 3) abstaining from sexual intercourse and genital contact a. 1, 2, 3c. 2, 1, 3