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Am Fam Physician. 2022;105(6):588

What treatment options are available for patients diagnosed with orthostatic hypotension?

Nonpharmacologic management strategies, such as avoiding or modifying exacerbating activities, should be attempted before prescribing a medication. If nonpharmacologic management alone is insufficient, it should be used in combination with medications. First-line pharmacologic therapy should include midodrine or droxidopa (Northera) titrated to relieve symptoms. 

What type of monitoring is recommended for women with a history of postpartum thyroiditis?

Patients with a history of postpartum thyroiditis should have thyroid-stimulating hormone testing annually to evaluate for permanent hypothyroidism. 

Which imaging options are available for the noninvasive diagnosis of adenomyosis?

Diagnosis of adenomyosis is based on clinical suspicion and imaging. Transvaginal ultrasonography or pelvic magnetic resonance imaging should be used to noninvasively diagnose adenomyosis. 

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