• Articles

    Health Maintenance in Postmenopausal Women

    Monica Plesa, Anita Wong, Ereni Katsaggelos

    In the United States, the average age of menopause is 52 years. Women will spend approximately one-third of their lives postmenopausal; therefore, physicians should be familiar with primary preventive care recommendations in this patient population.

    Update on Routine Immunizations for Children and Adolescents

    Gretchen M. Irwin

    Although most routine childhood immunizations have remained the same for the past 10 years, recommendations for COVID-19, pneumococcal, and respiratory syncytial virus vaccines have been updated.

    Trigeminal Neuralgia: Rapid Evidence Review

    Octavia Amaechi

    Trigeminal neuralgia is a chronic neuropathic pain condition that causes sudden, brief episodes of electric shock–like, lancinating pain in one or more trigeminal nerve distributions. Brain magnetic resonance imaging with and without contrast media is recommended for all...

    Female Sexual Dysfunction: Common Questions and Answers

    Sarah N. Dalrymple, Laura Hoeg, Hannah Thacker

    Female sexual dysfunction is common, affecting 40% to 50% of women. Using a biopsychosocial model, understanding the patient’s symptoms, and recognizing associated distress are essential for optimal treatment.

    Migraine Headache Prophylaxis

    Paige Moreland, Brody Gaffney, Jason S. Lanham

    Goals of migraine prophylaxis include reduction in headache severity and frequency, improved response to acute treatment, fewer days with disability, improvement in quality of life, and empowerment of patients with a sense of control. Indications for consideration of...

    Common Occupational Upper Extremity Musculoskeletal Disorders

    Scott Hall, Matthew R. Compton

    An occupational musculoskeletal disorder is an injury or condition of bone, muscle, nerve, cartilage, tendon, ligament, or other soft tissue that is caused or exacerbated by occupational activities. Family physicians play a valuable role in diagnosis, management, and...

    Editorials

    Supporting All Patients With Unintended Pregnancies: Implications for Health Equity

    Andrea Westby, Ebiere Okah, Katy Backes Kozhimmanil

    Unintended pregnancies can negatively affect financial, health, educational, and social outcomes. Through clinical care and influencing policies in the health care system, primary care clinicians can reduce the inequitable impacts of unintended pregnancies.

    Inside AFP

    Women in Medicine: AFP’s 75 Years of Progress

    Caroline Wellbery, Natasha J. Pyzocha, Anne D. Walling

    American Family Physician documents the changing status of women as both patients and physicians over the past 75 years and the progress that has been made.

    Acknowledging and Thanking AFP’s 2024 Peer Reviewers

    Sumi Sexton

    Peer review is an essential and valuable process for American Family Physician, and we are grateful for the work reviewers do to help us develop sound content. AFP acknowledges and thanks all people who reviewed at least one AFP article in 2024.

    Medicine by the Numbers

    Methotrexate for Juvenile Idiopathic Arthritis

    Kento Sonoda, Kelly Dougherty

    Given the suboptimal dosing of methotrexate and low certainty of evidence, we assigned a color recommendation of yellow (unclear benefits). Further research with optimal dosing of methotrexate and longer follow-up is needed to properly assess the use of methotrexate in JIA...

    Cochrane for Clinicians

    Sodium-Glucose Cotransporter-2 Inhibitors for People With Chronic Kidney Disease and Diabetes

    Tracy Johns

    Sodium-glucose cotransporter-2 (SGLT-2) inhibitors reduce the mortality risk in people with any stage chronic kidney disease and type 2 diabetes. Although it is unclear whether SGLT-2 inhibitors reduce major adverse cardiac events, they reduce the risk of kidney failure and...

    Transcutaneous Electrical Nerve Stimulation for Pain Control in Women With Primary Dysmenorrhea

    Sofia Perez Delgado, Jeffrey C. Leggit

    Transcutaneous electrical nerve stimulation (TENS), regardless of frequency, seems to reduce pain associated with primary dysmenorrhea compared with placebo or no treatment. It is uncertain whether TENS has a better analgesic effect than acupressure, acetaminophen,...

    Curbside Consultation

    Health Effects of Per- and Polyfluoroalkyl Substances

    Marcus Cervantes, Robert M. Gerbo

    Per- and polyfluoroalkyl substances (PFAS) are a class of chemicals that are widely used in industry and commonly found in the environment. There are thousands of different PFAS, but some have been studied more comprehensively than others (eg, perfluorooctanoic acid,...

    FPIN's Clinical Inquiries

    Topical Testosterone for Menopausal Symptoms

    Kimberly M. Crosby, Jennifer R. Weakley, Emrys Moreau

    Topical testosterone can be used to manage sexual function and vaginal symptoms associated with menopause. Combined with estrogen replacement therapy, topical testosterone increases the number of satisfying sexual episodes compared with placebo.

    STEPS

    Zuranolone (Zurzuvae) for the Treatment of Postpartum Depression

    James Montgomery, Alexander Hoffman

    Due to its high cost and the availability of well-tolerated, well-studied alternatives, zuranolone therapy should be reserved for the few patients for whom no other treatment options are available.

    Photo Quiz

    Plantar Ecchymosis

    Kara Babo, Evan Locke

    A 30-year-old man presented to the emergency department after the sole of his foot impacted a rock in a shallow pool of water.

    Recurrent Rash in a Newborn

    Hannah Galloway, Alexander Marchek, Rebekah Rowe

    A 6-week-old male infant presented with fever, congestion, and a rash.

    POEMs

    Early Medication Abortion Prior to Pregnancy Confirmation Is Safe and Effective

    Mark H. Ebell

    Water Exposure at 6 Hours After Cutaneous Surgery Does Not Increase the Risk of Complications

    David C. Slawson

    For AF With Stable CAD, Edoxaban Alone Prevents More Adverse Outcomes Than Edoxaban Plus an Antiplatelet Agent

    Mark H. Ebell

    Combination of Acetaminophen and Ibuprofen Reduces Fevers in Children Better Than Either Alone

    Allen F. Shaughnessy

    Practice Guidelines

    Obstructive Sleep Apnea Management in Children Despite Adenotonsillectomy: Guidelines From the American Thoracic Society

    Michael J. Arnold

    The American Thoracic Society published guidelines on the management of persistent obstructive sleep apnea in children after adenotonsillectomy. All recommendations are suggestions that apply to some patients, but they are not strong recommendations because of very low...

    Letters to the Editor

    Clarification: Continuous vs Sequential Administration of Hormone Therapy for Menopausal Symptoms

    Tajwar Taher, Breanna Thompson

    Reply: Jennifer G. Chang

    Screening Patients With Rosacea for Small Intestinal Bacterial Overgrowth

    Lance A. Duvall

    Reply: Winfred Frazier, Raquel Zemtsov

    Timolol: A Low-Cost Adjunctive Treatment for Erythematotelangiectatic Rosacea

    Mohammad Alzaid, Firas Al-Niaimi, Faisal R. Ali

    Reply: Winfred Frazier, Raquel Zemtsov



    Disclosure

    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


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