Child Abuse: Approach and Management - American Family Physician
May 1, 2022 - Child maltreatment is a devastating type of adverse childhood experience that encompasses neglect and emotional, physical, and sexual abuse (including sex trafficking). Adverse childhood experiences are exposures to maltreatment or household dysfunction during crucial developmental ...
American Family Physician : Article
https://www.aafp.org/afp/2022/0500/p521.html
Family Medicine Update AAFP CME
View all AAFP Continuing Medical Education on Family Medicine Update and earn CME credit.
CME : AAFP CME by Topic
https://www.aafp.org/cme/topic/family-medicine-update.html
Women's Health Online CME Course | AAFP
Enhance your ability to develop evaluation and treatment plans for every woman you treat, at every stage of her life with this AAFP online CME course. Earn 21 CME credits.
CME : All CME Products
https://www.aafp.org/cme/all/womens/self-study.html
Care of the College Student - American Family Physician
Aug 1, 2021 - Approximately 19 million students attend college in the United States. Although they are generally healthy, about 20% of youth have special health care needs, including asthma, diabetes mellitus, and learning, mental health, and substance use disorders. Physicians can facilitate the ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0800/p141.html
Obstetric Lacerations: Prevention and Repair - American Family Physician
Jun 15, 2021 - Obstetric lacerations are a common complication of vaginal delivery. Lacerations can lead to chronic pain and urinary and fecal incontinence. Perineal lacerations are defined by the depth of musculature involved, with fourth-degree lacerations disrupting the anal sphincter and the ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0615/p745.html
Dyspareunia in Women - American Family Physician
May 15, 2021 - Dyspareunia is recurrent or persistent pain with sexual intercourse that causes distress. It affects approximately 10% to 20% of U.S. women. Dyspareunia may be superficial, causing pain with attempted vaginal insertion, or deep. Women with sexual pain are at increased risk of sexual ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0515/p597.html
Post-ICU Care in the Outpatient Setting - American Family Physician
May 15, 2021 - More than 5 million patients in the United States are admitted to intensive care units (ICUs) annually, and an increasing percentage of patients treated in the ICU survive to hospital discharge. Because these patients require follow-up in the outpatient setting, family physicians should...
American Family Physician : Article
https://www.aafp.org/afp/2021/0515/p590.html
CME By Topic | AAFP
Search for AAFP CME activities by specific topic.
CME : Browse
https://www.aafp.org/cme/browse/all-topics.tag-fam-med-update.html
CME By Topic | AAFP
Search for AAFP CME activities by specific topic.
CME : Browse
https://www.aafp.org/cme/browse/all-topics.html
The Preparticipation Physical Evaluation - American Family Physician
May 1, 2021 - The preparticipation physical evaluation (PPE) is a common reason for young athletes to see a primary care physician. An annual PPE is required by most state high school athletic associations for participation in school-based sports, although there is limited evidence to support its ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0501/p539.html
Sexual Assault of Women - American Family Physician
Feb 1, 2021 - Sexual violence is a major public health and human rights issue affecting more than 40% of women in the United States during their lifetimes. Although men and women experience sexual assault, women are at greatest risk. Populations uniquely impacted by sexual assault include ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0201/p168.html
Eating Disorders in Primary Care: Diagnosis and Management - American Family Physician
Jan 1, 2021 - Eating disorders are potentially life-threatening conditions characterized by disordered eating and weight-control behaviors that impair physical health and psychosocial functioning. Early intervention may decrease the risk of long-term pathology and disability. Clinicians should ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0101/p22.html
Common Benign Chronic Vulvar Disorders - American Family Physician
Nov 1, 2020 - Common benign chronic vulvar conditions include genitourinary syndrome of menopause (formerly called vulvovaginal atrophy), lichen sclerosus, lichen planus, lichen simplex chronicus, and vulvodynia. Genitourinary syndrome of menopause results from the hypoestrogenic state that leads to ...
American Family Physician : Article
https://www.aafp.org/afp/2020/1101/p550.html
AFP's Top Articles
View the top 20 articles published in American Family Physician each year based on web views.
Publications : American Family Physician
https://www.aafp.org/pubs/afp/content/top-articles.html
2000
AFP issues for the year of 2000.
Publications : American Family Physician
https://www.aafp.org/pubs/afp/issues/2000.html
2008
AFP issues for the year of 2008.
Publications : American Family Physician
https://www.aafp.org/pubs/afp/issues/2008.html
Frequent Headaches: Evaluation and Management - American Family Physician
Apr 1, 2020 - Most frequent headaches are typically migraine or tension-type headaches and are often exacerbated by medication overuse. Repeated headaches can induce central sensitization and transformation to chronic headaches that are intractable, are difficult to treat, and cause significant ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0401/p419.html
Sexual Health History: Techniques and Tips - American Family Physician
Mar 1, 2020 - Family physicians should use a proactive, integrated, patient-centered approach to sexual health that includes, but is not limited to, disease identification and treatment. Successfully delivering positive, affirming, nonjudgmental sexual health care requires intentionally creating safe...
American Family Physician : Article
https://www.aafp.org/afp/2020/0301/p286.html
Screening and Counseling Adolescents and Young Adults: A Framework for Comprehensive ...
Feb 1, 2020 - Healthy development is likely to occur when an adolescent’s risk factors are limited and when protective factors are fostered. Healthy development is further encouraged when youth feel valued, empowered, and form healthy social connections. Threats to the well-being of adolescents ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0201/p147.html
Treatments for Postmenopausal Hypoactive Sexual Desire Disorder - FPIN's Clinical ...
Feb 1, 2020 - Transdermal testosterone for the treatment of hypoactive sexual desire disorder in postmenopausal women results in an additional 0.92 sexually satisfying events per month, acne, and increased androgenic effects without major complications
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0201/p182.html
Violence (Position Paper)
Read AAFP's position paper on family violence as an important public health issue.
About AAFP |AAFP Policies and Recommendations : Policies
https://www.aafp.org/about/policies/all/violence-position-paper.html
Preconception Care (Position Paper)
Read the AAFP's position paper on preconception care. Preconception care is defined as individualized care for men and women that is focused on reducing maternal and fetal morbidity and mortality.
About AAFP |AAFP Policies and Recommendations : Policies
https://www.aafp.org/about/policies/all/preconception-care.html
Hirsutism in Women - American Family Physician
Aug 1, 2019 - Hirsutism is the excessive growth of terminal hair in a typical male pattern in a female. It is often a sign of excessive androgen levels. Although many conditions can lead to hirsutism, polycystic ovary syndrome and idiopathic hyperandrogenism account for more than 85% of cases. Less ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0801/p168.html
Amenorrhea: A Systematic Approach to Diagnosis and Management - American Family Physician
Jul 1, 2019 - Menstrual patterns can be an indicator of overall health and self-perception of well-being. Primary amenorrhea, defined as the lifelong absence of menses, requires evaluation if menarche has not occurred by 15 years of age or three years post-thelarche. Secondary amenorrhea is ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0701/p39.html
Common Breast Problems - American Family Physician
Apr 15, 2019 - Palpable breast masses, mastalgia, and nipple discharge are commonly encountered symptoms in outpatient practice, causing significant patient anxiety and precipitating medical consultation. The initial workup includes a detailed clinical history and physical examination. Women ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0415/p505.html
Abnormal Uterine Bleeding in Premenopausal Women - American Family Physician
Apr 1, 2019 - Abnormal uterine bleeding is a common symptom in women. The acronym PALM-COEIN facilitates classification, with PALM referring to structural etiologies (polyp, adenomyosis, leiomyoma, malignancy and hyperplasia), and COEIN referring to nonstructural etiologies (coagulopathy, ovulatory ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0401/p435.html
Current Concepts in Concussion: Initial Evaluation and Management - American Family ...
Apr 1, 2019 - Mild traumatic brain injury, also known as concussion, is common in adults and youth and is a major health concern. Concussion is caused by direct or indirect external trauma to the head resulting in shear stress to brain tissue from rotational or angular forces. Concussion can affect a...
American Family Physician : Article
https://www.aafp.org/afp/2019/0401/p426.html
Primary Care for Persons Who Inject Drugs - American Family Physician
Jan 15, 2019 - More than 750,000 persons in the United States inject opioids, methamphetamine, cocaine, or ketamine, and that number is increasing because of the current opioid epidemic. Persons who inject drugs (PWID) are at higher risk of infectious and noninfectious skin, pulmonary, cardiac, ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0115/p109.html
Caring for Transgender and Gender-Diverse Persons: What Clinicians Should Know - ...
Dec 1, 2018 - Persons whose experienced or expressed gender differs from their sex assigned at birth may identify as transgender. Transgender and gender-diverse persons may have gender dysphoria (i.e., distress related to this incongruence) and often face substantial health care disparities and ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1201/p645.html
Urinary Retention in Adults: Evaluation and Initial Management - American Family Physician
Oct 15, 2018 - Urinary retention is the acute or chronic inability to voluntarily pass an adequate amount of urine. The condition predominantly affects men. The most common causes are obstructive in nature, with benign prostatic hyperplasia accounting for 53% of cases. Infectious, inflammatory, ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1015/p496.html
Cervical Cancer: Evaluation and Management - American Family Physician
Apr 1, 2018 - Human papillomavirus infection is the precursor for the development of cervical cancer and is detectable in 99.7% of squamous cell carcinoma and adenocarcinoma cases. Early detection of precancerous lesions with Papanicolaou testing remains the primary mechanism for cancer prevention. ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0401/p449.html
Minimal Effect of ERT on Sexual Function in Menopausal Women - POEMs - American Family ...
Mar 15, 2018 - Transdermal, but not oral, estrogen produced a small improvement in sexual function scores in menopausal women. The increases were very small and may not be noticeable by most women.
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0315/p408.html
Female Genital Mutilation or Cutting - Curbside Consultation - American Family Physician
Jan 1, 2018 - FGM/C involves partial or total removal of the external genitalia or other injury to the female genital organs for nonmedical reasons. It is considered a human rights violation. It has no known health benefits, but many reported harmful consequences.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2018/0101/p49.html
Testosterone Therapy: Review of Clinical Applications - American Family Physician
Oct 1, 2017 - Testosterone therapy is increasingly common in the United States, and many of these prescriptions are written by primary care physicians. There is conflicting evidence on the benefit of male testosterone therapy for age-related declines in testosterone. Physicians should not measure ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1001/p441.html
Pelvic Organ Prolapse - American Family Physician
Aug 1, 2017 - Pelvic organ prolapse is the descent of one or more of the anterior vaginal wall, posterior vaginal wall, the uterus (cervix), or the apex of the vagina (vaginal vault or cuff scar after hysterectomy). Prevalence increases with age. The cause of prolapse is multifactorial but is ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0801/p179.html
Building Capacity to Care for Refugees -- FPM
Aug 1, 2017 - So you want to incorporate refugee health into your practice. Now what?
Family Practice Management : Articles
https://www.aafp.org/fpm/2017/0700/p21.html
Flibanserin Ineffective for Hypoactive Sexual Desire Disorder in Women - POEMs - ...
Sep 1, 2016 - Flibanserin produces a minimal effect on sexual desire and minimally increases the number of satisfying sexual events in women (less than one-half an event per month increase). Many women will be unable to tolerate the adverse effects.
American Family Physician : POEMs
https://www.aafp.org/afp/2016/0901/p384a.html
Common Questions About Recurrent Urinary Tract Infections in Women - American Family ...
Apr 1, 2016 - Recurrent urinary tract infections (UTIs) are common in women, including healthy women with normal genitourinary anatomy. Recurrent UTI is typically defined as three or more UTIs within 12 months, or two or more occurrences within six months. The same species that caused previous ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0401/p560.html
Primary Care of the Solid Organ Transplant Recipient - American Family Physician
Feb 1, 2016 - The advancing science of transplantation has led to more transplants and longer survival. As a result, primary care physicians are more involved in the care of transplant recipients. Immunosuppressive therapy has significantly decreased rates of transplant rejection but accounts for ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0201/p203.html
Obsessive-Compulsive Disorder: Diagnosis and Management - American Family Physician
Nov 15, 2015 - Obsessive-compulsive disorder (OCD) is a chronic illness that can cause marked distress and disability. It is a complex disorder with a variety of manifestations and symptom dimensions, some of which are underrecognized. Early recognition and treatment with OCD-specific therapies may ...
American Family Physician : Article
https://www.aafp.org/afp/2015/1115/p896.html
Sexual Dysfunction in Women: A Practical Approach - American Family Physician
Aug 15, 2015 - Sexual dysfunction in women is a common and often distressing problem that has a negative impact on quality of life and medication compliance. The problem is often multifactorial, necessitating a multidisciplinary evaluation and treatment approach that addresses biological, ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0815/p281.html
Evaluation and Treatment of Infertility - American Family Physician
Mar 1, 2015 - Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. Causes of infertility include male ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0301/p308.html
Surveillance of the Adult Cancer Survivor - American Family Physician
Jan 1, 2015 - The term cancer survivor refers to anyone living with a diagnosis of cancer. As the U.S. population ages, cancer screening increases, and cancer treatments improve, millions more Americans will be classified as cancer survivors in the future. Although many survivors wish to continue ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0101/p29.html
Initial Evaluation, Diagnosis, and Treatment of Anorexia Nervosa and Bulimia Nervosa - ...
Jan 1, 2015 - Eating disorders are life-threatening conditions that are challenging to address; however, the primary care setting provides an important opportunity for critical medical and psychosocial intervention. The recently published Diagnostic and Statistical Manual of Mental Disorders, 5th ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0101/p46.html
Dyspareunia in Women - American Family Physician
Oct 1, 2014 - Dyspareunia is recurrent or persistent pain with sexual activity that causes marked distress or interpersonal conflict. It affects approximately 10% to 20% of U.S. women. Dyspareunia can have a significant impact on a woman’s mental and physical health, body image, relationships with ...
American Family Physician : Article
https://www.aafp.org/afp/2014/1001/p465.html
Pituitary Adenomas: An Overview - American Family Physician
Sep 1, 2013 - Prolactinomas and nonfunctioning adenomas are the most common types of pituitary adenomas. Patients with pituitary adenomas may present initially with symptoms of endocrine dysfunction such as infertility, decreased libido, and galactorrhea, or with neurologic symptoms such as headache ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0901/p319.html
Undetected Childhood Sexual Trauma and Its Health Effects in Adults - Curbside ...
Sep 1, 2013 - It is essential for physicians to understand the relevance of childhood sexual trauma to adult medical conditions. Recognizing this connection can help physicians begin to manage the resulting damage. Exposure to childhood sexual trauma is highly prevalent in the United States, but is ...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2013/0901/p328.html
Amenorrhea: An Approach to Diagnosis and Management - American Family Physician
Jun 1, 2013 - Although amenorrhea may result from a number of different conditions, a systematic evaluation including a detailed history, physical examination, and laboratory assessment of selected serum hormone levels can usually identify the underlying cause. Primary amenorrhea, which by definition...
American Family Physician : Article
https://www.aafp.org/afp/2013/0601/p781.html
AAFP News - Oct 1, 2012 - American Family Physician
Oct 1, 2012 - Selected policy and health issues news briefs from AAFP News Now.
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2012/1001/p605.html
Hirsutism in Women - American Family Physician
Feb 15, 2012 - Hirsutism is excess terminal hair that commonly appears in a male pattern in women. Although hirsutism is generally associated with hyperandrogenemia, one-half of women with mild symptoms have normal androgen levels. The most common cause of hirsutism is polycystic ovary syndrome, ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0215/p373.html
Current Concepts in Concussion: Evaluation and Management - American Family Physician
Jan 15, 2012 - Concussion is a disturbance in brain function caused by direct or indirect force to the head. It is a functional rather than structural injury that results from shear stress to brain tissue caused by rotational or angular forces—direct impact to the head is not required. Initial ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0115/p123.html
ACOG Guideline on Sexual Dysfunction in Women - Practice Guidelines - American Family ...
Sep 15, 2011 - The American College of Obstetricians and Gynecologists (ACOG) has released guidelines on sexual dysfunction in women. Sexual dysfunction is common in U.S. women but is underdiagnosed and undertreated, partly because patients are not likely to discuss it with their physician unless they...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2011/0915/p705.html
Intimate Partner Violence - American Family Physician
May 15, 2011 - Intimate partner violence is a common source of physical, psychological, and emotional morbidity. In the United States, approximately 1.5 million women and 834,700 men annually are raped and/or physically assaulted by an intimate partner. Women are more likely than men to be injured, ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0515/p1165.html
Interstitial Cystitis/Painful Bladder Syndrome - American Family Physician
May 15, 2011 - Interstitial cystitis/painful bladder syndrome affects more than 1 million persons in the United States, but the cause remains unknown. Most patients with interstitial cystitis/painful bladder syndrome are women with symptoms of suprapubic pelvic and/or genital area pain, dyspareunia, ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0515/p1175.html
Managing the Adverse Effects of Radiation Therapy - American Family Physician
Aug 15, 2010 - Nearly two thirds of patients with cancer will undergo radiation therapy as part of their treatment plan. Given the increased use of radiation therapy and the growing number of cancer survivors, family physicians will increasingly care for patients experiencing adverse effects of ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0815/p381.html
Primary Care of Adult Survivors of Childhood Cancer - American Family Physician
May 15, 2010 - There are approximately 300,000 survivors of childhood cancer in the United States, and most of them receive their medical care from primary care physicians. Adult survivors of childhood cancer are at considerable risk of long-term morbidity and mortality beyond the recurrence of their ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0515/p1250.html
Adverse Effects of Antipsychotic Medications - American Family Physician
Mar 1, 2010 - The use of antipsychotic medications entails a difficult trade-off between the benefit of alleviating psychotic symptoms and the risk of troubling, sometimes life-shortening adverse effects. There is more variability among specific antipsychotic medications than there is between the ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0301/p617.html
Health-Related Concerns of the Female Athlete: A Lifespan Approach - American Family ...
Mar 15, 2009 - Exercise is beneficial for women of all ages and is associated with long-term health benefits and enhanced well-being. Nevertheless, active women and girls are at risk for conditions resulting from sports and exercise participation. Because of their unique physiology, children are more ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0315/p489.html
Treatment of the Post-ICU Patient in an Outpatient Setting - American Family Physician
Mar 15, 2009 - The care of a patient in the intensive care unit extends well beyond his or her hospitalization. Evaluation of a patient after leaving the intensive care unit involves a review of the hospital stay, including principal diagnosis, exposure to medications, period spent in the intensive ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0315/p459.html
Corrections - Feb 1, 2009 - American Family Physician
Feb 1, 2009 - ...of Female Sexual Dysfunction, (March 1, 2008, page 635) an incorrect source was listed for a portion of Table 5 on page 639 and the following sentence on page 638: The ALLOW (Ask, Legitimize, Limitations, Open up, Work together) model facilitates completion of the sexual history and...
American Family Physician : Corrections
https://www.aafp.org/afp/2009/0201/p180a.html
Systemic Sclerosis/Scleroderma: A Treatable Multisystem Disease - American Family ...
Oct 15, 2008 - Systemic sclerosis (systemic scleroderma) is a chronic connective tissue disease of unknown etiology that causes widespread microvascular damage and excessive deposition of collagen in the skin and internal organs. Raynaud phenomenon and scleroderma (hardening of the skin) are hallmarks...
American Family Physician : Article
https://www.aafp.org/afp/2008/1015/p961.html
Pharmacologic Management of Adult Depression - American Family Physician
Mar 15, 2008 - Major depression is a common and treatable disease. Many patients benefit from pharmacologic treatment and, because there is little variation in antidepressant effectiveness, medication choices should be made based on patient characteristics, safety, and anticipated side effects. Most ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0315/p785.html
Diagnosis and Treatment of Female Sexual Dysfunction - American Family Physician
Mar 1, 2008 - Female sexual complaints are common, occurring in approximately 40 percent of women. Decreased desire is the most common complaint. Normal versus abnormal sexual functioning in women is poorly understood, although the concept of normal female sexual function continues to develop. A ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0301/p635.html
Urinary Retention in Adults: Diagnosis and Initial Management - American Family Physician
Mar 1, 2008 - Urinary retention is the inability to voluntarily void urine. This condition can be acute or chronic. Causes of urinary retention are numerous and can be classified as obstructive, infectious and inflammatory, pharmacologic, neurologic, or other. The most common cause of urinary ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0301/p643.html
Diagnosis of Ear Pain - American Family Physician
Mar 1, 2008 - Many patients in primary care present with ear pain (otalgia). When the ear is the source of the pain (primary otalgia), the ear examination is usually abnormal. When the ear is not the source of the pain (secondary otalgia), the ear examination is typically normal. The cause of primary...
American Family Physician : Article
https://www.aafp.org/afp/2008/0301/p621.html
Targeted Therapies: A New Generation of Cancer Treatments - American Family Physician
Feb 1, 2008 - Targeted therapies, which include monoclonal antibodies and small molecule inhibitors, have significantly changed the treatment of cancer over the past 10 years. These drugs are now a component of therapy for many common malignancies, including breast, colorectal, lung, and pancreatic ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0201/p311.html
Somatoform Disorders - American Family Physician
Nov 1, 2007 - The somatoform disorders are a group of psychiatric disorders that cause unexplained physical symptoms. They include somatization disorder (involving multisystem physical symptoms), undifferentiated somatoform disorder (fewer symptoms than somatization disorder), conversion disorder ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1101/p1333.html
Treatment Options for Insomnia - American Family Physician
Aug 15, 2007 - The frequency of sleep disruption and the degree to which insomnia significantly affects daytime function determine the need for evaluation and treatment. Physicians may initiate treatment of insomnia at an initial visit; for patients with a clear acute stressor such as grief, no ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0815/p517.html
Infertility - American Family Physician
Mar 15, 2007 - Infertility is defined as failure to achieve pregnancy during one year of frequent, unprotected intercourse. Evaluation generally begins after 12 months, but it can be initiated earlier if infertility is suspected based on history or if the female partner is older than 35 years. Major ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0315/p849.html
Tips From Other Journals - American Family Physician
Feb 15, 2007 - ...Background: Premature ejaculation affects 21 to 33 percent of men and is believed to be the most common type of male sexual dysfunction. The potential negative effects on quality of life can be severe for men and their partners; however, few treatments have been approved to treat...
American Family Physician : Tip
https://www.aafp.org/afp/2007/0215/p555.html
Childhood and Adolescent Depression - American Family Physician
Jan 1, 2007 - Major depression affects 3 to 5 percent of children and adolescents. Depression negatively impacts growth and development, school performance, and peer or family relationships and may lead to suicide. Biomedical and psychosocial risk factors include a family history of depression, ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0101/p73.html
The Homeless in America: Adapting Your Practice - American Family Physician
Oct 1, 2006 - In 2004, the National Guidelines Clearinghouse placed eight guidelines from the National Health Care for the Homeless Council on its Web site. Seven of the guidelines are on specific disease processes and one is on general care. In addition to straightforward clinical decision making, ...
American Family Physician : Article
https://www.aafp.org/afp/2006/1001/p1132.html
Testosterone Treatments: Why, When, and How? - American Family Physician
May 1, 2006 - Testosterone treatment is controversial for men and even more so for women. Although long-term outcome data are not available, prescriptions for testosterone are becoming more common. Testosterone is used primarily to treat symptoms of sexual dysfunction in men and women and hot flashes...
American Family Physician : Article
https://www.aafp.org/afp/2006/0501/p1591.html
Amenorrhea: Evaluation and Treatment - American Family Physician
Apr 15, 2006 - A thorough history and physical examination as well as laboratory testing can help narrow the differential diagnosis of amenorrhea. In patients with primary amenorrhea, the presence or absence of sexual development should direct the evaluation. Constitutional delay of growth and puberty...
American Family Physician : Article
https://www.aafp.org/afp/2006/0415/p1374.html
Poems & Tips From Other Journals - American Family Physician
Nov 1, 2005 - ...Low Testosterone Not Linked with Female Sexual Dysfunction Am Fam Physician. 2005 Nov 1;72(9):1824-1826. Clinical Question: Is a low level of serum testosterone associated with low sexual desire in women? Setting: Population-based Study Design: Cross-sectional Synopsis: In this...
American Family Physician : Tip
https://www.aafp.org/afp/2005/1101/p1824.html
Diagnosis and Management of Rheumatoid Arthritis - American Family Physician
Sep 15, 2005 - Rheumatoid arthritis is a chronic inflammatory disease characterized by uncontrolled proliferation of synovial tissue and a wide array of multisystem comorbidities. Prevalence is estimated to be 0.8 percent worldwide, with women twice as likely to develop the disease as men. Untreated, ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0915/p1037.html
Psychogenic Nonepileptic Seizures - American Family Physician
Sep 1, 2005 - Psychogenic nonepileptic seizures are episodes of movement, sensation, or behaviors that are similar to epileptic seizures but do not have a neurologic origin; rather, they are somatic manifestations of psychologic distress. Patients with psychogenic nonepileptic seizures frequently are...
American Family Physician : Article
https://www.aafp.org/afp/2005/0901/p849.html
Childhood Sexual Abuse and Chronic Daily Headaches - Letters to the Editor - American ...
Aug 1, 2005 - ...Childhood Sexual Abuse and Chronic Daily Headaches Am Fam Physician. 2005 Aug 1;72(3). to the editor: would like to comment on the article1 by Dr. Maizels in the December 15, 2004, issue of American Family Physician titled "The Patient with Daily Headaches." I appreciated the...
American Family Physician : Letter
https://www.aafp.org/afp/2005/0801/ol1.html
Evaluation and Prevention of Diabetic Neuropathy - American Family Physician
Jun 1, 2005 - Diabetic neuropathy is a debilitating disorder that occurs in nearly 50 percent of patients with diabetes. It is a late finding in type 1 diabetes but can be an early finding in type 2 diabetes. The primary types of diabetic neuropathy are sensorimotor and autonomic. Patients may ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0601/p2123.html
Care of Cancer Survivors - American Family Physician
Feb 15, 2005 - Cancer survivors are at increased risk for recurrence of their original malignancy; development of second primary malignancies; and medical, developmental, and psychologic problems resulting from cancer therapy, genetic predisposition to cancer, and other risk factors. Surveillance ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0215/p699.html
The Patient with Daily Headaches - American Family Physician
Dec 15, 2004 - The term 'chronic daily headache' (CDH) describes a variety of headache types, of which chronic migraine is the most common. Daily headaches often are disabling and may be challenging to diagnose and treat. Medication overuse, or drug rebound headache, is the most treatable cause of ...
American Family Physician : Article
https://www.aafp.org/afp/2004/1215/p2299.html
Which Antidepressant Is Best to Avoid Sexual Dysfunction? - FPIN's Clinical Inquiries -...
May 15, 2004 - Bupropion (Wellbutrin), nefazodone (Serzone), amitriptyline (Elavil), and moclobemide (Manerix, a reversible inhibitor of monoamine oxidase type A not available in the United States) have been shown to cause less sexual dysfunction than selective serotonin reuptake inhibitors (SSRIs).
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2004/0515/p2419.html
Depression in Later Life: A Diagnostic and Therapeutic Challenge - American Family ...
May 15, 2004 - Depression in elderly persons is widespread, often undiagnosed, and usually untreated. The current system of care is fragmented and inadequate, and staff at residential and other facilities often are ill-equipped to recognize and treat patients with depression. Because there is no ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0515/p2375.html
Diethylstilbestrol Exposure - American Family Physician
May 15, 2004 - Diethylstilbestrol is a synthetic nonsteroidal estrogen that was used to prevent miscarriage and other pregnancy complications between 1938 and 1971 in the United States. In 1971, the U.S. Food and Drug Administration issued a warning about the use of diethylstilbestrol during pregnancy...
American Family Physician : Article
https://www.aafp.org/afp/2004/0515/p2395.html
Abnormal Uterine Bleeding - American Family Physician
Apr 15, 2004 - Abnormal uterine bleeding is a common presenting symptom in the family practice setting. In women of childbearing age, a methodical history, physical examination, and laboratory evaluation may enable the physician to rule out causes such as pregnancy and pregnancy-related disorders, ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0415/p1915.html
Hepatitis B - American Family Physician
Jan 1, 2004 - Hepatitis B causes significant morbidity and mortality worldwide. More than 400 million persons, including 1.25 million Americans, have chronic hepatitis B. In the United States, chronic hepatitis B virus infection is responsible for about 5,000 annual deaths from cirrhosis and ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0101/p75.html
Evaluation of the Subfertile Man - American Family Physician
May 15, 2003 - Infertility affects 15 percent of couples, and 50 percent of male infertility is potentially correctable. Evaluation of the subfertile man requires a complete medical history, physical examination, and laboratory studies. The main purpose of the male evaluation is to identify and treat ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0515/p2165.html
Premenstrual Syndrome - American Family Physician
Apr 15, 2003 - Premenstrual syndrome, a common cyclic disorder of young and middle-aged women, is characterized by emotional and physical symptoms that consistently occur during the luteal phase of the menstrual cycle. Women with more severe affective symptoms are classified as having premenstrual ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0415/p1743.html
Antidepressants: Update on New Agents and Indications - American Family Physician
Feb 1, 2003 - A number of antidepressants have emerged in the U.S. market in the past two decades. Selective serotonin reuptake inhibitors have become the drugs of choice in the treatment of depression, and they are also effective in the treatment of obsessive-compulsive disorder, panic disorder, and...
American Family Physician : Article
https://www.aafp.org/afp/2003/0201/p547.html
Chronic Illness and Sexual Functioning - American Family Physician
Jan 15, 2003 - Chronic illness and its treatments can have a negative impact on sexual functioning. The mechanism of interference may be neurologic, vascular, endocrinologic, musculoskeletal, or psychologic. Patients may mistakenly perceive a medical prohibition to the resumption of sexual activity, ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0115/p347.html
The Proactive Sexual Health History: Key to Effective Sexual Health Care - American ...
Nov 1, 2002 - Family physicians must proactively address the sexual health of their patients. Effective sexual health care should address wellness considerations in addition to infections, contraception, and sexual dysfunction. However, physicians consistently underestimate the prevalence of sexual ...
American Family Physician : Article
https://www.aafp.org/afp/2002/1101/p1705.html
Epilepsy in Women - American Family Physician
Oct 15, 2002 - Epilepsy in women raises special reproductive and general health concerns. Seizure frequency and severity may change at puberty, over the menstrual cycle, with pregnancy, and at menopause. Estrogen is known to increase the risk of seizures, while progesterone has an inhibitory effect. ...
American Family Physician : Article
https://www.aafp.org/afp/2002/1015/p1489.html
Diagnosis and Treatment of Premenstrual Dysphoric Disorder - American Family Physician
Oct 1, 2002 - From 2 to 10 percent of women of reproductive age have severe distress and dysfunction caused by premenstrual dysphoric disorder, a severe form of premenstrual syndrome. Current research implicates mechanisms of serotonin as relevant to etiology and treatment. Patients with mild to ...
American Family Physician : Article
https://www.aafp.org/afp/2002/1001/p1239.html
Tips From Other Journals - American Family Physician
Oct 1, 2002 - ...couple should be evaluated simultaneously. Screening for causes of infertility is generally initiated after one year of unprotected sexual intercourse, although testing may begin earlier if a risk for infertility exists or if the man suspects that he is infertile. Sharlip and...
American Family Physician : Tip
https://www.aafp.org/afp/2002/1001/p1299a.html
Gynecologic Aspects of Crohn's Disease - American Family Physician
Nov 15, 2001 - Because Crohn's disease has a tendency to be transmural and to form fistulas, it may involve contiguous organs. Gynecologic involvement is frequent, diverse and often difficult to diagnose. Inflammation involving adjacent structures has been reported in as many as one third of patients....
American Family Physician : Article
https://www.aafp.org/afp/2001/1115/p1725.html
Cultural Controversies on Child Abuse - Letters to the Editor - American Family Physician
Oct 1, 2001 - ...amount to child abuse. There are certain cultures that practice infanticide of defective infants (sometimes defective only because they are female). Is it culturally insensitive to condemn this? It is considered child abuse to pray over a child instead of operating on his or her...
American Family Physician : Letter
https://www.aafp.org/afp/2001/1001/p1142.html
Impact of Anorexia, Bulimia, and Obesity on the Gynecologic Health of Adolescents - ...
Aug 1, 2001 - Dieting behaviors and nutrition can have an enormous impact on the gynecologic health of adolescents. Teenaged patients with anorexia nervosa can have hypothalamic suppression and amenorrhea. In addition, these adolescents are at high risk of osteoporosis and fractures. Unfortunately, ...
American Family Physician : Article
https://www.aafp.org/afp/2001/0801/p445.html
Depression in Children and Adolescents - American Family Physician
Nov 15, 2000 - Depression among children and adolescents is common but frequently unrecognized. It affects 2 percent of prepubertal children and 5 to 8 percent of adolescents. The clinical spectrum of the disease can range from simple sadness to a major depressive or bipolar disorder. Risk factors ...
American Family Physician : Article
https://www.aafp.org/afp/2000/1115/p2297.html
Quantum Sufficit - Sep 1, 2000 - American Family Physician
Sep 1, 2000 - ...suffer from sexual side-effects of high blood pressure and its treatment. Because many women are reluctant to mention symptoms of sexual dysfunction to their doctors, it is important for physicians to sensitively approach the subject of sexual dysfunction with their female patients....
American Family Physician : Quantum Sufficit
https://www.aafp.org/afp/2000/0901/p941.html
Evaluating the Febrile Patient with a Rash - American Family Physician
Aug 15, 2000 - The differential diagnosis for febrile patients with a rash is extensive. Diseases that present with fever and rash are usually classified according to the morphology of the primary lesion. Rashes can be categorized as maculopapular (centrally and peripherally distributed), petechial, ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0815/p804.html
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