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female sexual dysfunction

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...major public health and social consequences, such as accidents and absenteeism.3 Risk fac- tors for chronic insomnia include increasing age, female sex, psychiatric illness, medical comorbidities, impaired social relationships, lower socioeconomic status, separation from a spouse or...

American Family Physician


...and vaginal lacerations are common, affecting as many as 79% of vaginal deliver- ies, and can cause bleeding, infection, chronic pain, sexual dysfunction, and urinary and fecal incontinence.1,2 Grading of Lacerations Criteria from the American College of Obstetricians and...

American Family Physician

Diagnosis and Management of Common Types of Supraventricular Tachycardia

...Metoprolol II; beta blocker Decreases rate 25 to 100 mg orally twice per day Bradycardia, depression, sexual dysfunction AV = atrioventricular; IV = intravenously; SVT = supraventricular tachycardia. *-See Table 4 for the Vaughan-Williams classification of antiarrhythmics....

American Family Physician


...P rimary amenorrhea can be diag- nosed if a patient has normal sec- ondary sexual characteristics but no menarche by 16 years of age. If a patient has no secondary sexual character- istics and no menarche, primary amenor- rhea can be diagnosed as early as 14 years of age....

American Family Physician


...are vulnerable periods for the development of eating disorders; however, up to 8% of females and 2% of males are affected during their lifetimes, including persons of all ages, sizes, sexual and gender minority groups, races, ethnicities, socioeconomic strata, and geo- graphic...

American Family Physician


...and treatment. Infertility can be attributed to any abnor- mality in the female or male reproductive system. In most cases, the etiology is dis- tributed fairly equally among male factors, ovarian dysfunction, and tubal factors. A smaller percentage of cases are attributed to...

American Family Physician

Cultural Aspects of Caring for Refugees - Medicine and Society - American Family Physician

Mar 15, 1998 - ...uncommon diagnoses. For example, while beating is the most common type of torture, thermal and chemical burns, electrical torture, rape, sexual abuse, environmental manipulation, pharmacologic torture, asphyxiation and suspension by wrists are among other forms of torture used.4...

American Family Physician : Medicine and Society


...Pain or problems during sexual intercourse Headaches Chest pain Dizziness Fainting spells Feeling your heart pound or race Shortness of breath Constipation, loose bowels, or diarrhea Nausea, gas, or indigestion Note: If a patient reports being bothered...

American Family Physician

Interstitial Cystitis/Painful Bladder Syndrome

...noctu- ria; and pain of the pelvis, perineum, labia, vagina, or urethra. Physicians should also ask female patients about exacerbations related to the menstrual cycle and sexual intercourse.8-10 There are two symptom screening ques- tionnaires available for use in office prac-...

American Family Physician

Screening for Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults: ... the immediate effects of IPV, such as injury and death,4,5 there are other health consequences, many with long-term effects, including sexually transmitted dis- eases,6 pelvic inflammatory disease,7 and unintended pregnancy.8 Rates of chronic pain, neurologic disorders,...

American Family Physician

Tips From Other Journals - American Family Physician

Apr 15, 2000 - ...Dyspareunia and vaginismus are the two most common sexual dysfunctions in women. Dyspareunia is recurrent genital pain caused by sexual activity. Primary dyspareunia is defined as constant pain during sexual activity, while secondary dyspareunia occurs after a period of pain-free...

American Family Physician : Tip


...cancer (Table 1).4 There are 15 known oncogenic strains of HPV, with types 16 and 18 involved in 70% of cervical can- cer cases.7 Most sexually active adults will be exposed to HPV, and more than 50% of adults 20 to 24 years of age are currently infected.8 However, the immune system...

American Family Physician


...40% of these directors reporting increases compared with the previous five years of depression and anxiety disorders, learning dis- orders, sexual assault, and crisis issues requiring immediate responses.11 In colleges, most health center visits (60%) are to primary care clinics,...

American Family Physician

afp20080901p597.pdf Energy level; sleep patterns; headaches; visual changes; vomiting; abdominal pain; diarrhea and constipation; status and progress of sexual maturation; medical conditions, such as polyuria, polydipsia, oliguria A thorough systemic review evaluates the functional capacity...

American Family Physician

Evaluation and Treatment of Infertility

Date xx, xxxx Scientific

American Family Physician

Evaluation of Dysuria in Adults -- American Family Physician

...of American women report acute dysuria every year.10 The symptom is most prevalent in women 25 to 54 years of age and in those who are sexually active.11 In men, dysuria and its associated symptoms become more prevalent with increasing age.6 Causes of Dysuria INFECTION AND...

American Family Physician

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

Primary Care of the Solid Organ Transplant Recipient

...posttransplant, and female transplant recipients should avoid pregnancy for one year after surgery. The best contraceptive choice is usually an intrauterine device. Because of the increased risk of infection, patients should be tested for graft dysfunction or infection if suspicion...

American Family Physician


...It is helpful to consider the possible causes of amenorrhea categorically. These include anatomic defects in the outflow tract; pri- mary dysfunction of the ovary; disruption of hypothalamic or pituitary function; sys- temic disease affecting the hypothalamic- pituitary-gonadal...

American Family Physician


...does not imply dysphoria or a preference for treatment.10 The terms transgender and gender incongruence gener- ally are not used to describe sexual orientation, sex devel- opment, or external gender expression, which are related but distinct phenomena.5,7,8,11 It may be helpful to...

American Family Physician

Panax ginseng - American Family Physician

...In 45 patients with erectile dysfunction, use of ginseng improved erectile function, sexual desire, and intercourse satisfaction.22 Panax ginseng also appears to have anti- cancer effects. In a prospective cohort study23 of 4,364 persons older than 40 years, the risk of cancer...

American Family Physician

AAFP News Now

...that the benefits of circumcision, such as the prevention of urinary tract infections, penile cancer, and the transmission of some sexually transmitted infections, outweigh the risks and justify health insurance coverage of the procedure for families who choose to have their child...

American Family Physician

Nausea and Vomiting of Pregnancy - American Family Physician

...Gastrointestinal tract dysfunction also has been suggested as a cause of nausea and vom- iting of pregnancy. In one study6 in which progesterone was prescribed to nonpregnant women, resultant nausea and vomiting sug- gested that delayed gastric motility caused by progesterone may be...

American Family Physician

ICD-9 Codes for Family Medicine 2011-2012: The FPM Long List

...Skin neoplasm, skin of trunk 216.6 Skin neoplasm, upper limb Malignant Neoplasms 188.9 Bladder, unspec. 174.9 Breast, female, unspec. 153.9 Colon, unspec. 184.9 Female genital, unspec., CIS excluded 159.9 Gastrointestinal tract, NOS 201.90 Hodgkin’s, NOS 208.90 Leukemia, unspec.,...

Family Practice Management

Chronic Pelvic Pain in Women

...include aspects of hyperesthesia/ allodynia and pelvic floor dysfunction.7 The psychosocial context of the patient is important. Nearly one-half of women seek- ing care for chronic pelvic pain report a his- tory of sexual, physical, or emotional trauma, and about one-third have...

American Family Physician

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