afp20190115p117.pdf
...in two clinical trials of 716 women with vaginal dryness and moderate to severe dyspareunia who reported avoiding or refraining from sexual activity because of pain (a score of 2 or 3 on a scale of 0 to 3, in which 3 is the worst pain). Using the pra- sterone 6.5-mg vaginal insert...
American Family Physician
https://www.aafp.org/afp/2019/0115/afp20190115p117.pdf
afp20190401p435.pdf
...Differential Diagnosis Although the uterus is often the source, any part of the female reproductive tract can result in vaginal bleeding. Women may also mistake bleeding from nongynecologic sites (e.g., bladder, urethra, perineum, anus) as vaginal bleeding. The prevalence of...
American Family Physician
https://www.aafp.org/afp/2019/0401/afp20190401p435.pdf
afp20190415p505.pdf
...Common breast problems include breast mass, pain, and nipple discharge. Breast symp- toms were reported in about 3% of all visits by female patients to family physicians.1 Over a 10-year period, 16% of women 40 to 69 years of age had breast problems, and 10% reported breast symptoms...
American Family Physician
https://www.aafp.org/afp/2019/0415/afp20190415p505.pdf
afp20190701p39.pdf
...information: Handouts on this topic are available at https:// family doctor.org/condition/amenorrhea/, https:// family doctor.org/condition/female-athlete-triad/, and https:// www.aafp.org/afp/2013/0601/p781-s1.html. Menstrual patterns can be an indicator of overall health and...
American Family Physician
https://www.aafp.org/afp/2019/0701/afp20190701p39.pdf
afp20190801p168.pdf
...Hirsutism is excessive growth of terminal hair in a typi- cal male pattern in a female. It is typically a sign of excessive androgen levels. Hirsutism has been reported in 5% to 15% of women and is often associated with decreased quality of life and significant psychological...
American Family Physician
https://www.aafp.org/afp/2019/0801/afp20190801p168.pdf
afp20200201p147.pdf
...reversible contraceptives are safe and effective in adolescents and should be offered as first-line options to prevent pregnancy. Sexually active females 24 years or younger should be screened for gonorrhea and chlamydia annually. Adolescents 12 years or older should be screened for...
American Family Physician
https://www.aafp.org/afp/2020/0201/afp20200201p147.pdf
afp20200201p182.pdf
...Treatments for Postmenopausal Hypoactive Sexual Desire Disorder Erin McAdams, MD, MS; Zoë Cross, MD, MS; Clarivette Bosch, MD; and José E. Rodriguez, MD, University of Utah Health Sciences, Salt Lake City, Utah Joan Nashelsky, MLS, Family Practice Inquiries Network, Iowa City,...
American Family Physician
https://www.aafp.org/afp/2020/0201/afp20200201p182.pdf
afp20200301p286.pdf
...Sexual health is defined by the World Health Orga- nization as a state of physical, emotional, mental, and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction, or infirmity.1 Sexual health is foundational to the physical, emotional, and...
American Family Physician
https://www.aafp.org/afp/2020/0301/afp20200301p286.pdf
afp20200401p419.pdf
...Females: 2.4 (1.0 to 10.8) No relationship with severity or time since injury BMI = body mass index. *-Highly significant in multivariate analysis adjusting for other variables. †-Use of any headache medication on 10 or more days per month. Information from references 2,...
American Family Physician
https://www.aafp.org/afp/2020/0401/afp20200401p419.pdf
afp20200701p55.pdf
...others since childhood. When asked to share more about her past, she talked about severe depression brought on by childhood physical and sexual abuse. When asked whether these past experiences might be contributing to her current difficul- ties, the patient was unsure how the two...
American Family Physician
https://www.aafp.org/afp/2020/0701/afp20200701p55.pdf
afp20201101p550.pdf
...include interstitial cystitis, fibromyalgia, irritable bowel syndrome, pelvic myofascial pain, psychosocial conditions, and sexual dysfunction.46 PRESENTATION Pain associated with vulvodynia varies and can be local- ized, generalized, or mixed; spontaneous or provoked; and...
American Family Physician
https://www.aafp.org/afp/2020/1101/afp20201101p550.pdf
afp20210101p22.pdf
...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
https://www.aafp.org/afp/2021/0101/afp20210101p22.pdf
afp20210501p539.pdf
...evaluating mental health disorders, the PPE can be used as an opportu- nity to screen for and educate patients on bullying, hazing, sexual abuse, and sleep disorders, all of which can affect mental health in athletes.17,24 DEPRESSION AND ANXIETY The PPE5 recommends screening...
American Family Physician
https://www.aafp.org/afp/2021/0501/afp20210501p539.pdf
afp20210515p590.pdf
...SEXUAL DYSFUNCTION Sexual dysfunction occurs in up to 44% of patients treated in the ICU.19 There are no studies comparing the prevalence of sexual dysfunction in patients treated in the ICU with the general population, and there are no recommendations TABLE 1 Common...
American Family Physician
https://www.aafp.org/afp/2021/0515/afp20210515p590.pdf
afp20210515p597.pdf
...sexual intercourse, is common and can affect women’s mental and physical health and rela- tionships.1,2 The prevalence of dyspareunia in the United States is approximately 10% to 20% and varies by age and population.3 Women with sexual pain are at increased risk of sexual...
American Family Physician
https://www.aafp.org/afp/2021/0515/afp20210515p597.pdf
afp20210615p745.pdf
...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
https://www.aafp.org/afp/2021/0615/afp20210615p745.pdf
afp20210800p141.pdf
...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
https://www.aafp.org/afp/2021/0800/afp20210800p141.pdf
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
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
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
American Family Physician
...the second-generation antipsychotic clozapine. All antipsychotic medications are associated with an increased likelihood of sedation, sexual dysfunction, postural hypotension, cardiac arrhythmia, and sudden cardiac death. Primary care physicians should understand the individual...
American Family Physician
https://www.aafp.org/afp/2010/0301/afp20100301p617.pdf
American Family Physician
...Sexual Assault of Women HELEN LUCE, DO, Wausau Family Medicine Residency Program, Wausau, Wisconsin SARINA SCHRAGER, MD, MS, and VALERIE GILCHRIST, MD, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin S exual violence includes intimate partner...
American Family Physician
https://www.aafp.org/afp/2010/0215/afp20100215p489.pdf
American Family Physician
...HPV vaccination is recommended for all females aged 11 through 26 years (and may begin at age 9 years) who have not completed the vaccine series. History of genital warts, abnormal Papanicolaou test, or positive HPV DNA test is not evidence of prior infection with all vaccine HPV...
American Family Physician
https://www.aafp.org/afp/2009/0115/afp20090115p152-s1.pdf
Anterior Hip Pain - American Family Physician
Oct 15, 1999 - Anterior hip pain is a common complaint with many possible causes. Apophyseal avulsion and slipped capital femoral epiphysis should not be overlooked in adolescents. Muscle and tendon strains are common in adults. Subsequent to accurate diagnosis, strains should improve with rest and ...
American Family Physician : Article
https://www.aafp.org/afp/1999/1015/p1687.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
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
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
Care of Cancer Survivors - American Family Physician
...Female Hodgkin’s disease survivors treated with chest irradiation are at increased risk of developing breast cancer; surveillance should be started at 25 years of age. C 39, 41, 42 A = consistent, good-quality patient-oriented evidence; B = inconsistent or limited-quality...
American Family Physician
https://www.aafp.org/afp/2005/0215/afp20050215p699.pdf
Care of the College Student - American Family Physician
Jul 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
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
Case Studies in Partner Violence - American Family Physician
Dec 1, 1999 - Interpersonal violence and abuse, especially between relatives and domestic partners, are leading causes of morbidity and mortality. Family physicians and other professionals who provide primary care health services must deal with acute presentations and chronic sequelae of this ...
American Family Physician : Article
https://www.aafp.org/afp/1999/1201/p2569.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
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
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
Choosing Wisely: More Good Clinical Recommendations - American Family Physician
Choosing Wisely: More Good Clinical Recommendations to Improve Health Care Quality and Reduce Harm
American Family Physician : Choosing Wisely Recommendations
https://www.aafp.org/afp/recommendations/search.htm
choosing-wisely-table.pdf
...than the thyroid dysfunction. Imaging may be needed in thyrotoxic patients; when needed, a thyroid scan, not an ultrasound, is used to assess the etiology of the thyrotoxicosis and the possibility of focal autonomy in a thyroid nodule. Bahn RS, Burch HB, Cooper DS,...
American Family Physician
https://www.aafp.org/dam/AAFP/documents/journals/afp/choosing-wisely-table.pdf
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
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
https://www.aafp.org/afp/2016/0301/afp20160301p380.pdf
CME Session Topics
Learn more about workshop tracks at FMX, the AAFP's largest family medicine conference.
Events : FMX 2021
https://www.aafp.org/events/fmx/cme/opportunities/session-topics.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
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
Common Questions About Recurrent Urinary Tract Infections in Women
Date xx, xxxx Scientific
American Family Physician
https://www.aafp.org/afp/2016/0401/afp20160401p560.pdf
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
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
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
https://www.aafp.org/afp/1998/0315/p1245.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
Current Concepts in Concussion: Evaluation and Management
...are no definitive data on whether males or females are at greater risk of concussions, different mechanisms of injury have been suggested. Males seem prone to concussion through player-to-player contact, whereas concussions in females tend to be caused by con- tact with the...
American Family Physician
https://www.aafp.org/afp/2012/0115/afp20120115p123.pdf
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
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
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