Hormone Therapy and Other Treatments for Symptoms of Menopause - American Family Physician
Dec 1, 2016 - The results of large clinical trials have led physicians and patients to question the safety of hormone therapy for menopause. In the past, physicians prescribed hormone therapy to improve overall health and prevent cardiac disease, as well as for symptoms of menopause. Combined ...
American Family Physician : Article
https://www.aafp.org/afp/2016/1201/p884.html
Primary Care of Breast Cancer Survivors - American Family Physician
Mar 15, 2019 - With declining mortality rates, the number of breast cancer survivors is increasing. Ongoing care after breast cancer treatment is often provided by primary care physicians. This care includes surveillance for cancer recurrence with a history and physical examination every three to six ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0315/p370.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
Options for Women with Unintended Pregnancy - American Family Physician
Apr 15, 2015 - Unintended pregnancy refers to unwanted, unplanned, or mistimed pregnancies. One-half of all pregnancies in the United States are unintended, and family physicians are often asked to provide counseling, support, and resources for women with unintended pregnancies. Options include ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0415/p544.html
Gynecologic Procedures: Colposcopy, Treatments of Cervical Intraepithelial Neoplasia, ...
Jun 15, 2013 - Women who have abnormal Papanicolaou test results may undergo colposcopy to determine the biopsy site for histologic evaluation. Traditional grading systems do not accurately assess lesion severity because colposcopic impression alone is unreliable for diagnosis. The likelihood of ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0615/p836.html
Misoprostol Dosing for First-Trimester Abortion - FPIN's Clinical Inquiries - American ...
Sep 1, 2020 - Vaginal, oral, and sublingual misoprostol in single doses of 600 to 800 mcg are equally effective for promoting completed abortion in patients with an incomplete first-trimester spontaneous abortion.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0901/od1.html
Misoprostol Alone is Associated with High Rate of Successful First-Trimester Abortion -...
Jul 15, 2019 - Misoprostol alone was associated with a nearly 80% success rate in the first trimester of pregnancy on meta-analysis.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0715/p119.html
Tranexamic Acid for Postpartum Hemorrhage - Medicine by the Numbers - American Family ...
May 1, 2020 - Postpartum hemorrhage is the most common cause of maternal death worldwide. Tranexamic acid is an antifibrinolytic agent that has shown to decrease bleeding in surgical patients and all-cause death in trauma patients. Does early administration of tranexamic acid reduce the rate of death...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0501/od2.html
Aromatase Inhibitors Such as Letrozole (Femara) vs. Clomiphene (Clomid) for Subfertile ...
May 1, 2019 - When treated with letrozole, subfertile women with PCOS who are trying to conceive have increased chances of pregnancy (number needed to treat [NNT] = 11) and live birth (NNT = 10) compared with those treated with clomiphene.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0501/p545.html
Practical Use of the Pessary - American Family Physician
May 1, 2000 - The pessary is an effective tool in the management of a number of gynecologic problems. The pessary is most commonly used in the management of pelvic support defects such as cystocele and rectocele. Pessaries can also be used in the treatment of stress urinary incontinence. The wide ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0501/p2719.html
Management of Uterine Fibroids - Implementing AHRQ Effective Health Care Reviews - ...
Mar 1, 2019 - What are the comparative effectiveness and harms of treatments for uterine fibroids, and what is the risk of finding unexpected leiomyosarcoma in women with fibroids?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2019/0301/p330.html
Prasterone (Intrarosa) for Dyspareunia - STEPS - American Family Physician
Jan 15, 2019 - Prasterone is similarly effective to nonprescription options for treating vaginal dryness and itching associated with menopause and may offer a small benefit in the treatment of dyspareunia.
American Family Physician : STEPS
https://www.aafp.org/afp/2019/0115/p117.html
Estrogen No Better Than Vaginal Lubricant for Postmenopausal Vaginal Symptoms - POEMs -...
Nov 15, 2018 - It is time to rethink the idea that vaginal atrophy caused by diminished estrogen is the cause of vaginal symptoms associated with menopause. Vaginal estradiol is no more effective than a non-prescription vaginal lubricant or placebo lubricant in the treatment of women with painful ...
American Family Physician : POEMs
https://www.aafp.org/afp/2018/1115/od3.html
Mifepristone Pretreatment Improves Success Rate of Misoprostol for Early Pregnancy Loss...
Dec 1, 2018 - In women with early pregnancy loss between five and 12 weeks' gestation, pretreatment with 200 mcg of oral mifepristone before 800 mcg of vaginal misoprostol increases the likelihood of successful expulsion of the gestational sac.
American Family Physician : POEMs
https://www.aafp.org/afp/2018/1201/p683a.html
Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal ...
Apr 15, 2018 - D.M. is a 52-year-old woman who presents to your office for a well-woman visit. She has been menopausal since 50 years of age and has no significant medical or surgical history. She is up to date on her recommended screenings, with normal mammography and colonoscopy results, and has no ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2018/0415/p541.html
Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal ...
Apr 15, 2018 - The USPSTF recommends against the use of combined estrogen and progestin for the primary prevention of chronic conditions in postmenopausal women and the use of estrogen alone for the primary prevention of chronic conditions in postmenopausal women who have had a hysterectomy.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2018/0415/od1.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
Nonhormonal Therapies for Hot Flashes in Menopause - American Family Physician
Feb 1, 2006 - Numerous reports in the medical literature and popular media have discussed the effectiveness of various nonhormonal agents in reducing menopausal hot flash symptoms. Data for these therapies are limited, and most of the studies have been conducted in women with a history of breast ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0201/p457.html
CDC Updates Recommendations for Contraceptive Use - Practice Guidelines - American ...
Jan 15, 2017 - The Centers for Disease Control and Prevention (CDC) first published the U.S. Selected Practice Recommendations for Contraceptive Use (U.S. SPR) in 2013 to provide direction for safe and effective use of contraceptive methods. These guidelines update the 2013 report.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2017/0115/p125.html
Oral NSAIDs for Perineal Pain in the Early Postpartum Period - Medicine by the Numbers ...
May 1, 2017 - Oral nonsteroidal anti-inflammatory drugs were able to adequately relieve perineal pain for many postpartum women at four hours and longer.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2017/0501/od1.html
Oral Contraceptives Are Not an Effective Treatment for Ovarian Cysts - Cochrane for ...
Nov 1, 2014 - Oral contraceptives are not an effective treatment for ovarian cysts, whether the cysts are spontaneous or associated with medically induced ovulation. Most cysts resolve without intervention within two to three months. Those that do not resolve in this time frame are more likely to be ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2014/1101/p623.html
Misoprostol for Incomplete First Trimester Miscarriage - Cochrane for Clinicians - ...
Apr 1, 2014 - Misoprostol, administered by various routes, is as effective as expectant management and nearly as effective as uterine aspiration. All three options have high success rates for completing miscarriage. Women treated with misoprostol had higher rates of nausea, prolonged bleeding, and ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2014/0401/p523.html
Levonorgestrel-Releasing Intrauterine System vs. Oral Progestins for Treatment of ...
Jun 1, 2016 - The levonorgestrel-releasing intrauterine system achieves significantly higher resolution rates of endometrial hyperplasia without atypia compared with cyclic oral progestins (68% to 100% vs. 48% to 69%, respectively).
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2016/0601/p948.html
Conjugated Estrogens/Bazedoxifene (Duavee) for Menopausal Symptoms - STEPS - American ...
Feb 15, 2016 - Conjugated estrogens/bazedoxifene is effective for the treatment of menopausal symptoms and may be better tolerated than conjugated estrogens/medroxyprogesterone. It will maintain bone mineral density in the lumbar spine and hip, but its effect on fractures is not known. Cardiovascular ...
American Family Physician : STEPS
https://www.aafp.org/afp/2016/0215/p307.html
Menstrual Concerns in an Adolescent with Disabilities - Curbside Consultation - ...
Nov 1, 2015 - Clinicians who care for female adolescents with cognitive and physical disabilities are often consulted on the management of menstrual bleeding for purposes of hygiene, dysmenorrhea, and treatment of premenstrual symptoms. Contraception is also commonly discussed to mitigate pregnancy ...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2015/1101/p823.html
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