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Nurse Practitioner August 2011 Michelle C. Thomas	Treatment options for Dysfunctional uterine bleeding The diagnosis and treatment of dysfunctional uterine bleeding can be a long emotional journey for the patient and a difficult challenge for the provider.
American Family Physician April 15, 2004 Albers, Hull & Wesley	Abnormal Uterine Bleeding A practical approach to determining the cause of abnormal uterine bleeding, a common presenting sympton in the family practice setting, with brief reviews of medical and surgical management.
American Family Physician May 15, 2002 Sarina Schrager	Abnormal Uterine Bleeding Associated with Hormonal Contraception Abnormal uterine bleeding is a common but rarely dangerous side effect of hormonal contraception. It is, however, a major cause for the discontinuation of hormonal contraception and the resultant occurrence of unplanned pregnancy...
American Family Physician October 15, 2000 Barbara S. Apgar & Grant Greenberg	Using Progestins in Clinical Practice Progestational agents have many important functions, including regulation of the menstrual cycle, treatment of dysfunctional uterine bleeding, prevention of endometrial cancer and hyperplastic precursor lesions, and contraception...
American Journal of Nursing June 2012 Josie A. Weiss	Just Heavy Menses or Something More? Raising Awareness of von Willebrand Disease Von Willebrand disease is the most common inherited bleeding disorder, with an estimated prevalence of up to 1.3% of the U.S. population, or 4 million Americans.
American Family Physician April 15, 2006 Master-Hunter & Heiman	Amenorrhea: Evaluation and Treatment 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.
Nurse Practitioner January 2011 Reimer & Johnson	Atrophic vaginitis signs, symptoms, and better outcomes This article reviews physiology, clinical manifestations, signs, symptoms, and treatment methods for atrophic vaginitis.
American Family Physician March 15, 2007 Jose-Miller et al.	Infertility Infertility is defined as failure to achieve pregnancy during one year of frequent, unprotected intercourse. A careful history and physical examination of each partner can suggest a single or multifactorial etiology and can direct further investigation.
American Family Physician September 1, 2000	Polycystic Ovary Syndrome: It's Not Just Infertility Recent diagnostic and pharmacologic developments have focused renewed attention on polycystic ovary syndrome...
American Family Physician August 15, 2003 Marilyn R. Richardson	Current Perspectives in Polycystic Ovary Syndrome The purpose of this review is to examine the clinical course of this syndrome, which spans adolescence through menopause, and suggest a simple and cost-effective diagnostic evaluation to screen the large numbers of women who may be affected.
American Family Physician July 1, 2000 Nancy A. Phillips	Female Sexual Dysfunction: Evaluation and Treatment Sexual dysfunction includes desire, arousal, orgasmic and sex pain disorders (dyspareunia and vaginismus). Primary care physicians must assume a proactive role in the diagnosis and treatment of these disorders...
Nursing November 2011 Jeanne Held-Warmkessel	Taming Three High-Risk Chemotherapy Complications A review of three common chemotherapy-associated complications that can be serious enough to require hospitalization: febrile neutropenia, chemotherapy-related nephrotoxicity, and chemotherapy-related enterotoxicity.
American Family Physician April 15, 2004	Abnormal Uterine Bleeding Q & A on abnormal uterine bleeding.
Nursing June 2011 Daniel A. Hussar	New Drugs 2011: Part 2 In this article, you'll learn about seven recently approved drugs, including: fingolimod hydrochloride, an oral drug indicated to treat patients with relapsing forms of multiple sclerosis.
American Family Physician August 15, 2006 Mounsey, Wilgus & Slawson	Diagnosis and Management of Endometriosis The preferred method for diagnosis of endometriosis is surgical visual inspection of pelvic organs with histologic confirmation. Such diagnosis requires an experienced surgeon because the varied appearance of the disease allows less-obvious lesions to be overlooked.
Nursing October 2005 Susan Simmons Holcomb	Detecting Thyroid Disease Thyroid dysfunction can mimic signs and symptoms of aging. Find out how to recognize problems early, then learn about treatment and ways to manage symptoms.
Nursing April 2009 Pruitt & Lawson	What You Need to Know About Venous Thromboembolism Do you know how to recognize and respond to this potentially life-threatening emergency?
American Family Physician April 15, 2003 Dickerson et al.	Premenstrual Syndrome 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.
American Family Physician March 15, 2001 Thomas Zuber	Endometrial Biopsy Endometrial biopsy is an office procedure that serves as a helpful tool in diagnosing various uterine abnormalities...
American Family Physician February 15, 2004	New Contraceptive Options A study of different forms and methods of contraception.
American Family Physician January 15, 2005 Linda French	Dysmenorrhea The condition is the leading cause of recurrent short-term school absence in adolescent girls and a common problem in women of reproductive age. Empiric therapy can be initiated based on a typical history of painful menses and a negative physical examination.
American Family Physician August 2001 Marjorie E. Kaplan Seidenfeld	Impact of Anorexia, Bulimia and Obesity on the Gynecologic Health of Adolescents Dieting behaviors and nutrition can have an enormous impact on the gynecologic health of adolescents...
Nursing June 2010 Daniel A. Hussar	New drugs 2010, part 2 In this article, you'll learn about 14 recently marketed new drugs.
Nursing March 2009 Mary G. McKinley	Recognizing and Responding to Acute Liver Failure By quickly recognizing the signs and symptoms of acute liver failure, you can help your patient improve his odds of surviving this often-deadly condition.
Nursing March 2010 Peg Gray-Vickrey	Gathering pearls of knowledge for assessing older adults If you attended nursing school more than 10 years ago, you may have received limited education about gerontological nursing. But as baby boomers age, this is becoming an increasingly important area of nursing practice.
American Family Physician March 15, 2003 Baill et al.	Counseling Issues in Tubal Sterilization Female sterilization is the number one contraceptive choice among women in the United States. Counseling issues include ensuring that the woman understands the permanence of the procedure and knowing the factors that correlate with future regret.
Nursing October 2010 Jeff Strickler	Traumatic hypovolemic shock: Halt the downward spiral This article discusses the causes, treatments, and nursing care for patients with traumatic hypovolemic shock.
Nursing February 2012 Pezzotti & Freuler	Using anticoagulants to steer clear of clots This article will review coagulation and provide important information about several commonly used anticoagulants and their reversal agents.
American Journal of Nursing June 2011 Karen Roush	Menopausal Hormone Therapy: What We Know Now This article describes the findings and limitations of the major research thus far on hormone therapy.
Health October 10, 2008	Cervical Cancer FAQ Signs, symptoms, prevention, and treatments are some of the topics explained here.
American Family Physician July 1, 2006 Lesnewski & Prine	Initiating Hormonal Contraception Physicians can help patients improve their use of birth control by providing anticipatory guidance about the most common side effects, giving comprehensive information about available choices, and honoring women's preferences.
American Family Physician October 15, 2002 Martha J. Morrell	Epilepsy in Women 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.
American Family Physician February 15, 2004	A New View of Occult and Obscure Gastrointestinal Bleeding Occult gastrointestinal bleeding usually is discovered when fecal occult blood test results are positive or iron deficiency anemia is detected. Fecal occult blood testing methods vary, but all have limited sensitivity and specificity.
American Journal of Nursing February 2010 Melissa M. Smith	Emergency: Variceal Hemorrhage from Esophageal Varices Associated with Alcoholic Liver Disease This article describes alcoholic cirrhosis and its complications, discusses the etiology of esophageal varices and the risk factors for hemorrhage, and addresses emergent treatment.
Nurse Practitioner July 2011 Kass-Wolff & Fisher	Menopause and the Hormone Controversy: Clarification or Confusion? Hormone therapy in perimenopause and menopause remains a controversial and often confusing management strategy for healthcare providers. To assist in providing women quality healthcare, recently published new guidelines help provide direction for NPs.
American Family Physician April 1, 2005 Manning-Dimmitt et al.	Diagnosis of Gastrointestinal Bleeding in Adults The clinical evaluation of gastrointestinal bleeding depends on the hemodynamic status of the patient and the suspected source of the bleeding.
Nursing March 2009 Kate J. Morse	Focusing on the Surgical Patient with Cardiac Problems Learn about the latest guidelines for assessing cardiac risk and protecting his heart during noncardiac surgery.
American Family Physician March 15, 2007 Anderson & Etches	Prevention and Management of Postpartum Hemorrhage Postpartum hemorrhage occurs in up to 18% of births and is the most common maternal morbidity in developed countries. Early recognition, systematic evaluation and treatment, and prompt fluid resuscitation minimize the potentially serious outcomes associated with postpartum hemorrhage.
American Journal of Nursing November 2009	Trauma in Pregnancy A description of the mechanisms of traumatic injury during pregnancy includes a discussion of the normal changes of pregnancy and their implications in the care of pregnant trauma patients, and offers strategies for assessment and treatment.
Nurse Practitioner July 2008 Lynn A. Kelso	Cirrhosis: Caring for Patients with End-stage Liver Failure Caring for patients with end-stage liver disease can be very challenging for NPs.
American Family Physician June 15, 2001 John L. Pfenninger	Common Anorectal Conditions: Part I. Symptoms and Complaints Anorectal symptoms and complaints are common and may be caused by a wide spectrum of conditions...
American Family Physician March 15, 2001	Endometrial Biopsy Endometrial biopsy is a safe and effective method for evaluating the tissue lining the inside of the uterus (or womb) to detect cancer.
Health August 24, 2009 Catherine Guthrie	The Latest on Hormone Therapy for Women It's not often that a middle-aged former sitcom star is at the center of an important health debate. But Suzanne Somers's hormone therapy -- has put her in the limelight.
American Family Physician November 15, 2000 Randy Ellen Wertheimer	Emergency Postcoital Contraception Emergency postcoital contraception, a method used to prevent pregnancy after unprotected sexual intercourse, is a highly effective but underutilized birth control option....
American Family Physician June 1, 2003	Endometrial Cancer What should I watch for?... Am I at risk for endometrial cancer?... How is endometrial cancer diagnosed?... What is an endometrial biopsy?... etc.
American Family Physician October 15, 2004 Kathy Soch	Diary From a Week in Pactice A family practitioner remembers to put the chart aside and go to the patient for the answers... Refers a patient to a rheumatologist... Changes meds for a patient with advanced dementia... etc.
Nursing Management July 2010 Lois Welden	Transfusion confusion Over the past decade, literature has indicated that liberal use of blood transfusions results in poor clinical outcomes in the majority of critically ill patients.
American Family Physician April 15, 2005 Wilson & Kudis	STEPS Women using ethinyl estradiol/levonorgestrel contraception can expect similar or improved effectiveness and fewer menstrual cycles.
Health July 2007 Curt Pesmen	Surgery to Avoid #1: Hysterectomy Commonly used to treat persistent vaginal bleeding or to remove benign fibroids, hysterectomies often remove your sources of estrogen and testosterone, increasing your risk of heart disease and osteoporosis.
American Family Physician October 15, 2004 As-Sanie, Gantt & Rosenthal	Pregnancy Prevention in Adolescents The family physician plays a key role by engaging adolescent patients in confidential, open, and nonthreatening discussions of reproductive health, responsible sexual behavior, and contraceptive use.