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Nursing January 2009 Ayers & Montgomery	Putting a stop to dysfunctional uterine bleeding Learn how to search for the source of abnormal bleeding and help your patient get back on track.
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 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 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.
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 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 September 1, 2000	Polycystic Ovary Syndrome: It's Not Just Infertility Recent diagnostic and pharmacologic developments have focused renewed attention on polycystic ovary syndrome...
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 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.
American Family Physician June 15, 2003 Hunter & Carek	Evaluation and Treatment of Women with Hirsutism Hirsutism is a common disorder affecting up to 8 percent of women. It often results from conditions that are not life-threatening, such as chronic anovulation. Hirsutism is defined as the presence of excessive terminal hair in androgen-dependent areas of a woman's body.
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...
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 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 May 1, 2001 Kristin S. Pena & Jo Ann Rosenfeld	Evaluation and Treatment of Galactorrhea Galactorrhea, or inappropriate lactation, is a relatively common problem that occurs in approximately 20 to 25 percent of women...
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.
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 Journal of Nursing December 2009 Kathleen A. Whitney	Placental Site Trophoblastic Tumor Positive pregnancy tests can result from medical conditions other than pregnancy, including various cancers, such as placental site trophoblastic tumor.
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.
Nursing July 2010 Susan Simmons	A delicate balance: Detecting thyroid disease An estimated 27 million Americans have been diagnosed with thyroid disease, and another 13 million have undiagnosed thyroid disorders.
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 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 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 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 April 15, 2004	Abnormal Uterine Bleeding Q & A on abnormal uterine bleeding.
American Family Physician September 15, 2000 Toni Lapp	Practice Guidelines ACOG Issues Recommendations for the Management of Endometriosis
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.
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.
Health October 10, 2008	Cervical Cancer FAQ Signs, symptoms, prevention, and treatments are some of the topics explained here.
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 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?
Nursing June 2010 Daniel A. Hussar	New drugs 2010, part 2 In this article, you'll learn about 14 recently marketed new drugs.
American Family Physician February 15, 2004	New Contraceptive Options A study of different forms and methods of contraception.
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.
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 Family Physician March 15, 2001 Jeannette E. South-Paul	Osteoporosis: Part II. Nonpharmacologic and Pharmacologic Treatment Family physicians will frequently encounter patients with osteoporosis, a condition that is often asymptomatic until a fracture occurs...
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.
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.
American Family Physician October 15, 2002 Mahesh Krishnan	Preoperative Care of Patients with Kidney Disease Preoperative attention to common medical problems that occur in patients with impaired renal function can lower some surgical risks.
American Family Physician January 1, 2005 Brett Andrew Johnson	Insertion and Removal of Intrauterine Devices The intrauterine device (IUD) is an effective contraceptive for many women. The most common adverse effects of IUDs are cramping, abnormal uterine bleeding, and expulsion.
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 May 15, 2006 Lisa McCarthy	STEPS - Levonorgestrel-Releasing Intrauterine System (Mirena) for Contraception The levonorgestrel-releasing intrauterine system is a reliable, reversible, low-maintenance method of long-term contraception. Rates of failure are similar to those of female sterilization, and the risk of expulsion is minimal for most users.
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.
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.
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.
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.
American Family Physician August 1, 2000 Monica Preboth	Clinical Briefs Work-Related Lung Disease Surveillance... CDC Web-Based Training Program on Hepatitis C Virus Infection... FDA Approval of Uterine Balloon Therapy... ACSM Statement on Stress Fractures... Brochure for Women on the Proper Use of Medication... FDA Approval of AndroGel... AHRQ Report on Hospital Care...
American Family Physician January 15, 2005 Kucik & Clenney	Management of Epistaxis Family physicians frequently encounter patients with epistaxis (nasal bleeding). In rare cases, this condition may lead to massive bleeding and even death.
American Family Physician May 15, 2002	Birth Control Pills and Bleeding What is abnormal bleeding? Will I have it when I take birth control pills?... What could make me more likely to have abnormal bleeding?... If I have abnormal bleeding, what should I do?...