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female sexual dysfunction

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p1591.pdf

...I n the United States, approximately 43 percent of women and 31 percent of men experience sexual dysfunction.1 It is not surprising that testosterone, primarily used to treat sexual problems, is being prescribed more often than in the past; a 500 percent increase in sales has...

American Family Physician

https://www.aafp.org/afp/2006/0501/p1591.pdf

Dyspareunia in Women

Date xx, xxxx Scientific

American Family Physician

https://www.aafp.org/afp/2014/1001/p465.pdf

p459.pdf

...deconditioning, and neurologic impair- ment. Other common problems include poor appetite with possible weight loss, falls, and sexual dysfunction. Psychological morbidities, posttraumatic stress disorder, anxiety disorder, and depression also often occur in the post-intensive care...

American Family Physician

https://www.aafp.org/afp/2009/0315/p459.pdf

Managing the Adverse Effects of Radiation Therapy

...radiation cystitis include anticholinergic agents and phenazopyridine. Sexual dysfunction from radiation therapy includes erectile dysfunction and vaginal stenosis, which are treated with phosphodiesterase type 5 inhibitors and vaginal dilators, respectively. (Am Fam Physician....

American Family Physician

https://www.aafp.org/afp/2010/0815/p381.pdf

Undetected Childhood Sexual Trauma and Its Health Effects in Adults

...by sexual abuse or related trauma. I would like to talk with her about this. What is the best way to discuss this subject? If sexual trauma is revealed, how do I proceed? Commentary It is essential for physicians to understand the relevance of childhood sexual trauma to adult...

American Family Physician

https://www.aafp.org/afp/2013/0901/p328.pdf

p331.pdf

...but generally include gastrointestinal issues, neuropathy, pain, urinary symptoms, fatigue, psychological issues, cognitive problems, sexual symptoms, and stoma care. Carcinoembryonic antigen testing should be performed at each visit in patients who are candidates for further...

American Family Physician

https://www.aafp.org/afp/2018/0301/p331.pdf

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/p617.pdf

Depression in Later Life: A Diagnostic and Therapeutic Challenge - American Family ...

...Risk factors for depression in elderly per- sons include a history of depression, chronic medical illness, female sex, being single or divorced, brain disease, alcohol abuse, use of certain medications, and stressful life events.4 Up to 15 percent of widowed adults have...

American Family Physician

https://www.aafp.org/afp/2004/0515/p2375.pdf

Testosterone Therapy: Review of Clinical Applications

October 1, 2017:Date xx, xxxx

American Family Physician

https://www.aafp.org/afp/2017/1001/p441.pdf

p49.pdf

...Female Genital Mutilation or Cutting Commentary by Ranit Mishori, MD, MHS, FAAFP, Department of Family Medicine, Georgetown University School of Medicine, Washington, District of Columbia Nicole Warren, PhD, MPH, CNM, Johns Hopkins School of Nursing, Baltimore, Maryland Rebecca...

American Family Physician

https://www.aafp.org/afp/2018/0101/p49.pdf

Epilepsy in Women -- American Family Physician

...with epilepsy are more likely to experi- ence seizure patterns that relate to reproduc- tive cycles and are at risk of reproductive health dysfunction and pregnancy complica- tions.2 The ovarian steroid hormones estrogen and progesterone alter neuronal excitability and affect the...

American Family Physician

https://www.aafp.org/afp/2002/1015/p1489.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/p489.pdf

p117.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/p117.pdf

adult-immunization-schedule2010.pdf

...3 doses (females) Substitute 1-time dose of Tdap for Td booster; then boost with Td every 10 yrs 2 doses 1 or 2 doses 1 dose 1 dose *Covered by the Vaccine Injury Compensation Program. Figure 1. Recommended adult immunization schedule, by vaccine and age group...

American Family Physician

https://www.aafp.org/dam/AAFP/documents/journals/afp/adult-immunization-schedule2010.pdf

p408.pdf

...Minimal Effect of ERT on Sexual Function in Menopausal Women Clinical Question Does estrogen replacement therapy (ERT) affect sexual function in menopausal women? Bottom Line Transdermal, but not oral, estrogen produced a small improvement in sexual function scores in...

American Family Physician

https://www.aafp.org/afp/2018/0315/p408.pdf

Pelvic Organ Prolapse

August 1, 2017:Date xx, xxxx

American Family Physician

https://www.aafp.org/afp/2017/0801/p179.pdf

p489.pdf

...Health-Related Concerns of the Female Athlete: A Lifespan Approach ELIZABETH A. JOY, MD, MPH; SONJA VAN HALA, MD, MPH; and LESLIE COOPER, MD, MS University of Utah School of Medicine, Salt Lake City, Utah E vidence shows that exercise con- fers significant health benefits for women...

American Family Physician

https://www.aafp.org/afp/2009/0315/p489.pdf

afp20190601.pdf

...valves, weakened vascular walls, and increased intravenous pres- sure. Established risk factors include family history of venous disease, female sex, older age, chronically increased intra-abdominal pressure, deep venous thrombosis, and arteriovenous shunt- ing. Over the past 10...

American Family Physician

https://www.aafp.org/dam/AAFP/documents/journals/afp/afp20190601.pdf

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

Premenstrual Syndrome -- American Family Physician

...Behavioral symptoms: fatigue, insomnia, dizziness, changes in sexual interest, food cravings or overeating Psychologic symptoms: irritability, anger, depressed mood, crying and tearfulness, anxiety, tension, mood swings, lack of concentration, confusion, forgetfulness,...

American Family Physician

https://www.aafp.org/afp/2003/0415/p1743.pdf

p785.pdf

...reuptake inhibition may include agitation, insomnia, gastrointestinal distur- bances (e.g., nausea, diarrhea), and male and female sexual dysfunction.10 Medications that act upon sero- tonin increase the risk of gastrointestinal hemorrhage. in one study, patients who took SSris had...

American Family Physician

https://www.aafp.org/afp/2008/0315/p785.pdf

p1250.pdf

...the chronic issues these patients face and therefore may not be pre- pared to provide the appropriate long-term follow-up care. A survey of female childhood cancer survivors treated with chest radiation and, therefore, at an increased risk of breast cancer, found that more than 60...

American Family Physician

https://www.aafp.org/afp/2010/0515/p1250.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

p109.pdf

...PWID.26,27 Screening and behavioral counseling for gon- orrhea and chlamydia are recommended for sexually active females younger than 25 years and for females engaged in high-risk sexual behaviors.28,29 PWID who test positive for HIV infection or hepatitis C should receive...

American Family Physician

https://www.aafp.org/afp/2019/0115/p109.pdf

Choosing Wisely: Interventions to Improve Health Care Quality and Reduce Harm

...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-10-14.pdf

Intimate Partner Violence

...cle defines domestic violence as a pattern of assaultive and coercive behaviors, including physical injury, psychological abuse, sexual assault, enforced social isolation, stalking, deprivation, intimidation, and threats.1 Domestic violence includes abuse of older persons, children,...

American Family Physician

https://www.aafp.org/afp/2011/0515/p1165.pdf

p961.pdf

...when skin thickening is limited to areas dis- tal to the elbows and knees. CREST (calcino- sis cutis, Raynaud phenomenon, esophageal dysfunction, sclerodactyly, telangiectasia) syndrome is a variant of limited cutane- ous systemic sclerosis. Systemic sclerosis sine scleroderma is a...

American Family Physician

https://www.aafp.org/afp/2008/1015/p961.pdf

p1132.pdf

...experienced severe men- tal disorders such as schizophrenia, major depression, or bipolar disorder, and many are survivors of physical or sexual abuse and/or assault.11-14 In addition, many have experienced negative interactions with authority figures, and because anxiety is highly...

American Family Physician

https://www.aafp.org/afp/2006/1001/p1132.pdf

untitled

...Vulvodynia is not associated with sexually transmit- ted diseases (STDs) or STD risk factors,8,10 but affected women often have been treated repeatedly for candidal vulvovaginitis.8,10,11 In the past, it was theorized that the pain of vulvodynia was due to psychological issues.12,13...

American Family Physician

https://www.aafp.org/afp/2006/0401/p1231.pdf

p39.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/p39.pdf

Health Maintenance in Postmenopausal Women

May 1, 2017:Date xx, xxxx

American Family Physician

https://www.aafp.org/afp/2017/0501/p561.pdf

p517.pdf

...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

https://www.aafp.org/afp/2007/0815/p517.pdf

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

https://www.aafp.org/afp/2015/1101/p793.pdf

1374.pdf

...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

https://www.aafp.org/afp/2006/0415/p1374.pdf

p1333.pdf

...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

https://www.aafp.org/afp/2007/1101/p1333.pdf

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

https://www.aafp.org/afp/2011/0515/p1175.pdf

Screening for Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults: ...

...to 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

https://www.aafp.org/afp/2013/0415/od3.pdf

p449.pdf

...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

https://www.aafp.org/afp/2018/0401/p449.pdf

p597.pdf

...systems 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

https://www.aafp.org/afp/2008/0901/p597.pdf

Evaluation and Treatment of Infertility

Date xx, xxxx Scientific

American Family Physician

https://www.aafp.org/afp/2015/0301/p308.pdf

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

https://www.aafp.org/afp/2016/0201/p203.pdf

p781.pdf

...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

https://www.aafp.org/afp/2013/0601/p781.pdf

p645.pdf

...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

https://www.aafp.org/afp/2018/1201/p645.pdf

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

https://www.aafp.org/afp/2012/1001/p605.pdf

p373.pdf

...excessive hair growth not caused by androgen excess. Hypertrichosis may be congenital or caused by metabolic disorders such as thyroid dysfunction, anorexia ner- vosa, and porphyria.4 Hirsutism is often classified in terms of the distribution and degree of hair growth, such as...

American Family Physician

https://www.aafp.org/afp/2012/0215/p373.pdf

p435.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/p435.pdf

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/p380.pdf

Diagnosis and Treatment of Premenstrual Dysphoric Disorder -- American Family Physician

...often recur discretely during the luteal phase of the menstrual cycle and may significantly interfere with social, occu- pational, and sexual functioning. Premenstrual dysphoric disorder (PMDD), a severe form of premenstrual syndrome (PMS), is diagnosed by the pattern of symp-...

American Family Physician

https://www.aafp.org/afp/2002/1001/p1239.pdf

p643.pdf

...coli and Proteus species, and results in swelling of the acutely inflamed gland.1,10 urethritis from a urinary tract infection (uTi) or sexually transmitted infection SORT: KEY RECOMMENDATIONS FOR PRACTICE Clinical recommendation Evidence rating References In men with...

American Family Physician

https://www.aafp.org/afp/2008/0301/p643.pdf

p73.pdf

...and peer or family relationships and may lead to suicide. Biomedical and psychosocial risk factors include a family history of depression, female sex, childhood abuse or neglect, stressful life events, and chronic illness. Diagnostic criteria for depression in children and...

American Family Physician

https://www.aafp.org/afp/2007/0101/p73.pdf

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