Acute pelvic pain in reproductive-aged persons who are assigned female at birth is associated with an extensive differential diagnosis, with possible causes ranging from the genitourinary or gastrointestinal to the musculoskeletal or neurov…
Infertility is a growing issue for couples. Primary care NPs can manage initial treatment as well as address the emotional and financial burdens of patients experiencing infertility. NPs can provide timely access to investigations and treat…
Cathy R. Kessenich is an adult NP at JSA Medical Group, St. Petersburg, Fla., and a fellow in the American Academy of Nurse Practitioners. James Coyne is an ARNP with Baycare Medical Group, Tampa, Fla. The authors have disclosed that they h…
Endometriosis is a common problem characterized by abdominal pain, back pain, pain with intercourse, dysfunctional uterine bleeding, and infertility. The cause of endometriosis is not well understood, but advances in treatment have been mad…
The diagnosis and treatment of dysfunctional uterine bleeding can be a long emotional journey for the patient and a difficult challenge for the provider. This article provides NPs with a practical overview of the process from chief complain…
Atrophic vaginitis is a common finding in women with low estrogen states. Many women believe their symptoms are expected signs of aging. NPs can provide therapeutic options to improve vaginal health and quality of life. This article reviews…
Although progestational agents have been widely used for gynecologic conditions, treatment options have usually been limited to synthetic agents with adverse effects and sparse patient acceptance. Recent Food and Drug Administration approva…
Endometriosis is the presence of endometrial tissue outside of the uterine cavity, most commonly surrounding the ovaries and fallopian tubes. It is relatively common disorder in reproductive-age women and is associated with significant pain…
Health care providers who supply primary care to women will at some time encounter a patient presenting with symptoms of abnormal uterine bleeding and secondary dysmenorrhea. Adenomyosis, an elusive uterine disease, is a frequently ignored …
Dysmenorrhea is a common complaint of women during their reproductive years. Primary dysmenorrhea and endometriosis are the most common forms of pelvic pain. Through a comprehensive health history and physical examination, a clinical diagno…