Approach to the Patient with a Vaginal Discharge
Approach to the Patient with a Vaginal Discharge Shana L. Birnbaum Vaginal discharge is one of the most common reasons that women consult physicians in office practice in the United…
CRITICAL CARE
Approach to the Patient with Menstrual or Pelvic Pain
Approach to the Patient with Menstrual or Pelvic Pain Shana L. Birnbaum Pelvic pain is a major source of concern and morbidity for many women. Dysmenorrhea—painful periods—affects at least half…
Medical Evaluation of Female Sexual Dysfunction
Medical Evaluation of Female Sexual Dysfunction Susan E. Bennett Shana L. Birnbaum With advances in pharmaceutical treatment of male erectile dysfunction, there has been new attention focused on understanding female…
Evaluation of Vulvar Pruritus
Evaluation of Vulvar Pruritus Shana L. Birnbaum Vulvar itching can be a very annoying symptom for the patient. In the genital area, only the vulvar and perineal skin have sensory…
Evaluation of Breast Masses and Nipple Discharges
Evaluation of Breast Masses and Nipple Discharges Annekathryn Goodman A solitary or dominant breast mass or an abnormal nipple discharge may be a harbinger of breast cancer, the most common…
Evaluation of Secondary Amenorrhea
Evaluation of Secondary Amenorrhea Shana L. Birnbaum Secondary amenorrhea is defined as cessation of menses for 3 or more months in a woman with previously normal cycles. The incidence of…
Approach to the Woman with Abnormal Vaginal Bleeding
Approach to the Woman with Abnormal Vaginal Bleeding Shana L. Birnbaum Abnormal vaginal bleeding poses diagnostic and management challenges across the entire age spectrum for women. About one half of…
Screening for and Prevention of Intimate Partner Violence
Screening for and Prevention of Intimate Partner Violence Kerri Palamara Intimate partner violence (IPV), defined as threatened or inflicted physical, sexual, or psychological abuse by a current or former partner…
Screening for Endometrial Cancer
Screening for Endometrial Cancer Annekathryn Goodman More than 95% of the cancers of the uterine corpus are adenocarcinomas arising from the endometrium. In the United States, endometrial cancer is nearly…
Screening for Ovarian Cancer
Screening for Ovarian Cancer Annekathryn Goodman The risk of developing epithelial ovarian cancer (the most common form) is far less than that of developing breast cancer and other gynecologic malignancies;…
