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The next patient in your exam room is a 25-year-old single woman who has come in for her quarterly contraceptive injection. At her last visit, she tested positive for chlamydia. She was given a prescription to treat the infection and counseled to have her partner come in for treatment as well. When her lab results are returned prior to your present exam, results are positive for chlamydia.
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Revamp your oral contraceptive (OC) counseling: Results of a new study indicate that Pill use is not associated with an increase or a decrease in fracture risk.
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In taking a sexual history from your next patient, a 15-year-old female tells you she is in a monogamous relationship with her boyfriend. She discloses that he often uses marijuana, and sometimes they have sex without a condom. When you ask further about the relationship, she tells you that sometimes she has unwanted sex with the boyfriend rather than risk an argument.
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While strides have been made in stemming gonorrhea, clinicians are advised to keep the sexually transmitted disease (STD) on the radar screen. Preliminary new data from the Centers for Disease Control and Prevention (CDC) show sharp increases in reported gonorrhea cases since 2000 in seven states: Alaska, California, Hawaii, Nevada, Oregon, Utah, and Washington.
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Review the following scenario: a patient has used oral contraceptives for 15 years, starting her first pill pack at age 28. Now at age 43, she tells you, "I had three children by 28 when I started using the Pill. I got divorced three years ago, and now I'm remarried. Why can't I get pregnant? It must be the Pill." What is your counseling strategy?
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In the August 2006 article, "Study looks at weight impact on OC efficacy," the apparent conclusion that weight is not associated with differential pregnancy rates is not supported by the data presented.
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Power up the radar when it comes to bacterial vaginosis (BV) and trichomoniasis. The first national data on the subject show high prevalence of both reproductive tract infections.
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The latest U.S. estimates show that some 1 million to 1.2 million people in the United States are living with HIV/AIDS, with 24-27% undiagnosed and unaware of their HIV infection.
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With approval from the FDA and a recommendation from the Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) in hand, providers are poised to offer the first vaccine specifically designed to prevent cervical cancer.
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Your next patient is a 17-year-old female, who says she is interested in using an oral contraceptive (OC) to help control her acne. How do you discuss the use of the Pill in her acne treatment?
