experience breast surgical oncology

WHNPs in specialty positions: My experience in breast surgical oncology

When I, Caitlyn E. Hull, sought to become a women’s health nurse practitioner (WHNP), I had not considered the variety of roles that might be available. I had imagined myself working as a generalist...

Early pregnancy loss management for nurse practitioners and midwives

Early pregnancy loss (EPL), or miscarriage, is a common phenomenon in pregnancy; up to 30% of pregnancies result in miscarriage in women who have identified themselves as being pregnant.1 Various treatment modalities can be used to assist women who...

Study shows reduced risk of cardiovascular disease during times of bereavement with daily aspirin...

A study published in the American Heart Journal explored the effects of aspirin and low dose metoprolol intake during early bereavement periods. Times of bereavement are often associated with an “increased risk of cardiovascular disease,”...

When the warrior is a woman

The number of women serving in the United States Armed Forces has increased rapidly over the past decade and a half. The U.S. Department of Veterans Affairs (VA) has been implementing major changes to...

The elusive vulva

This article reviews some of the more common vulvar dermatoses that healthcare providers may encounter in their practice. Many of these conditions warrant vulvoscopy and, in some cases, biopsy, in order to facilitate proper diagnosis and...

Diagnosis and management of pelvic organ prolapse: The basics

Pelvic organ prolapse (POP) is a prevalent condition that can cause uncomfortable sensations of vaginal bulging, painful intercourse, and even stress urinary incontinence. This article presents a simple, evidence-based approach to diagnosing and managing...

Duke Team Reaches Milestone with Portable Cervical Cancer Screening Device

January was Cervical Health Awareness Month, and this year, that designation held special significance for Nimmi Ramanujam, professor of biomedical engineering and global health and director of the Center for Global Women’s Health Technologies. Since 2012, she and her research...

Using simulation to practice and perfect gynecologic procedure skills

Minimally invasive office gynecology procedures such as endocervical polypectomy and endometrial biopsy are routinely performed by women’s health nurse practitioners (WHNPs). To ensure patient safety and comfort and to avoid complications, the WHNP must have knowledge of indications and contraindications, as well as skills...

Abnormal uterine bleeding in reproductive-aged women utilizing the PALM-COEIN system

In this article, the author discusses how the PALM-COEIN classification system helps clinicians group various causes of abnormal uterine bleeding into structural and nonstructural etiologies, allowing assessment and management to be more specifically employed...

Preventing Postpartum Depression Closer to Home

About one out of every nine expectant mothers in the United States experiences symptoms of postpartum depression, according to the Centers for Disease Control and Prevention. The impact not only can affect the mother,...

Study fails to show benefit of adding vitamin C to treatment of septic shock

A study recently published in the Journal of the American Medial Association aimed to examine if a treatment combination of vitamin C, hydrocortisone, and thiamine would lead to a “rapid resolution of septic shock”...

Billable coding for female sexual dysfunction disorders*

Billable coding for general medical diagnoses and procedures is a complicated process. Within a subspecialty such as female sexual health, which lacks a clear consensus regarding diagnostic coding for sexual dysfunctions, the process can...

Top heart health apps for nurse practitioners

To acknowledge American Heart Month, Women's Healthcare would like to highlight some of the best heart health apps, including some providers can use in their practices: Pulsepoint Pulsepoint “enables citizen superheroes” by providing a network for users...

The Parkinson’s Foundation launched first-ever Nurse Fellowship program

The Parkinson’s Foundation recently announced the launch of its new Parkinson’s Nurse Fellowship program in the U.S. The fellowship award will offer support up to $95,000 “in salary, fringe benefits, malpractice insurance, research allowance, and...

BDSM: The 50 Shades Revolution

By Brooke M. Faught, MSN, WHNP-BC, IF Until recently, BDSM has remained largely “underground” in the United States because of the explicit nature of the activities and social stigma surrounding such participation. Although many books...
Microscope

Making the diagnosis: Vaginal infections

Most women experience at least one vaginal infection characterized by vaginal discharge, itching, and/or odor during their lives. In women who present with these vaginal symptoms, the three most common conditions are bacterial vaginosis, vulvovaginal...

Sexual enhancers: Lubricants, aids, and toys

Many sexually active women use products and devices to enhance their sexual experiences. Other women may not be aware of the wide variety of products that are available or how to acquire them, or they may not be...

Alcohol Free Holidays for Baby and Me

It’s the holiday season and for many people alcohol is a part of celebrating at family, friend, and co-worker get togethers. But what if a woman is pregnant or may be pregnant? Here are...

New guidelines for the management of school-based asthma

The Community Preventative Services Task Force (CPSTF) recently released new recommendations around the management of school-based asthma. These management strategies aim to reduce the amount of hospitalizations and emergency room visits from children and...

Study examines rate of cancer overdiagnosis in Australia

A recent study published in the Medical Journal of Australia examined the “proportion of cancer diagnoses in Australia that might reasonably be attributed to overdiagnosis.” The research team collected data between 1982 and 2012 from...

New findings from the American Cancer Society on reduced cancer mortality rates

Based on new findings from a 2020 American Cancer Society report, mortality rates from cancer have declined by 29% between 1991 to 2017 in the US. Additionally, between 2016 to 2017, there was a...

The history of secnidazole

In September 2017, the FDA approved secnidazole for the treatment of bacterial vaginosis. Although new to the United States, secnidazole is a well-established anti-infective agent utilized worldwide for the treatment of various bacterial and...

Two additional PGAD accounts

By Brooke M. Faught, MSN, WHNP-BC, IF Healthcare providers (HCPs) need to understand a patient's experience of a health condition in order to provide effective care in a holistic manner. This recommendation is especially important...
Irregular sleep menopause nurse

Irregular Sleep During Menopause May be Hard for Older Women’s Hearts

The sleep woes that many women suffer during menopause may be more than a nuisance: New research suggests a link between lost sleep and an increase in risk factors for heart disease and stroke. When...

Treating women with osteoporosis: Review and NPWH survey results

The author reviews osteoporosis, including basic facts about the disease, risk factors, prevention, diagnosis, and treatment. In addition, the author presents findings of a National Association of Nurse Practitioners in Women’s Health (NPWH) survey* in...

Suggestions to help parents reduce child’s anxiety

The Journal of the American Academy of Child & Adolescent Psychiatry released a study in March 2019 that showcases steps parents can take, in addition to standard therapy, to help lower or prevent anxiety...

Strategies for effective group prenatal care with pregnant adolescents

Managing the prenatal care of adolescents is both challenging and rewarding. Given adolescents’ developmental needs, group prenatal care (GPC) such as that modeled after Centering- Pregnancy is particularly well suited to members of this...

Healthy bones for women*

  Osteoporosis is a disease known for slow, silent loss of bone. (In this case, the word “silent” means that you won’t feel anything as the disease starts or worsens.) Bones become thinner and weaker, so they...

Closing the gap: Establishing a women’s preventive health visit

Women typically visit an ob/gyn practice, family practice, or internal medicine practice for routine, annual well-woman visits (WWVs). The focus of this visit may vary within these different settings.1 This can result in missing...

Lung cancer screening: Low-dose computed tomography

In the United States this year, more than 200,000 individuals will be diagnosed with lung cancer and close to 160,000 individuals will die of lung cancer. Women represent half of both of these numbers....
Strain of BV

Recurrent bacterial vaginosis

What can a nurse practitioner do for a woman who has been treated “countless times” for BV? Factors that alter the vaginal microbiome increase the risk for bacterial vaginosis (BV) by causing a shift in...

Do alternative therapies help with menopause?

A recent study examined the use of complementary and alternative medicine (CAM) to help women as they transition into menopause. These CAM therapies included nutrition-based options, physical treatments, psychological therapies, herbal medicines, and folk...
cultivating gynecologic oncology

WHNPs in specialty positions: Cultivating a new role in gynecologic oncology

Throughout my graduate education in nursing, I had no doubt that I ultimately wanted to focus my practice on women’s health. However, I did graduate with a fair amount of trepidation about the possibility...

Women’s Healthcare welcomes women’s health writer, Jeannie Collins Beaudin

My name is Jeannie Collins Beaudin, and I’m a retired Canadian pharmacist and former owner of a specialty compounding pharmacy. Compounding, by the way, is essentially making medicines from scratch. While all pharmacists do...

Using simulation to practice IUD insertion and removal techniques

Statement of Retraction of Article The article and video, “Using Simulation to Practice IUD Insertion and Removal Techniques,” by Aimee Chism Holland, DNP, WHNP-BC, FNP-C, FAANP, have been retracted by the editorial staff and on...

Acupressure improves QOL in nurses with chronic back pain

A study published in Applied Nursing Science details how acupressure may help nurses who experience chronic back pain. Nurses face extreme working environments on a daily basis, frequently working 12-hours shifts. These extreme conditions can...

Deaths from coronavirus rise

In the past 24 hours, news coverage of the coronavirus in Wuhan, China has become more and more rampant. I first heard of the outbreak from my husband last night before bed, and was...

PrEP for prevention: Practice update

According to the Centers for Disease Control and Prevention (CDC), about 1.2 million persons are living with HIV in the United States, and about 20% of them are unaware of it.1 Lack of awareness...

WHO announces official name for coronavirus

The World Health Organization (WHO) has recently announced the official name of the coronavirus: COVID-19. Amongst this development, recent news has begun to suggest that although the death rate of COVID-19 is still rising, infection...

FDA launches mobile app on antiretrovirals

On Jan. 29, the FDA launched an interactive database that will offer a wealth of critical information about antiretrovirals eligible for purchase under the President’s Emergency Plan for AIDS Relief (PEPFAR) program. Read more https://www.fda.gov/news-events/press-announcements/fda-launches-mobile-friendly-database-information-life-saving-hiv-drugs-part-ongoing-mission-empower.

WHO Factsheet: Sexually transmitted infections (STIs)

What are sexually transmitted infections and how are they transmitted? More than 30 different bacteria, viruses and parasites are known to be transmitted through sexual contact. Eight of these pathogens are linked to the greatest...

Low-risk pregnancies may result in fewer interventions with midwives

A new study from Obstetrics & Gynecology indicates that women with low-risk pregnancies, who delivered in a hospital setting with a midwife, may need fewer interventions and cesarean sections (C-sections) than women who saw...

Longer estrogen exposure improves cognitive function

According to findings from a new study, longer duration of endogenous estrogen exposure (EEE)may positively affect cognitive status in late life. The new study from The Journal of North American Menopause Society (NAMS) examined a sample...
brca beyond genetics breast gynecologic cancer

BRCA and beyond: The contribution of genetics to breast and gynecologic cancers (Part 2)

Faculty Kate McReynolds, APRN, MSc, MSN, ANP-BC, AGN-BC, is a Genetic Nurse Practitioner at Vanderbilt University Medical Center in Nashville, Tennessee. Intended audience This continuing education (CE) activity has been designed to meet the educational needs of nurse...

Study reveals link between hysterectomy and elevated health risks

A study by the Mayo clinic has discovered a connection between hysterectomy and elevated risks of cardiovascular diseases and metabolic conditions. The results were published in Menopause.  Read more.

Improving prenatal health behaviors: Implementing a blended model of prenatal care

A key measure of the efficacy of prenatal care and childbirth education is whether or not they have a positive effect on health-promoting behaviors during and following pregnancy. The purpose of this study was to measure the...

Billable coding for female sexual dysfunction disorders

  By Brooke M. Faught, MSN, WHNP-BC, IF Billable coding for general medical diagnoses and procedures is a complicated process. Within a subspecialty such as female sexual health, which lacks a clear consensus regarding diagnostic coding...

Dyspareunia for a dozen years in a young woman

A 30-year-old woman named CL presents to the office as a new patient. Her health history is notable for dysmenorrhea; irritable bowel syndrome (IBS), diarrhea dominant; and dyspareunia since the onset of sexual activity at age 18. CL has never been pregnant. CL tells...
group visits management patient pcos study ant

Group visits for management of patients with PCOS: A pilot study

Polycystic ovary syndrome (PCOS), a complex disorder affecting reproductive-aged females, presents challenges for equipping patients with knowledge and tools to manage their condition. The authors examined the feasibility of conducting a group visit program...

Educational tool lowers decline in cervical length screening

Researchers devised an educational tool after a brief survey that identified the reasons why patients were likely to accept or decline cervical length screening. The approach has been found to especially be effective among...

First targeted therapy for rare mutation of gastrointestinal stromal tumors

The U.S. Food and Drug Administration (FDA) recently announced the approval of Blueprint Medicines Corporation’s avapritinib (Ayvakit) for the treatment of adult patients with metastatic gastrointestinal stromal tumor (GIST) with the “platelet-derived growth factor...

Top apps for nurses in 2019

As smart phones become more and more integral in our lives, the Women's Healthcare team would like to share some of the top apps for nurses in 2019! These apps all have features that...

Focus on sexual health

By Brooke M. Faught, MSN, WHNP-BC, IF Menopause affects many areas of a woman’s body, including vulvar and vaginal tissue. Most women present with some degree of atrophic vulvovaginal tissue changes in the years following...

How the opioid epidemic affects women

Opioid use disorder (OUD) has become such a prominent topic in today’s society that it’s hard to go one day without hearing news about new death statistics or pending litigation issues, but one aspect...

Genitourinary syndrome of menopause: The new vulvovaginal atrophy

Menopause affects many areas of a woman’s body, including vulvar and vaginal tissue. Most women present with some degree of atrophic vulvovaginal tissue changes in the years following menopause, and up to nearly half...

Early antiretroviral therapy could lower risk of HPV contraction and cervical cancer

A study by British and Spanish researchers revealed that early uptake of antiretroviral therapy for women with HIV was associated with lower rates of  high-risk HPV contraction and invasive cervical cancer. Read more.

Sexuality in the aging population: Q&A from a certified sex therapist

The author of the second part of this 2-part series on sexuality in the aging population is a Certified Clinical Specialist in Psychiatric/Mental Health Nursing and an AASECT-Certified Diplomate of  Sex Therapy. She shares...

WHO reports that coronavirus transmission outside of China may increase

The World Health Organization (WHO) recently announced that the rate of coronavirus transmission outside of China may soon be increasing. Tedros Ghebreyesus, the director-general of WHO, describes the potential with the following: “It’s slow now,...

H.E.R. Hub is now live!

It is my pleasure to announce the launch of the National Association of Nurse Practitioners in Women’s Health (NPWH) new and innovative online website for women: H.E.R. Hub at www.myherhub.com. H.E.R. Hub captures...

Accelerated approval for new sickle cell disease treatment

The U.S. Food and Drug Administration (FDA) recently granted accelerated approval to Global Blood Therapeutics’ voxelotor (Oxbryta), a treatment for adults and pediatric patients (12 years and older) with sickle cell disease (SCD). SCD is...

Impact of early sexuality education on adult sexuality

I am pleased to introduce Emi Canahuati, a sexuality educator and trainer who owns Talk and Thrive Education, LLC, which provides workshops, educational videos, and private coaching sessions so that parents can obtain the tools they need to have...

AHA Guidelines: Time to Revisit Thinking on Pregnancy in Women with Complex Congenital Heart...

In a notable twist on conventional wisdom, a new American Heart Association scientific statement on managing pregnancy in patients with complex congenital heart disease (CHD) supports the notion that most women with complex CHD can have...

Implementation of the HSDD process of care into clinical practice

Distressing low sexual desire is the most common sexual complaint among women in the United States. Despite the prevalence of this condition and others like it, many healthcare providers find the diagnosis and treatment...

FDA issues warning letter for medication-assisted treatment for opioid use disorder

The U.S. Food and Drug Administration (FDA) recently issued a warning letter to Alkermes, Inc. due to misbranding on the drug Vivitrol, which is used to prevent opioid dependence relapse. The letter was issued...
A PCP’s Guide to Managing Patients at Genetic Risk of Breast Cancer

Caring for women on adjuvant therapy for breast cancer: Role of the NP in...

Faculty: Rachel Gorham, MSN, WHNP-BC, AGN-BC,  holds board certification as a women’s health nurse practitioner and in advanced genetics nursing. She is a member of the NPWH Board of Directors. Intended audience: This continuing education...
men breast conditions

Men with breast conditions: The role of the WHNP specializing in breast care

The National Association of Nurse Practitioners in Women’s Health (NPWH) affirms the role of the women’s health nurse practitioner (WHNP), as a member of a multidisciplinary breast care specialty team, in providing specialized breast...

Study highlights potential effectiveness of yoga for chronic back pain in nurses

A recent study published in the Holistic Nursing Practice journal highlights the positive effects of yoga, tai chi, and other “movement-based mind-body interventions” for nurses and nurse practitioners who suffer from chronic back pain. The...

New York City to launch program for postpartum depression

A new program for helping families affected by postpartum depression is set to hit New York City in 2024. The program is The New Family Home Visits initiative, and will first begin in Brooklyn...

Motivational interviewing and adherence to osteoporosis regimens

Osteoporosis is associated with increased morbidity, mortality, and healthcare costs—billions of dollars annually. Although many types of pharmacotherapy are available to prevent or treat the disease, many patients, for various reasons, do not adhere to...

NPWH 2018 Conference Poster Abstracts

This issue of Women’s Healthcare: A Clinical Journal for NPs features poster abstracts presented at the 21st annual NPWH conference in San Antonio in October 2018. These abstracts include those of the first- and...

Increase in confirmed coronavirus cases in US

Over the weekend, there was an increase in the amount of confirmed coronavirus cases to hit the United States; currently, there are five confirmed cases. Additionally, there has been an increase in both the amount...

New report puts coronavirus infection count over 75K in Wuhan

A new report indicates that there could be over 75,000 reports of coronavirus infections in Wuhan, China, and almost 10,000 cases across the entire nation of China. Meanwhile, in the United States, three major airlines...

Potential consideration for physicians regarding cannabis edibles

In early January 2020, the Canadian Medical Association Journal published a commentary from Drs. Jasleen Grewal and Lawrence Loh regarding potential concerns around the use of cannabis edibles. One of the key points addressed in...

Study reveals link between asthma and atrial fibrillation risk

A new study published in Circulation: Arrhythmia and Electrophysiology examined if there is a link between “persistent” asthma and an increased risk of atrial fibrillation (AF). The study hypothesized the potential association due to the...

Factors associated with HPV vaccination before first sexual intercourse among female college students

The first aim of this study was to identify characteristic differences between college women who completed the 3-dose human papillomavirus (HPV) vaccine series prior to first sexual intercourse and those who did not. The...

Calming the overactive bladder: a nurse practitioner perspective*

Overactive bladder (OAB) is not a single entity but, rather, a symptom complex consisting of urgency, with or without urge incontinence, and often frequency and nocturia. The hallmark symptom is urgency, a compelling desire to...

Collaboration in practice: A framework for team-based care

Since passage of the Affordable Care Act in 2010, alternate care delivery models such as patient- centered health homes and accountable care organizations have emerged as tools for payment and healthcare delivery system reform. The intent of such clinical...

Study highlights increases in amount of out-of-pocket spending for maternity care

A recent study published in Health Affairs highlights how much the out-of-pocket (OOP) expenses for maternity care have increased over time. The study examined the costs associated with maternity care between 2008 and 2015 (before...

New evidence-based guideline for accurate HPV testing in head and neck cancers

The College of American Pathologists has released its newest evidence-based practice guideline, “Human Papillomavirus Testing in Head and Neck Carcinomas,” now available in Archives of Pathology and Laboratory Medicine. The guideline recommends accurate assessments of...

The pelvic health and wellness program: A niche clinical entity

In today’s healthcare climate, women’s health nurse practitioners (WHNPs) and other NPs providing healthcare for women are in a unique position, as front-line providers, to develop and implement a comprehensive, conservative, community-based pelvic health...

Female sexual dysfunction: Why is it so difficult to treat?

Many healthcare providers avoid addressing and treating sexual problems in women for a multitude of reasons, including the paucity of FDA-approved medications for female sexual dysfunction (FSD), concern about the additional time required during...

Get your child vaccinated against HPV!

Why does my child need the HPV vaccine? The HPV vaccine protects against cancers caused by human papillomavirus (HPV). HPV is a very common virus; nearly 80 million people in the United States—about 1 in 4—are infected...

Marijuana Use during Pregnancy and Lactation

The National Association of Nurse Practitioners in Women’s Health (NPWH) advocates for a nonjudgmental and evidence-based approach to screening and counseling women concerning marijuana use during pregnancy and lactation. NPWH supports strategies to educate...

New study reveals no statistical significance between use of talcum powder and ovarian cancer

A new study recently published in the Journal of the American Medical Association reveals that there is no statistical significance between a women’s use of talcum powder and developing ovarian cancer. The study examined a...

First FDA-approved treatment for preventing Ebola virus

In late December 2019, the U.S. Food and Drug Administration (FDA) announced the approval of Merck’s Ervebo, the first FDA-approved vaccine to prevent Ebola virus disease. The FDA Deputy Commissioner for Policy, Legislation, and International...

New vaccine eliminated breast cancer in first human patient

A vaccine being developed in the Mayo Clinic in Jacksonville, Florida is aimed at preventing new cases of ovarian and breast cancer and even recurring cases of these cancers. The vaccine is currently being tested,...

An overview of depression in women: Through the lifespan

  Before reading the article, click here to take the pretest. To provide a quick and useful review of depression in women, the authors provide up-to-date information about risk factors, diagnosis, screening techniques, and management, and...

Barriers to care for sexual assault survivors of childbearing age: An integrative review

Research indicates that only a small fraction of sexual assault survivors seek comprehensive care—including physical and mental healthcare, forensic evidence collection, victim services, and legal support—after the assault. This integrative review was conducted to identify...

The World Health Organization aims to reduce mortality of cervical cancer

In a recent study, the World Health Organization (WHO) describes a study which aims to eliminate cervical cancer “as a public health problem.” This goal is planned to be achieved through the WHO’s Cervical Cancer...

Persistent genital arousal disorder: The uninvited guest (Part 1)

Persistent genital arousal disorder (PGAD) is a per- plexing and elusive health condition of unknown prevalence. Until recently, little was known about its etiology or amenability to treatment. However, re- cent advances in sexual...

Reaching postpartum women in the U.S.: Demographics and generational characteristics

The postpartum period, defined traditionally as the first 6-8 weeks after birth, is a time of rapid change for new mothers and their families. Mothers are not only recovering physically but also making psychosocial adjustments related to their family role and relationships....
Persistent genital arousal disorder: The uninvited guest

Persistent genital arousal disorder: The uninvited guest (Part 2)

By Brooke M. Faught, MSN, WHNP-BC, IF Healthcare providers (HCPs) need to understand a patient's experience of a health condition in order to provide effective care in a holistic manner. This recommendation is especially important...

It’s not just physical: The adverse psychosocial effects of polycystic ovary syndrome in adolescents

  Management of polycystic ovary syndrome (PCOS) in adolescents entails dealing not only with the physical manifestations but also the troubling psychosocial effects related to these physical manifestations. The author conducted a literature review to...

Hypoactive sexual desire disorder: How do you identify it and treat it?

Approximately 1 in 10 women has distressing low sex drive, otherwise known as hypoactive sexual desire disorder (HSDD). How do healthcare providers determine whether a given patient has HSDD? And how should they treat...

Healthy eating may reduce risk for hearing loss

The research team collected longitudinal data from the Nurses’ Health Study II Conservation of Hearing Study by examining the changes in hearing sensitivity in the participants over a 3-year period. The results indicated that women who...

Managing female sexual dysfunction

  By Casey B. Giebink, MSN, NP-C, WHNP-BC and Ivy M. Alexander, PhD, APRN, ANP-BC, FAAN Although about one-third of women report concerns with sexual functioning, many healthcare providers (HCPs) do not feel comfortable screening for,...
pelvic organ prolapse sexually active

Pessary use for pelvic organ prolapse in sexually active women

By Brooke M. Faught, MSN, WHNP-BC, IF Pelvic organ prolapse (POP), a common condition in women, increases in prevalence with advancing age. Treatment for POP may include pelvic floor exercises, surgery, and/or use of pessaries....

Guide provides overview of key sleep challenges women face

The Society for Women’s Health Research (SWHR®) Interdisciplinary Network on Sleep has developed a guide providing an evidence-based overview of key sleep challenges women face throughout the lifespan. The Sleep Network  has also partnered with patients...

Study shows a specific nutrient could help non-alcoholic fatty liver disease

A recent study published in the Hepatology journal of the American Association for the Study of Liver Diseases investigates if indole, a microbiota metabolite may help alleviate inflammation and diet-induced non-alcoholic fatty liver disease...

Sexuality in the aging population: Statement of the problem

This column is the first part of a 2-part series. The aging process can compromise sexual functioning in both women and men. Many older persons deal with this situation by terminating sexual activity—perhaps because they are unaware of various...