From The Journal
A quality improvement initiative to increase identification of oral disease and dental care in pregnancy
Abnormal uterine bleeding in reproductive-aged women utilizing the PALM-COEIN system
Adolescent Mental Health: A Guide for the Primary Care Provider
Providing screening for anxiety, depression, and suicidality at every visit with an adolescent is a necessity in the post-Covid landscape.
An Update on Vulvovaginal Candidiasis
One survey found only 66% of patients with a documented diagnosis of VVC received a guideline-recommended workup.
Arousal and orgasmic dysfunction in women
Assessment and management of benign breast lesions: Role of the WHNP
“Benign Breast Conditions: The Role of the WHNP,” will be a breakout session at the 24th Annual NPWH Premier Women’s Health Conference Oct. 13 to 16. See article for registration details.
Assessment and Management of PMS and PMDD in the Adolescent
Discussing menstrual cycle-related mood symptoms provides an opportune time during the visit to complete depression screening.
Assessment and management of vaginal bleeding in early pregnancy
Assessment and Management of Vitamin D Deficiency
Treatment for vitamin D deficiency is safe and inexpensive, but the condition often goes undiagnosed or untreated.
Assessment and management: Primary hypothyroidism in women
Hypothyroidism is a common endocrine disorder affecting nearly 2 in 100 women. Primary hypothyroidism can be diagnosed and effectively managed by primary care providers.
Bladder Pain: The Latest Recommendations for a Century-old Problem
Interstitial cystitis/bladder pain syndrome can easily be overlooked for conditions such as overactive bladder, urinary tract infection (UTI), vaginitis, pelvic floor disorders, or endometriosis.
BOlder Women’s Health Coalition: A call to action
Many female baby boomers envision healthy aging in a way that differs from that of previous generations.
Breast cancer, aromatase inhibitors, and bone health
Breastfeeding complications in a Filipino American patient
Caring for widows in the aftermath of loss: Implications for nurse practitioners and midwives
The high rates of mortality from the Covid-19 pandemic are now creating even more widows and the mortality risk for widows almost doubles in the first 3 months following widowhood.
Caring for women on adjuvant therapy for breast cancer: Role of the NP in the primary care setting
Case Study: Acute Abdominal Pain at 31 Weeks’ Gestation
Conservative measures to manage acute appendicitis without surgery can be an acceptable choice for pregnant women meeting appropriate criteria.
Case Study: Severe Headache in a Young Woman
She estimates that she was examined by 10 healthcare providers prior to receiving the correct diagnosis.
CDC recommendations for providing quality STD clinical services
Many STD infections are asymptomatic, so access to screening is essential.
Cervical cancer prevention: Review of the past, present, and future
No longer should anyone living in the United States die from cervical cancer because this cancer is preventable.
Challenges of testing for genital herpes
Clinical presentation, diagnosis, and management of Mycoplasma genitalium
Clinical Resources | Mental health screening for women age 50 Years and older
Clinical Topics: Prenatal and Postpartum
Clinical Topics: Reproductive and Sexual Health
Closing the gap: Establishing a women’s preventive health visit
Clostridioides difficile in pregnancy
Coalition Formed to Address Health Needs of Aging Women
Colorectal Cancer Screenings Starting Younger Than Before
Recommendations for CRC screening differ slightly among authoritative agencies and can be confusing to decipher.
Commentary | Fetal alcohol spectrum disorders are more common than we think
Covid-19 Update Post-Covid Conditions: Implications for Primary Care Providers
Many post-Covid symptoms can be managed in the primary care setting and often improve without medical intervention during the first few months after initial infection.
COVID-19 update: Navigating biases against Asian Americans during Covid-19
Asian American healthcare providers disproportionately experience racial discrimination in the context of this pandemic.
Current barriers to LARC removal: Threats to reproductive autonomy
Current practices and perspectives of women’s health providers on STI treatment of sexual partners
Current Primary Care Recommendations for Three Common Autoimmune Disorders
Current recommendations for screening and management of postpartum depression
Depressive symptoms in perimenopause
Design and Implementation of a Virtual Procedural Skills Training
Virtual workshops are increasingly becoming a popular venue for continuing education (CE) opportunities to maintain and expand skills for routine in-office procedures.
Destigmatizing abortion in primary care settings
Development of a Vaginal Simulation Model for Virtual Teaching of Pelvic Health
Inspiration for this design was the move from in-person to virtual teaching necessitated by the Covid-19 pandemic.
Development of cardiovascular disease after adverse pregnancy outcome
Development of the WHNP Postpartum Hospitalist Role: Perspectives From Philadelphia
Beyond benefits to the patient, there are also professional benefits that may attract the WHNP to a hospitalist role.
Diabetic gastroparesis in pregnancy
WHNP may participate in the management of high-risk pregnancies when collaborating with other multidisciplinary providers.
Disordered eating: Not just a problem of the young
Dyspareunia for a dozen years in a young woman
Early postpartum contact: QI project to increase postpartum visits, screenings, and referrals
Effect of tickborne illnesses on women
Includes a video with a step-by-step simulation of a tick removal.
Emergency Contraception Update
Despite increases in availability Emergency Contraception (EC) remains an underutilized method of pregnancy prevention.
Enabling Healthy Sexuality and Intimacy for Individuals With Intellectual and Developmental Disabilities
Sexuality education is often avoided in youth with intellectual and developmental disabilities.
Endometriosis care: Women’s health nurse practitioners share perspectives
Etiology of hypoactive sexual desire disorder and implications for treatment: Four case scenarios
Evaluation and Conservative Management of Urinary Incontinence in Women
Examining an Implicit Bias Assessment Tool: Considerations for Faculty and Clinicians
We have an obligation to teach the next generation of providers about the role of implicit bias in healthcare and its impact on patients served.
Factors associated with HPV vaccination before first sexual intercourse among female college students
Highlights of Updated Recommendations in the 2021 CDC Sexually Transmitted Infections Treatment Guidelines
The 2021 guidelines include updated recommendations for treatment of Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, pelvic inflammatory disease (PID) and Mycoplasma genitalium, and alternative treatment options for bacterial vaginosis (BV).
Highlights on Contraceptive Management
How nurse practitioners can affect women’s health in rural America
Nurse practitioners, including women’s health nurse practitioners, can help reduce health disparities, improve access to care, and promote favorable health outcomes for female rural residents.
HPV vaccination: Reaching the catch-up population and beyond
Hyperprolactinemia: The ABCs of diagnosis and management
Describe common causes for and clinical manifestations of hyperprolactinemia.
Hypertension: A discussion of the guidelines
Implementation of the Maternal Mental Health Safety Bundle: Standardizing perinatal depression screening and response in a federally qualified health center
A national survey of obstetricians and gynecologists reported that 53% universally screened pregnant patients for depression, but only 33.67% implemented guideline-congruent care.
Implementing a Cancer Risk Assessment Screening Tool: Identifying Patients at Risk for Hereditary Breast and Ovarian Cancer Syndrome
The development and implementation of an HBOC risk assessment protocol can decrease morbidity and mortality.
Implementing Bundled HPV Immunization Strategies to Reduce Missed Opportunities
Despite the availability of a well-studied, safe, and effective vaccine, the national HPV vaccination coverage is below 50% among adolescents and the rates continue to lag among US military members.
Improving assessment and management of fecal incontinence in women
Improving depression and anxiety screening in an infertility practice through implementation of an evidence-based screening tool and process
Improving perinatal sexual health assessment: PLISSIT model implementation
Initial evaluation of the male with infertility
Intimate Partner Violence
Despite the recommendations of USPSTF, WPSI, and other professional organizations, routine screening and intervention for IPV is not a widespread practice in healthcare settings.
Intrahepatic Cholestasis of Pregnancy: New Insights on an Old Issue
Although ICP poses minimal health risks for the pregnant person, it carries significant risk to the fetus.
Irritable Bowel Syndrome
IBS is a very important healthcare concern given its high prevalence, the effects it has on health-related quality of life.
Ketogenic nutrition therapy: Considerations for the women’s health clinician
Current data are limited on ketogenic nutrition in pregnancy, and it is therefore not recommended.
Low back pain in women: Why does it hurt?
Management of headache in pregnancy and during lactation
Managing postmenopausal dyspareunia: An update
Marijuana Use during Pregnancy and Lactation
Menstrual suppression in an adolescent with intellectual disability
What should the NP know about menstruation in girls with intellectual disability?
Mental illness stigma: Strategies to address a barrier to care
Women’s health NPs are ideally positioned to decrease MI stigma and facilitate necessary mental health services as providers of women’s healthcare across the lifespan.
Navigating challenges for preceptors: Results from the WHNP Workforce Survey
As advanced practice nursing programs proliferate and medical students and physician assistant students also seek clinical experiences, competition for preceptors at appropriate clinical sites has intensified.
Nurses and midwives: Partnering to prevent FASDs
Osteoporosis and fracture prevention
Even when patients are diagnosed with increased fracture risk, many choose not to take medication because of concerns about rare risks that are often sensationalized in the media.
Overview of the diagnosis and management of uterine fibroids
Patient Consent for Student Performed Pelvic Exams
Although consent for invasive procedures or treatments has long been standard in healthcare, consent for invasive assessments has been less defined.
Perinatal care considerations for women who have experienced type 3 female genital cutting/infibulation
Peripartum Cardiomyopathy: Implications for WHNPs and Midwives
In the US, the incidence of PPCM is rising, possibly due to advanced maternal age, an increased rate of multifetal pregnancies secondary to modern fertility techniques, and increased recognition and awareness of the disease.
Pessary Use in Pelvic Organ Prolapse
Pessaries are a safe and potentially long-term intervention for women with symptomatic pelvic organ prolapse.
PhD-prepared WHNPs and the generation of women’s health science
Placing the spotlight on maternal morbidity and mortality among Black women in New York
The prevalence of maternal morbidity and mortality affects Black women disproportionately in the United States. Reducing racial and ethnic disparities in maternal mortality must be a priority.
Polycystic ovary syndrome (PCOS): Diagnosis and management
Position Statement | Prepregnancy genetic carrier screening
Position Statement Human Sex Trafficking
Position Statement: Access to Safe Abortion Care
Position Statement: Cervical Cancer Screening
Position Statement: Climate Change, Women’s Health, and Environmental Justice
Climate change represents an urgent health challenge that requires engagement, advocacy, and leadership from the nursing profession.
Position Statement: Male Sexual and Reproductive Health: Role of Women’s Health Nurse Practitioners
Position Statement: Menstrual Equity
Pregnancy During the Pandemic: Evolving Covid-19 and Adaptations to Obstetric Care
Pregnant people and those contemplating pregnancy have endured uncertainty and numerous modifications in how care is provided during the pandemic.
PrEP for women: An update for healthcare providers
PrEP use among women has the potential to reduce new HIV infections by 61% (with ≥ 75% adherence), yet less than 10% of men and women who are “behaviorally indicated for PrEP” are utilizing this important prevention tool.
Preparing for intrauterine device consults and procedures
Professional advocacy 101: How to get involved in health policy
Progestins in Combination Oral Contraceptives
Many factors come into play when making a COC selection. Among them are the patient’s clinical picture, preferences which may include noncontraceptive benefits, past experiences with hormonal contraception, availability, and cost.
Project C.U.R.E’s cervical cancer screening and treatment program
Women’s health nurse practitioners, nurse midwives, and other specialists may partner with Project C.U.R.E on short-term medical mission trips to fight against disparities.
Promoting Fertility Awareness to Improve the Appropriate Use of Infertility Treatment: Considerations for the Access to Infertility Treatment and Care Act
A bill in Congress would require private health insurance plans that cover obstetric services to also cover infertility treatments such as in vitro fertilization.
Providing Bias-informed and Evidence-based Care for Pregnant Persons with Obesity
Providing culturally sensitive evidence-based care for Orthodox Jewish women
Relating Reproductive Justice to Clinical Practice
The time is now to embrace the power that you have to impact reproductive justice and help shape the policies of tomorrow to create a world that is more inclusive, just, and equitable.
Relative energy deficiency in sport: Health implications in female athletes
Reliable evidence-based screening protocol for endometriosis
Rewards and challenges of caring for women in custody: Perspective of a women’s health nurse practitioner
Role of nurse practitioners in providing care for adolescent females
Role of the WHNP in providing care for the patient with recurrent pregnancy loss
RPL can be an intimidating entity for healthcare providers to evaluate and treat due to varying guidelines and pressure from patients to prevent future losses.
Sex in the era of Covid-19
Strategies to decrease fat stigma in women’s health
“Fat stigma in Women’s Health” will be a breakout session at the 24th Annual NPWH Premier Women’s Health Conference Oct. 13 to 16. See article for registration details.
Streamlining a Carrier Screening Routine Into Practice: Proactive Prepregnancy Planning
Prepregnancy carrier screening enables individuals and couples to learn about their reproductive risk and consider the most complete range of reproductive options versus waiting until pregnancy when choices become more limited.
Structural Racism and Implicit Bias in Women’s Healthcare
Structural racism creates differential access to opportunities by race/ethnicity and perpetuates inequities among these groups.
Structured contraceptive counseling with shared decision making: Effects of implementation at a university student health and wellness clinic
Women in their 20s experience the highest occurrence of unintended pregnancy, accounting for 55% of all cases.
Telehealth for Older Women: Practice Considerations for the WHNP
The WHNP is ideally situated to consider adding telehealth services for older women as part of preventive healthcare and chronic health condition management.
The mentoring role for DNP projects
The number of Doctor of Nursing Practice (DNP) programs and DNP-prepared nurses across the United States continues to grow.
The WHNP’s guide to evaluating male infertility
Thyroid autoantibodies and adverse pregnancy outcomes
Trauma-informed care Part 1: The road to its operationalization
Trauma-informed clinical strategies can prevent re-traumatization of individuals who have experienced trauma.
Trauma-informed Care Part 2: Transgender and Gender Nonconforming Individuals
Data suggest that 24% of transgender people experience unequal treatment in healthcare environments.
Type 2 diabetes in women of reproductive age
Reproductive-age women with prediabetes or type 2 diabetes can benefit from education that allows them to develop a reproductive life plan that will optimize future pregnancy outcomes.
Understanding contralateral prophylactic mastectomy decision-making in women with early-stage breast cancer: A nursing perspective
Understanding Covid-19 vaccines
This Covid-19 update provides information to help healthcare providers allay some of the fears surrounding vaccination and answer the questions patients are asking.
Update on perinatal anxiety disorders: Assessment and management
Update on pharmacologic treatment for endometriosis- related pain
Updates in Adult Female Acne
Acne vulgaris is one of the most commonly treated dermatologic diseases in adult females, but treatment selection and patient education should be tailored specifically to this population.
Use of Motivational Interviewing to Address HPV Vaccine Hesitancy
In a time when parental vaccine hesitancy in pediatric spaces continues to occur, it is important that NPs have a tool kit for continuing the conversation in both an empathetic and informative way.
Uterine fibroids: What you need to know
Vaginal Estrogen: An Option to be Considered for Postmenopausal Women
Despite the fear and negativity surrounding the use of vaginal estrogen, it is safe and effective for the treatment of vaginal dryness in most postmenopausal women.
Vital Vaccines For Older Women
Lack of vaccine recommendations by healthcare providers has been linked to low vaccine utilization by patients.
We Are the Solution to Our Problem: A Brief Review of the History of Racism and Nursing
Racism in nursing has existed since the profession’s historic beginnings, and it continues to permeate nursing education, practice, research, and policy.
Welcome to the Clinician Café—A unique learning model
What is hidradenitis suppurativa?
Evidence shows that the mean delay in diagnosis for HS was more than 10 years and more than 60% of patients had visited a healthcare provider more than five times before receiving a formal diagnosis.
What is Sexual and Reproductive Health Equity and Why Does it Matter for Nurse Practitioners?
To fully meet patients’ needs, provide compassionate care that helps our patients thrive, and to create the best health outcomes possible, it is important to make SRHE a priority in our practice.