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Premature ejaculation: Management in primary care
The epidemiologic burden of premature ejaculation is substantial, and treatment can produce favorable results. If no remediable change has precipitated this common problem, physicians can reasonably consider pharmacotherapy, unless the patient prefers counseling.
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Adolescent suicide: Vigilance and action to reduce the toll
Most adolescents who commit suicide saw a physician in the weeks or months before death. You can play a key role in preventing such tragedy by recognizing predisposing signs and symptoms and collaborating with mental health professionals to help vulnerable patients.
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What's new in PMS?
PMS has been a legitimate diagnosis for several decades, but there are no FDA-approved therapies for it. Off-label use of medications that are FDA-approved for PMDD is common in clinical practice. For patients taking daily SSRIs for anxiety or mood symptoms, premenstrual dose adjustment offers a novel management strategy.
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Domestic violence: Shattering the silence
The 73-year-old woman made repeated visits to the Olmsted Medical Center in Rochester, MN, complaining of anxiety. FP Therese Zink provided the requisite treatment each time, but she had a feeling that something else was going on. After a year of gentle probing, Zink learned that the woman's husband had pulled a gun on her early in their 50-year marriage, and he'd been terrorizing her ever since.
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