This book provides primary care physicians and their medical teams with the detailed information they need to offer a full range of women's health procedures to their patients. Many primary care providers offer women's health procedures in an office setting for a variety of reasons, from the value placed on continuity of care to the lack of access to specialty care that patients may experience in rural areas. Each chapter in this book is written by a primary care physician and outlines one women's health procedure and its background information, indications, contraindications, complications, equipment, procedure steps, an office note, patient instructions and a patient handout. Tricks, helpful hints, key points, discussion questions, algorithms, and a wealth of illustrations are included through the book. This second edition is fully updated with the latest procedures and guidelines, ICD 10 coding information, and three new chapters on population health, contraceptive choice, and insertable contraceptive removal. Primary Care Procedures in Women's Health, Second Edition, is an ideal reference for all providers-including family physicians, general internists, residents, nurse practitioners, nurse midwives and physicians assistants-to be competent and comfortable performing a spectrum of office-based, women's health procedures.

Introduction:  The Case for Procedures in Primary Care

 Coding, Billing, and Reimbursement for Procedures
Legal Aspects of Office-Based Women's Health Procedures
Population Health in Women's Health Care
Empathic Pelvic Examination
Difficult Exams: Cystocele, Rectocele, Stenotic Cervix/Cervical Dilatation, Nonsexually Active Women, Elderly Women
Sexual Assault Victim Examination
Pap Smear and HPV testing
Vaginal Discharge
Cervical Polyp Removal
Barrier Contraception
Copper Intrauterine Device
Levonorgestrel Intrauterine System Insertion
Intrauterine Device Removal
Fertility Awareness Method/Natural Family Planning
Etonogestrel Subdermal Contraceptive Implant: Insertion and Removal
Pessary
Bartholin Gland Cysts and Abscesses
Endometrial Biopsy
Brest Cyst Aspiration
Vulvar Skin Punch Biopsy
Treatment of Genital Warts
Colposcopy
Cervical Cryotherapy
LEEP: Loop Electrosurgical Excision Procedure
Hysterosalpingography/Hysterosalpingogram (HSG)
Medication Abortion Using Mifepristone and Misoprostol
Manual Vacuum Aspiration (MVA) Abortion
Index.