This book provides primary care physicians and their medical teams with the detailed information they need to offer a full range of womens health procedures to their patients. Many primary care providers offer womens 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 womens 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 Womens Health, Second Edition, is an ideal reference for all providersincluding family physicians, general internists, residents, nurse practitioners, nurse midwives and physicians assistantsto be competent and comfortable performing a spectrum of office-based, womens health procedures.

Sandra M. Sulik, MD is Medical Director of Primary Care at St Josephs Health and Professor of Family Medicine at Upstate Medical Center.

Cathryn B. Heath, MD is Clinical Associate Professor of Family Medicine at Rutgers- Robert Wood Johnson Medical School and the Medical Director of Rutgers University Student Health in New Brunswick.

They are co-editors of the first edition of this book and experts in womens health in family medicine

Introduction:  The Case for Procedures in Primary Care.- Coding, Billing, and Reimbursement for Procedures.- Legal Aspects of Office-Based Womens Health Procedures.- Population Health in Womens 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.