AFP: American Family Physician Podcast Episode 242 -- November 2025 -- Part 2 AFP: American Family Physician
Nov 29, 2025
Discover the ins and outs of vaginitis with insights on efficient testing and CDC treatment guidelines. Explore the rise of gaming disorders and effective family strategies to mitigate issues. Dive into current recommendations against injections for chronic back pain and learn about screening for developmental dysplasia of the hip. Finally, uncover how resistance training can alleviate cancer-related fatigue while reviewing the latest guidelines for peripheral artery disease management.
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Practical Vaginitis Diagnostic Steps
- Use microscopy, KOH, and pH testing to apply Amsel criteria for bacterial vaginosis diagnosis.
- If microscopy is unclear, order NAAT for trichomonas and consider noninfectious causes when negative.
When And How To Treat BV
- Treat BV to relieve symptoms and to reduce STI risk, and consider partner treatment to reduce recurrence.
- For postmenopausal patients, try topical estrogen for 6–8 weeks before treating BV unless symptoms persist.
Self-Swabs Work Well
- Self-collected vaginal swabs without a speculum perform as well as clinician-collected samples for many tests.
- Using NAATs reduces return visits and overall cost of vaginitis evaluation.