Approximately 10 million women in the US suffer from menstrual migraine, a common and disabling condition. Menstrual migraine is typically defined as a migraine headache that affects a woman each month starting two days before the menstrual period and continuing to the end of menstruation. It differs from nonmenstrual attacks of migraine, even in the same woman, in the regularity of its timing and its greater severity. Compared with other times in the menstrual cycle, a migraine is more than twice as likely to occur during the first 3 days of menstruation and more than 3 times as likely to be severe. As part of the Oxford American Pain Library, this practical handbook serves as a concise yet authoritative resource on diagnosing and treating menstrual migraine. Tailored to the needs of busy health care professionals treating female patients in the primary care setting, the book focuses on essential clinical information for physicians, nurse practitioners, and physician assistants in family practice, internal medicine and obstetrics and gynaecology. In addition to covering traditional clinical areas such as pathogenesis, co-morbidities, pharmacologic and non-pharmacologic treatments, the book also presents an array of practical tools and features such as screening tools for easy diagnosis, disability assessment tools, tips on best questions to ask, useful checklists and additional patient resource information. The handbook also provides valuable guidance on how to proceed should initial treatment efforts fail.

In kurzer und prAgnanter Form wird die Vielzahl der gutartigen und bAsartigen Tumoren der weiblichen BrustdrA1/4se in Form von Fallbeispielen dargestellt. Der histologische Befund wird den Ultraschallbildern mit den entsprechenden Beurteilungskriterien gegenA1/4bergestellt.

This extensively updated new edition provides an indispensable account of modern in-vitro fertilization practice, building upon the popularity of previous editions. The authors initially give a comprehensive review of the biology of human gametes and embryos, before outlining basic to advanced IVF techniques. New developments in practical techniques and understanding are discussed, including in-vitro maturation, vitrification, preservation of fertility for cancer patients, stem cell technology, preimplantation genetic testing, and the role of epigenetics and imprinting. The revised introduction also incorporates a 'refresher' study review of fundamental principles of cell and molecular biology, now updated with current knowledge of meiosis in human oocytes, embryo metabolism and basic principles of genome editing. With high-quality illustrations and extensive, up-to-date reading lists, it is a must-have textbook for trainee and practising embryologists, as well as clinicians who are interested in the scientific principles that underpin successful IVF.

Now in its sixth edition, Infectious Diseases in Obstetrics and Gynecology remains the only book to comprehensively cover infectious diseases in both obstetrics and general gynecology. Distilling complex clinical problems into an easy to use format, this text is divided in four unique sections, and some of these topics include:

This book offers an approachable, in-depth reference on the core topics in urogynecology and female pelvic health - incontinence, pelvic prolapse, pelvic pain and sexual dysfunction - specifically tailored to clinicians without formal surgical or specialty training. Each aspect of diagnosis and treatment is presented in a clear and simple style, introducing streamlined strategies that can be implemented in any primary care setting. Original illustrations, key points at the end of each chapter, and 'clinical pearls' from experts in the field all help to make this the most practical and user-friendly guide available.

This book provides a comprehensive review of the evidence concerning pessaries and the practicalities of using them. It is a valuable resource for health care practitioners treating patients with incontinence and prolapse. It includes a brief history of pessaries and provides profiles of the inventors of some of the more commonly used pessaries, along with a description of their original purposes. There are illustrations to guide selection, fitting and care, as well as providing materials which can be photocopied and handed out to patients. This work is an essential handbook for all urogynecologists, urologists, gynecologists, family physicians and specialty nurses.

Angst vor dem ersten Patientenkontakt? - Das muss nicht sein

In diesem praktischen Taschenbuch finden sich die gangigen Anamnese- und Untersuchungstechniken fur die orientierende klinische Untersuchung und im zweiten Teil auch die jeweiligen speziellen Techniken fur alle klinischen Facher in leicht verstandlicher und ubersichtlicher Darstellung.

Zu jeder klinischen Untersuchungstechnik gehort eine tabellarische Darstellung der moglichen Befunde und in Frage kommenden Differentialdiagnosen. Die Diagnosen sind nach ihrer Bedeutung fur die klinische Praxis gewichtet.

Anamnese, Untersuchung, Diagnose KOMPAKT - Diagnosestellung leicht gemacht fur Praktikum, Famulatur und PJ "

By the mid-twentieth century, two things appeared destined for extinction in the United States: the practice of home birth and the profession of midwifery. In 1940, close to half of all U.S. births took place in the hospital, and the trend was increasing. By 1970, the percentage of hospital births reached an all-time high of 99.4%, and the obstetrician, rather than the midwife, assumed nearly complete control over what had become an entirely medicalized procedure. Then, seemingly out of nowhere, an explosion of new alternative organizations, publications, and conferences cropped up, documenting a very different demographic trend; by 1977, the percentage of out-of-hospital births had more than doubled. Home birth was making a comeback, but why? The executive director of the American College of Obstetricians and Gynecologists publicly noted in 1977 the "rising tide of demand for home delivery," describing it as an "anti-intellectual-anti-science revolt." A quiet revolution spread across cities and suburbs, towns and farms, as individuals challenged legal, institutional and medical protocols by choosing unlicensed midwives to catch their babies at home. Coming Home analyzes the ideas, values, and experiences that led to this quiet revolution and its long-term consequences for our understanding of birth, medicine, and culture. Who were these self-proclaimed midwives and how did they learn their trade? Because the United States had virtually eliminated midwifery in most areas by the mid-twentieth century, most of them had little knowledge of or exposure to the historic practice, drawing primarily on obstetrical texts, trial and error, and sometimes instruction from aging home birth physicians to learn their craft. While their constituents were primarily drawn from the educated white middle class, their model of care (which ultimately drew on the wisdom and practice of a more diverse, global pool of midwives) had the potential to transform birth practices for all women, both in and out of the hospital.

This book constitutes the refereed proceedings of the 8th International Workshop on Digital Mammography, IWDM 2006, held in Manchester, UK, June 2006.

The book presents 52 revised full papers and 34 revised poster papers, organized in topical sections on breast density, CAD, clinical practice, tomosynthesis, registration and multiple view mammmography, physics models, wavelet methods, full-field digital mammography, and segmentation.

Uncertainty and negative expectations are common responses to the menopause. When it happens too early (sometimes as young as 16) it can be particularly distressing with concerns about physical health, as well as possible social and emotional consequences. Young women are faced with a condition, the causes of which are not well understood, and about which very little is written in medical or lay literature.

In medical texts premature menopause is typically mentioned only in passing, and from the woman's perspective it remains a hidden secret. This can only compound the difficulty for women for whom the life process has suddenly swept into fast forward. Premature menopause can have profound implications both for the woman herself and her partner and family. She is faced with physical and emotional concerns that are usually not considered until much later in life, such as: will she age prematurely? will she need to take long-term medication? will she come to terms with loss of fertility? are there alternative treatments? are there consequences for her future health?

This book is a practical guide for medical practitioners as they navigate through breastfeeding problems that occur in day-to-day practice. If mothers have a breastfeeding complication they are often directed to their GP. In complex situations, medical staff will be making decisions around what treatment plan to follow and whether a mother can keep breastfeeding. In recent years there has been growing evidence that medical professionals often advise mothers to stop breastfeeding while undergoing treatment, when in reality this was not a necessary step. In a time when breastfeeding rates are decreasing, it is important that medical professionals give accurate advice and support a mother's choice to breastfeed if the situation allows it. A Guide to Supporting Breastfeeding for the Medical Profession includes contributions from a wide range of medical professionals and each chapter is written with the practitioner in mind. Contributors include GPs, paediatricians, neonatologists, lactation specialists and midwives. Doctors have a vital role to play in supporting and facilitating breastfeeding, and without the appropriate knowledge they can often inadvertently sabotage it. This book will be of interest to GPs and paediatricians as well as nurse prescribers, midwives and health visitors.

This book presents the aspects of the new German directives on human genetic testing that are relevant to gynecological practice. An important new element is the recent development of non-invasive prenatal genetic diagnostic testing using maternal blood, which are available in Germany since June 2012.

Effectively prepare for certification, recertification, and practice with Breast Imaging: Case Review, 2nd Edition! Case studies illustrate how to make confident, final diagnoses through accurate pattern recognition, clinical correlation, and differential diagnosis. It's an ideal way to test and deepen your knowledge of all essential topics in breast imaging. Prepare for the new Board exam format with an updated organization that provides 4-5 multiple-choice review questions for each case. Review 200 cases organized by level of difficulty, with multiple-choice questions, answers, and rationales that mimic the new format of certification and recertification exams. Stay current with the aid of updated cases covering breast MR imaging, digital breast imaging, image-guided biopsy, imaging of high-risk lesions (ADH, LCIS), high-risk patient management, invasive lobular carcinoma, complex cystic cancer, male breast cancer, mucinous carcinoma, MRI of DCIS, desmoid tumors, and much more. See examples of the latest imaging approaches, including digital mammography, MRI, and color Doppler US.

Die seltenen uterinen Sarkome und malignen Mischtumoren sind haufig ein Zufallsbefund. Neben nur wenigen aussagekraftigen Studien existieren keine definierten Therapiestandards und Leitlinien. Wegen der schwierigen Abgrenzung zu den Sarkomen und malignen Mischtumoren wurden auch die mesenchymalen Tumoren mit auffalligen klinischen Eigenschaften, einem potentiell klinisch malignen Verhalten und einem unsicherem malignen Potential aber auch gutartige Mischtumoren in die Publikation aufgenommen. Fur jede Entitat erfolgt eine detaillierte Besprechung zur Epidemiologie, AEtiologie und Pathogenese. Besonderer Wert wird auf die makro- und mikroskopische Charakterisierung, die Prognose sowie die Diagnostik und Differenzialdiagnose mit ihren Fallstricken und Fehlerquellen gelegt. Die klar formulierten Therapieempfehlungen behandeln jeweils auf den Uterus begrenzte, fortgeschrittene, rezidivierte und metastasierte Tumoren. Die Moeglichkeiten der Operation, der Bestrahlung, der neoadjuvanten, adjuvanten sowie palliativen Hormon- und Chemotherapie und Empfehlungen zur Nachsorge werden umfassend und kritisch dargestellt. Trotz der vergleichsweise ausfuhrlichen pathologisch-anatomischen Beschreibung, soll dieses Buch mit uber 200 hochwertigen, vierfarbigen Abbildungen und einem umfassenden aktuellen Literaturverzeichnis dennoch ein Leitfaden zur Entscheidungsfindung fur den klinisch und ambulant tatigen Gynakologen und Onkologen zu sein. Fur die aufgefuhrten Tumorgruppen existiert gegenwartig keine weitere zusammenfassende Monographie.

Auf die Bedurfnisse der taglichen Praxis abgestimmt
Strukturierte, klar definierte Vorgehensweisen fur Diagnostik, Therapiekonzepte und personalisierte Therapieziele.

Umfassende Information, inklusive
- Pravention, Fruherkennung
- Begleiterkrankungen: Fettstoffwechselstorungen, Hypertonie ...
- Folgeerkrankungen: Gefasserkrankungen, Nephropathie, Neuropathien ...
- Patientenschulung: Ernahrung, Lebensfuhrung ...
Besonderheiten bei
- Kindern/Jugendlichen, Schwangeren, alten Patienten
- perioperativer Betreuung, enteraler und parenteraler Ernahrung
- psychiatrischen Erkrankungen einschliesslich Demenz
- Sport, Reisen
Komplexe Fragen kompetente Antworten
- Stufentherapie individuell abgestimmt auf Begleiterkrankungen, Bedurfnisse und Moglichkeiten des Patienten
- Praxistipps fur typische und atypische Therapieprobleme
- neue und zukunftige Therapieformen

NEU u.a.
- Bariatrische Chirurgie
- Compliance und Empowerment
- Qualitatssicherung und Versorgungsforschung
- DMPs, DRGs

Nach den Leitlinien/Richtlinien
- Deutsche Diabetes Gesellschaft (DDG)
- Osterreichische Diabetesgesellschaft (ODG)
- Schweizerische Gesellschaft fur Endokrinologie und Diabetologie (SGED)

Interdisziplinar, topaktuell. Von den fuhrenden Experten aus Deutschland, Osterreich, Schweiz.

Wissen fur das optimale Diabetes-Management gerade heute besonders wichtig."

Gynecology is principally an operative specialty and the range of gynecologic procedures managed is constantly expanding due to improved instrumentation and minimally invasive techniques. Covering the entire spectrum of gynecologic surgery through a case-based, digestible format, procedures such as vaginal, transvaginal, hysteroscopic, laparoscopic, robotic, and abdominal procedures are included, as well as common surgical challenges and complications. For each case, a clinical vignette outlines the situation and the clinical context of the patient, followed by a comprehensive discussion of the evidence-based management approach and key teaching points. The decision to operate, contraindications, alternatives to surgery and preoperative counseling is discussed in detail along with the level of care needed for each case. Readers will improve their knowledge base of gynecologic surgery and gain multiple tools to overcome common surgical obstacles.

The increasing understanding of individual differences in response to in-vitro fertilization (IVF) treatment, resulting from genetic and ethnical differences, has increased the potential for individualized treatment for patients, resulting in improved pregnancy and live-birth outcomes. This illustrated book summarizes, and provides updates on, the most recent developments in individualized infertility treatment and embryo selection techniques. Individualization is not only confined to the different steps in the ovarian stimulation process and the luteal phase support, but also to embryo selection techniques, which include, among others, the analysis of embryo development pattern and genetic testing. Chapters cover a multitude of topics, ranging from oocyte maturation and immunological testing to fertilization technique in the IVF laboratory and preparation for optimal endometrial receptivity in cryo cycles. Essential reading for IVF specialists and embryologists in IVF Clinics and also an important text for medical consultants specializing in reproductive medicine, gynecology and embryology.

The National Institute of Health interrupted their huge HRT study in July 2002 when they found that the drug Prempro, a combination of estrogen and progestin, had detrimental health effects. The women who took the drug exhibited an increased risk for breast cancer, heart disease, and stroke.
Women can lose up to 20% of their bone mass in the first seven years after menopause. Post-menopausal women are twice as likely as men to die of a heart attack. Natural estrogen is the answer.
In this book the authors provide a healthy and natural alternative to HRT. They not only provide nutritious, healthy and delicious recipes; they also explain why phytoestrogens -- plant estrogens -- can alleviate the symptoms of menopause and promote a woman's health. THE NATURAL ESTROGEN DIET AND RECIPE BOOK is the answer to women who are seeking to retain their health through and after menopause in a completely safe, effective and natural way. It also shows women of any age how to make healthy food a permanent part of their lives.

This volume of practise true/false MCQs and short answer questions is intended to be used by the trainee obstetrician and gynaecologist as a self-assessment aid throughout training and during revision for the MRCOG examination, in particular Part 2. Questions have been carefully designed to test both theoretical and practical knowledge, and are representative of the curricular elements highlighted within the RCOG trainee logbook.

In den Bereichen Gynakologie und Geburtshilfe gibt es eine steigende Anzahl juristischer Auseinandersetzungen mit hohen Schadenssummen. Haufig kommt es zu einer aussergerichtlichen Einigung zwischen Versicherung bzw. Patient und Arzt. Dieses auf dem Gebiet einzigartige Buch enthalt zahlreiche exemplarische Falle der forensischen Gynakologie, die Besonderheiten bei der Begutachtung, die Schadenhoehe und die Urteile. Die Fallbeispiele sind authentisch, einpragsam und erleichtern das Erstellen und die Beurteilung von gynakologischen Gutachten.