A potential crisis in human fertility is brewing. As societies become more affluent, they experience changes that have a dramatic impact on reproduction. As average family sizes fall, the selection pressure for high-fertility genes decreases; exacerbated by the IVF industry which allows infertility-linked genes to pass into the next generation. Male fertility rates are low, for many reasons including genetics and exposure to environmental toxins. So, a perfect storm of factors is contriving to drive fertility rates down at unprecedented rates. If we do not recognize the reality of our situation and react accordingly, an uncontrollable decline in population numbers is likely, which we'll be unable to reverse. This book will address, in a unique and multi-faceted way, how the consequences of modern life affects fertility, so that we can consider behavioural, social, medical and environmental changes which could reduce the severity of what is about to come.

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.

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.

Francis James Browne is remembered as the foremost obstetrician of his day. He is widely recognised as the founder of modern antenatal care. His book, Antenatal and Postnatal Care, became the best of its kind and a bible to many generations of medical students and junior obstetricians. In this biography, Herbert Reiss presents a fascinating glimpse into the life of a great man in a deft and vivid portrait..

Before Roe v. Wade, somewhere between one and two million illegal abortions were performed every year in the United States. Illegal abortion affected millions of women and their families, yet their stories remain hidden. In Creating Choice, citizens of one community in Western Massachusetts' Pioneer Valley break that silence. Doctors, clergy, and members of feminist women's collectives in the Pioneer Valley provided access to birth control (illegal in the state for single women until 1972) and abortions. Their work was done in defiance of the law, sometimes in secret, but often surprisingly openly. These activists felt they had no choice but to defy the laws and often met with support from surprising places, like university administrators, church officials, and the local police department. In Creating Choice, you'll meet a college chaplain moved to break the law after one of his students died of a back alley abortion and another hung herself; you'll meet a waitress who performed over 1,500 illegal abortions in her pink bathtub; and you'll meet the women themselves who risked their very lives.

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.

This book empowers the obstetrician-gynecologist to play a key coordinating role, and to communicate effectively with all parties and health workers involved in psychological care. It provides information not typically covered by their training: communication skills, coping and adjustment in pregnancy, and communicating with cancer patients. Easy-to-read with stand-alone chapters, this book covers key aspects of OB/GYN, and addresses areas not covered elsewhere. The book offers topics in psychological care to trainees and specialists in O & G, helps them understand the emotional problems their patients face, and shows them how to undertake psychological care.

This easy-to-understand pocketbook in the highly respected Clark’s stable of imaging texts is an invaluable tool and training aid, providing essential information for mammographic positioning, technique and interpretation for mammography practitioners at all levels. Adopting a systematic and structured approach facilitating rapid reference in the clinical setting, the book covers general principles and all routine mammographic projections, including additional and adapted projections covered in a separate section, and is highly illustrated with clear explanatory line diagrams and imaging photographs. Clark’s Essential Guide to Mammography is ideal as an educational tool for trainee mammographers, trainee assistant and associate apprenticeship mammographers, mammography training teams and universities delivering mammography education and a convenient clinical guide for practising mammographers, including assistant and associate apprenticeship mammographers.

Reproductive science continues to revolutionise reproduction and propel us further into uncharted territories. The revolution signalled by the birth of Louise Brown after IVF in 1978, prompted governments across Europe and beyond into regulatory action. Forty years on, there are now dramatic and controversial developments in new reproductive technologies. Technologies such as uterus transplantation that may enable unisex gestation and babies gestated by dad; or artificial wombs that will completely divorce reproduction from the human body and allow babies to be gestated by machines, usher in a different set of legal, ethical and social questions to those that arose from IVF. This book revisits the regulation of assisted reproduction and advances the debate on from the now much-discussed issues that arose from IVF, offering a critical analysis of the regulatory challenges raised by new reproductive technologies on the horizon.

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:

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 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.

1872 fuhrte der Freiburger Ordinarius fur Gynakologie und Geburtshilfe Alfred Hegar (1830-1914) erstmals Ovarektomien (Entfernung der Eierstoecke) durch, um Frauen kunstlich in die Menopause zu versetzen. Der Diskurs um die Wirkung dieser Operation, die bei verschiedenen somatischen aber auch bei psychischen Krankheitsbildern, so der Hysterie, eingesetzt wurde, beschaftigte die Frauenheilkunde uber 25 Jahre. Die wissenschaftshistorische Untersuchung analysiert vor dem Hintergrund zeitgenoessischer gesellschaftlicher, wissenschaftlicher und mikrosoziologischer Voraussetzungen, in welcher Weise und aus welchen Grunden sich die sogenannte "Hegar-Operation" zunachst rasch verbreitete und wenige Jahre spater von der aufstrebenden Gynakologie aufgegeben wurde.

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 "

A new addition to the "Gynecology in Practice" series, "Chronic Pelvic Pain" provides a practical guide to diagnosing and treating chronic pelvic pain in women. Emphasizing diagnosis, management and psychological aspects, the book assists gynecologists to better care for their patients suffering from this condition. As a part of the series, various feature boxes are highlighted throughout. "Tips and Tricks" give suggestions on how to improve outcomes through practical technique or patient questioning. In addition, "Caution" warning boxes supply helpful advice on how to avoid problems and "Science Revisited" boxes offer quick reminders of the basic science principles necessary for understanding the presented concepts.

This book presents the latest evidence-based guidelines for perinatal management and is designed to help obstetricians and neonatologists minimize complications and offer patients the best possible care. Since 1960, there has been a significant increase in basic and clinical investigations on normal and pathological pregnancy in the developed world. This has provided insights into the physiopathology of pregnant women, fetuses and newborns and led to the development of new technologies, bringing about a new medical subspecialty: perinatal medicine. The book is divided into eight main sections: The first examines basic periconceptional care and discusses the ethical aspects of perinatology. The next section focuses on prenatal considerations, such as the nutritional aspects of gestation and puerperium, physical exercise during pregnancy, routine laboratory tests, prenatal care of multiple gestations and the role of the neonatologist in prenatal care. The third and fourth sections then explore fetal evaluation, and clinical intercurrences in pregnancy, respectively. The next section addresses pregnancy complications: prevention, diagnosis and management. The sixth section covers the basic aspects of congenital infections and the seventh examines labor and delivery aspects. Lastly, the final section includes chapters on neonatal assistance. Written by leading experts in obstetrics, neonatology, and perinatology, this thoroughly updated, comprehensive resource reflects the latest information in all areas, including genetics and imaging.

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."

One of modern healthcare's most controversial areas, reproductive medicine is an emerging discipline that fosters hugely divergent opinions on topics such as laboratory techniques, clinical management and ethical considerations. Highlighting over 50 contentious topics in reproductive medicine, this book presents expertly argued opinions are presented for and against, often with diametrically opposing views about management. Debates such as these are being increasingly used as learning tools, helping participants develop their critical thinking skills and showing that context is vital when making decisions. Issues discussed include limits on IVF provision, ethical queries about sex selection, embryology, and ovarian stimulation. Authors are authorities in their field, combining years of experience with fresh and innovative ideas to structure their arguments. Readers will gain an insight into topical controversies, critically evaluating the different sides to enhance their own clinical practice.

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, by two of the most distinguished figures in fertility and reproduction research, answers all the most common questions about menaupause and andropause, and hormone resupplement therapy (HRT) for menopausal women. It offers explanations of all aspects of this subject, presenting balanced and reliable information about benefits, risks, and prospects for this field. Segal invented Norplant, the first long-term implantable contraceptive, and as the leader of Reproductive Biology at the Population Council, he orchestrated and coordinated the research and trials leading to basically every new contraceptive introduced over a period of about 25 years. Mastroianni did more than anyone else to develop in vitro fertizilation as a viable treatment option, and was for many years the chairman of the largest department of obstetrics and gynecology, and the director of the most successful IVF clinic. This book is unique in including coverage of the climacteric in men.

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.

Dieses Buch gibt einen Uberblick uber die aktuellen Moglichkeiten der Praimplantationsdiagnostik, der pranatalen Diagnostik und die intrauterinen Behandlungsmoglichkeiten.

Neben den invasiven Methoden wurden in den vergangenen Jahren immer mehr pranatale nicht-invasive Untersuchungsmethoden etabliert, die als grosser Fortschritt in der Pranatalmedizin angesehen werden: Bluttest auf Trisomie 21 Array-CGH (vergleichende Gen Hybridisierung)Ultraschall

Weiterhin nehmen auch die Moglichkeiten intrauteriner Therapien zu: Chirurgische EingriffeMedikamentose Behandlungen

Herausgeber und Autoren stellen nicht-invasive und invasive Methoden vor. Sie setzen sich neben der Beschreibung der Methoden kritisch mit ethischen und rechtlichen Aspekten auseinander und diskutieren Moglichkeiten und Grenzen."

Hysterectomy is the second most common major surgical procedure performed on women in the United States. For some women, the decision to have a hysterectomy is an easy one; for others, it is a difficult choice associated with concerns about risks, discomfort, and female identity. Yet many disorders of the uterus-fibroid tumors, uterine and cervical cancer, pelvic inflammatory disease, endometriosis, adenomyosis, and uterine prolapse-may require surgical treatment. In this thoroughly updated edition of Hysterectomy: Exploring Your Options, gynecologists Edward E. Wallach, Esther Eisenberg, Isabel Green, and Stacey A. Scheib describe and explain every aspect of the procedure, including, Symptoms of gynecological disorders that may require uterine fibroid removal or hysterectomy; the full range of diagnostic and therapeutic imaging techniques, including MRI-focused ultrasound; thorough explanations of specific alternative measures that may be used to avoid the need for hysterectomy; the various techniques for hysterectomy, including single-incision surgery and robotic hysterectomy; how to prepare for surgery and what to expect while in the hospital; details on the surgery and postoperative recovery, including information about pain medications, when to resume daily activities, how sexual function may be affected, future reproductive possibilities, and the benefits and risks of hormone replacement therapy. Included in this compassionate, comprehensive guide to treatment and recovery for women having - or deciding whether to have - a hysterectomy are stories of women whose own experiences with hysterectomy offer useful advice for anyone considering the procedure.

The alternation between urine retention and discharge several times daily from a nappy to the cessation ofall vital functions only becomes the subject baby's first wet of greater attention if the harmony of the structure and function of the bladder is disturbed. Functional disturbances of the lower urinary tract are not only of great socio-economic importance, but are also a considerable personal burden for the patient. Hence urinary incontinence is rightly classified as a severelydisabling illness (Hauri 1985). Opinions still differ regarding the morphological basis ofurinary continence.The Terminologia Anatomica (1998) defines a musculus sphincter urethrae internus (in- ternal urethral sphincter) and a musculus sphincter urethrae externus (external ure- thral sphincter),which in the older nomenclature were known as musculus sphincter vesicae and musculussphincterurethrae,respectively.The internal urethral sphincter isascribed apurelyinvoluntaryandthe externalurethralsphincterapurelyvoluntary innervation. The significance of the musculature of the pelvic floor for maintaining urinarycontinence has notyetbeen ascertained. Duringnumerous urologicaloperations (forinstancetransurethralresectionofthe prostate and bladder neck incisions), the only involuntarily innervated sphincter at the collum vesicae,the internalurethralsphincter,is partiallyorcompletelydestroyed (Fig. 27C,D).All the patients remain continent as long as the externalurethral sphinc- ter remains intact.Howcan apurelyvoluntarilyinnervated sphincterlikethe external urethral sphincter ensureconstant continence in such cases? Improving the continence rate after radical surgery is a key topic of urological research. The incontinence rate after radical prostatectomy is still between 8.1% (third-degree incontinence) and41.4% (first- to second-degree incontinence; Rudyet al. 1984; Igel et a1.1987; Schroderand Ouden 1992).