This book is one woman's funny, moving, and sometimes awkward quest to fix her sex life, but it's the story of millions of women everywhere - half of all women have felt pain during sex. During award-winning writer and performer Fran Bushe's journey towards building a better relationship with her genitals, doctors advised her to have a glass of wine to loosen up, and male friends suggested she simply hadn't 'tried' the right penis yet. Unsurprisingly, neither worked. After a visit to Sex Camp and many attempts to fix her 'broken' vagina, Fran decided to share her own hilarious, excruciating, and sometimes upsetting experiences. With the help of her 16 year old self's diary, expert advice, candid and enlightening interviews with others about sex, and some self-care exercises, Fran sets about trying to make herself, and other people, feel like they're not being gaslit by their own vaginas.

Progestogens are a class of steroid hormones that bind to and activate the progesterone receptor. This book is a guide to the use of progestogens for clinicians. Beginning with an overview of structure, biochemistry and classification, the following chapters discuss methods of administration, pharmacokinetics, metabolism and the physiological actions of progesterone. The remaining sections of the book cover clinical usage guidelines for progestogens, their role in contraception, side effects and contraindications. The book concludes with a chapter offering guidance on prescription writing and detailed references. Key points Guide to progestogens for obstetricians and gynaecologists Provides step by step detail on structure, classification, and pharmacokinetics Includes clinical usage guidelines, side effects and contraindications Features chapter on prescription writing

Titles in the Pocket Tutor series give practical guidance on subjects that medical students and foundation doctors need help with 'on the go', at a highly-affordable price that puts them within reach of those rotating through modular courses or working on attachment. Topics reflect information needs stemming from today's integrated undergraduate and foundation courses: Common presentations Investigation options (e.g. ECG, imaging) Clinical and patient-orientated skills (e.g. examinations, history-taking) The highly-structured, bite-size content helps novices combat the 'fear factor' associated with day-to-day clinical training and provides a detailed resource that students and junior doctors can carry in their pocket. Key points Logical, building-block approach to content: initial chapters outline the basic approach to gynaecological history and examination, and essential pelvic anatomy Subsequent chapters describe physiology and pathology of women at all stages of life from puberty, to reproductive age, to menopause; and associated disorders such as congenital disorders, menstrual disorders, genital diseases, and pelvic organ prolapse Concludes with chapter on gynaecological oncology Disorders are accompanied by medical images, examination photos and practical artworks Focuses on the conditions medical students and junior doctors are most likely to see

The Oxford Handbook of Perinatal Psychology is the most comprehensive resource to date for scholars, students, and clinicians on the emotional and psychological experiences associated with childbirth. The volume describes the typical biological, emotional, and psychosocial changes associated with childbearing as well as various domains of pathology. Chapters on normal psychosocial and biological changes associated with childbearing provide a sound knowledge base from which to interpret research on specific aspects of emotional and psychological maladjustment during this time. Chapters on special issues orient readers to the vast array of contextual factors that affect new parents' experiences during the transition to parenthood. The Handbook covers a broader base of research relevant to perinatal psychology than any other published work to date, focusing not only on parental wellbeing, but also on fetal and infant wellbeing. Readers will gain an understanding of what happens during the perinatal period, why it happens, and options for intervention when expected events go awry.

Early Life Origins of Health and Disease is a new book which presents and discusses the many factors that may have impact on normal development. In a concise and readable manner, the authors consider both the proven and suggestive evidence that the high prevalence of hypertension, diabetes, obesity and, in some populations, kidney disease, may not be all due to genetics or adult environment alone. There is good evidence that stress and more subtle dietary deficiencies, as well as placental malfunction, may increase the risk that the offspring will develop these problems in later life. Finally, new and emerging evidence for other areas of human health and disease such a motor control and mental health is critically reviewed for the first time. The book is a 'must' for all scientists interested in researching these areas, as there is a critical evaluation of the methodology used and suggestions for the 'optimal' way in which to investigate these phenomena.

The fully updated ninth edition of this bestselling handbook summarizes concisely but fully the methods of contraception, of which there are more now than were ever available to previous generations. This is a practical guide and includes newly launched intrauterine contraceptives. It also explains why new regimens for oral contraception should replace the standard 21/7 ritual that is suboptimal, despite being the norm for the past 60 years. Incorporating relevant WHO and national guidance documents, Professor Guillebaud's writing is appreciated because he describes best practice not only when there is a good evidence-base but also when there is not. He guides clinical judgement in real-world situations, where there often are unknowns yet the healthcare provider is facing a person who needs practical help now, in making their choice of method according to their own priorities. The easy-to-read format includes bulleted text and colour summary boxes that present information at a glance. Contraception Today is the ideal guide to contraceptive advice for general practitioners and practice nurses.

With infertility statistics soaring, a growing number of women are embracing natural approaches to enhance fertility and de-stress during rigorous, emotionally draining treatments. Traditional Chinese Medicine (TCM) is powerful in supporting fertility because it treats body, mind, and spirit - all must be strong to conceive. "The Tao of Fertility" is the first book combining a practical plan for conceiving using TCM with empowering Taoist principles that can carry the reader not just through pregnancy and birth, but through life in general. Readers learn to boost their chances of conception as Dr. Dao shares the dietary plans, recipes, herbal supplements, meditative exercises, and self-applied acupressure he uses so successfully with his patients. The methods are inexpensive and accessible. A detailed questionnaire helps women discover their personal fertility profile, followed by methods to calm and strengthen the body to receive and nourish new life.Enriched by powerful stories of women who became pregnant using TCM, this is a compassionate, comprehensive handbook. It includes: a questionnaire assessing fertility potential; a 28-Day fertility enhancement program synchronized to the menstrual cycle; fertility-enhancing herbs; simple meditations and acupressure points to improve reproductive circulation and relaxation; how to map your fertility using Chinese methods of diagnosis; eating plans for pregnancy, postpartum, and while breastfeeding. Chapters on specific fertility challenges, with stories from women who became pregnant by incorporating Dr. Dao's methods into their treatment; the Taoist perspective on pregnancy loss, adoption, surrogacy, egg donors, and living without children.

This book will enable practicing physicians and trainees to learn, in a clinically relevant and intellectually stimulating way, guidelines for appropriate ordering of imaging exams. The new edition provides more than 460 clinical case scenarios, organized into subspecialty modules (breast, cardiac, thoracic, gastrointestinal, urologic, women's, pediatric, vascular, musculoskeletal, and neurologic imaging). Each scenario is presented as a quiz in which the reader is invited to select the best option from various imaging modalities. All choices are given ratings of appropriateness and is consistent with the American College of Radiology (ACR) Appropriateness Criteria. Furthermore, a brief solution to each case is included. Finally, over 500 radiologic images are included each associated with a clinical case to illustrate the diagnostic capabilities of the imaging exam. This second edition incorporates new content and revisions to remain consistent with the updated ACR Appropriateness Criteria since the original publication in 2012. It will be an ideal tool both for self-study and for quantitative evaluation of students' knowledge.

Responding to the growing need for tried-and-trusted solutions to the reproductive health care issues confronting millions of women worldwide, Obstetrics and Gynecology in Low-Resource Settings provides practical guidelines for ensuring the delivery of quality OB/GYN care to women in resource-poor countries. Including contributions from leading clinicians and researchers in the field, this welcome overview fills an important gap in existing medical literature on women's health care and will be an invaluable resource for doctors, clinicians, and medical students at all stages of their careers who work in the global health arena. The reproductive health risks that all women face are greatly exacerbated when health care facilities are inadequate, equipment and medications are in short supply, and well-trained medical staff are few and far away. Often in these settings, the sole doctor or medical professional on hand has expertise in some areas of women's reproductive care but needs a refresher course in others. This informative guide features hands-on, step-by-step instruction for the most pertinent OB/GYN conditions-both acute and chronic-that health care workers in the field confront. The authors examine a wide range of topics, including: strategies to reduce maternal mortality and stillbirths; infectious and sexually transmitted diseases, including malaria and HIV; cervical cancer; contraception; prenatal, delivery, and newborn care; and complications arising from gender-based violence and female genital cutting. Published in a convenient format with a durable binding, this reference will be an essential companion to health care providers throughout the world.

Summary of Puerto Rican Migration; C.E. Rodriquez. Entromundos; I. Zavala-Martinez. Maternal and Child Health and Health Care in Puerto Rico; P.J. Santiago-Borrero, M. Valcarcel. Acquired Immune Deficiency Syndrome in Women and Children in Puerto Rico; C. Zorrilla, et al. Demographic and Health Characteristics of Puerto Rican Mothers and Their Babies; S.J. Ventura. Characteristics of Childbearing Hispanic Women in New York City; S. Lederman, D. Sierra. HIV Infection and AIDS Among Women; B. Kilbourne, et al. Physical Growth, Sexual Maturation, and Obesity in Puerto Rican Children; R. Martorell, et al. The Cultural Context of Adolescent Childrearing in Three Groups of Urban Minority Mothers; G. Wasserman, et al. The Cognitive, Behavioral, and Health Status of Mainland Puerto Rican Children in the Infant Health and Development Program; G. McCarton, et al. Distinguishing Among Proficiency, Choice, and Attitudes in Questions About Language for Bilinguals; K. Hakuta. 4 additional articles. Index.

The PROMPT (Practical Obstetric Multi-Professional Training) course covers the management of a range of obstetric emergency situations. Over the past five years, there has been increasing evidence that PROMPT training is having significant impact on outcomes in the UK, and internationally. In 2016, PROMPT was recognised in the NHS England: National Maternity Review. The PROMPT training package consists of interactive lectures, drills and workshops, providing hands-on experience of practical skills and team-working in simulated obstetric emergency situations. This third edition has been comprehensively updated in line with recent evidence and national and international guidelines to reflect the latest research and current clinical practice. There are new modules, algorithms, implementation tools, scenarios and videos. The course manual is essential reading for all those attending a local PROMPT course. It is also useful as a stand-alone textbook, providing evidence-based, up-to-date information for any health professional involved in maternity care.

Praise for the previous edition: this textbook is a useful resource for medical students it will provide them with the basic information they need to survive clinics and to pass exams Clear, concise and colourful; perfect for easy learning and revision Times Higher Education Obstetrics and Gynaecology by Impey and Child continues to be an invaluable and authoritative resource for healthcare and medical students. This comprehensive guide provides the perfect level of detail on history and examination, investigations and diagnosis, as well as common diseases, abnormalities, and complications in gynaecology and obstetrics. Fully updated in accordance with NICE and other national guidelines, this fifth edition now includes: * New sections on FGM and influenza * Expanded areas in medical disorders in pregnancy and mental illness * Improvements to the popular management section along with a new section on sepsis * Colour coded sections on obstetrics and gynaecology for ease of use This new edition of Obstetrics and Gynaecology will be an indispensable support to help not only students to revise for exams, especially OSCEs, but also healthcare practitioners and practising doctors to structure their knowledge and improve their practice.

In the decade since the first edition of this work was published, an incredible array of reproductive technologies and associated issues has emerged. Obstetricians and gynecologists are hard-pressed to deal with the startling breadth and depth of these issues, which require mastery over a daunting combination of ever-increasing scientific knowledge, technical skills, long hours, legal liability, and exposure to clinical situations of overwhelming emotional intensity.

Psychiatrists have a vital role to play in helping obstetricians and gynecologists cope with a host of problems whose resolutions require not just technical skill, but also knowledge of biology, psychology, sociology, anthropology, ethics, and law. For example, to design and implement strategies to reduce the transmission of HIV, psychiatrists could work with public health workers to incorporate the psychology, sociology, and anthropology of female reproductive behavior. Psychiatrists could likewise improve the diagnosis and treatment of breast and pelvic malignancies by elucidating the factors that deter women from self-examination and regular medical screening and enhance treatment compliance.

Divided into three sections, this clinical and theoretical sourcebook addresses every major area of contemporary concern. - Pregnancy covers topics from the psychology of normal gestation to physical and psychiatric complications during and after pregnancy, including new prenatal diagnostic techniques and the dynamic issues that emerge when abnormalities are detected, and the use of psychotropic drugs and electroconvulsive therapy in pregnant and lactating patients.- Gynecology discusses not only common gynecologic problems but also more controversial issues such as induced abortion and the new reproductive technologies, including the role of the menstrual cycle in exacerbating and precipitating psychologic symptoms, the psychiatric aspects of menopause, the assessment and management of chronic pelvic pain, the psychosocial concomitants of gynecologic malignancies and the emotional demands on the oncology team, and the special implications of HIV/AIDS.- General Issues offers a broad, balanced view of topics rarely found in the literature, such as men's reactions to women's reproductive events, substance abuse and eating disorders, sexual and physical abuse (often part of the histories of patients with personality disorders and posttraumatic stress disorders), ethical and legal issues, and health care for lesbian patients. Of special significance is Dr. Stotland's chapter on how consultation-liaison services are provided to obstetrics and gynecology services.

This practical and scholarly volume is exceptionally useful as a teaching reference for medical and other health care students and residents in psychiatry and obstetrics and gynecology. It also provides a valuable resource for the clinician working to improve the psychological well-being of women patients.

Reproductive Immunology is a growing area in both immunology and reproductive sciences and is helping us to better understand several complications of pregnancy. Immunology of Pregnancy is the first book to give a complete and up to date review of our knowledge related to the role of the immune system during pregnancy and the interactions between the placenta and the maternal immune system. This new title covers in detail all the different hypotheses and studies related to the immunology of implantation and provide a practical approach for the application of basic reproductive immunology research to pregnancy complications such as preeclampsia, pre-term labor and IUGR."

This study guide offers a systematic, comprehensive and focused approach to preparation for the MRCOG Part 3 Clinical Assessment exam. After an initial introduction, the text divides by OSCE station, beginning with an analysis of what the station is testing and what approaches and preparation are required, supported by tips and examples; this is followed by thoroughly worked practice questions based upon the exam format, with an analysis of how these are likely to be marked. Practice exam 'circuits' with fully worked questions and answers conclude the book.

In this issue of Obstetrics and Gynecology Clinics of North America, guest editor Dr. Catherine Stika brings her considerable expertise to the topic of Drugs in Pregnancy. The use of medications during pregnancy can be difficult to manage because not only is research lagging in this area, but typically drugs are not studied for use in pregnant women. In this issue, key experts provide a state-of-the-art review on clinical pharmacology in pregnancy, with a look at commonly prescribed medications as well as over-the-counter medications. Contains 17 practice-oriented topics including obstetrical pharmacology; over-the-counter medications in pregnancy; antibiotic use in pregnancy; opioids in pregnancy; mood disorder medications in pregnancy; and more. Provides in-depth clinical reviews on drugs in pregnancy, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Women most fully experience the consequences of human reproductive technologies. Men who convene to evaluate such technologies discuss "them": the women who must accept, avoid, or even resist these technologies; the women who consume technologies they did not devise; the women who are the objects of policies made by men. So often the input of women is neither sought nor listened to. The privileged insights and perspectives that women bring to the consideration of technologies in human reproduction are the subject of these volumes, which constitute the revised and edited record of a Workshop on "Ethical Issues in Human Reproduction Technology: Analysis by Women" (EIRTAW), held in June, 1979, at Hampshire College in Amherst, Massachusetts. Some 80 members of the workshop, 90 percent of them women (from 24 states), represented diverse occupations and personal histories, different races and classes, varied political commitments. They included doctors, nurses, and scientists, lay midwives, consumer advocates, historians, and sociologists, lawyers, policy analysts, and ethicists. Each session, however, made plain that ethics is an everyday concern for women in general, as well as an academic profession for some.

At last, a comprehensive collection of essays that examines and advances ethical evaluations of the controversial and increasingly popular practice of embryo adoption. In the United States alone, 400,000 frozen embryos created for in vitro fertilization exist but are no longer desired for that purpose. What are we morally obliged or permitted to do about these a oesparea embryos? More of their genetic parents are considering donating these embryos to others to gestate and raise. This practice is politically volatile (figuring in debates about embryonic stem cells) and medically and morally complex. At the present time within the Roman Catholic Church there is no official teaching on embryo adoption. Catholic ethical analyses grapple with the way embryo adoption comports with respect for embryonic human life yet challenges Catholic moral critiques of assisted reproductive technologies.

This volume is the first to bring together leading philosophers and theologians to engage Catholic debates about embryo adoption in an interactive format. The editors, a philosopher bioethicist and a moral theologian, provide a helpful overview of the practice and the arguments surrounding embryo adoption. They engage neglected Catholic ethical resources and issues to advance the current debate and chart new directions in Catholic moral thinking about this intriguing practice. The volume also includes a description of embryo adoption from a physician practitioner along with reflections from a couple who successfully adopted an embryo.

This book discusses computer-supported medical diagnosis with a particular focus on ovarian tumor diagnosis - since ovarian cancer is difficult to diagnose and has high mortality rates, especially in Central and Eastern Europe. It presents the theoretical foundations (both medical and mathematical) of the intelligent OvaExpert system, which supports decision-making in tumor diagnosis. OvaExpert was created primarily to help gynecologists predict the malignancy of ovarian tumors by applying the existing diagnostic models and using modern methods of computational intelligence that accommodate imprecise and imperfect medical data, both of which are common features of everyday medical practice. The book presents novel methods based on interval-valued fuzzy sets and the theory of their cardinalities.

Lipids and Women's Health is an up-to-date critical review of pertinent scientific and clinical issues connected with lipid disorders in women. Topics discussed include the public health significance of cardiovascular disease in women, lipoprotein and lipid metabolism, effects of estrogens and progestins on lipid metabolism, metabolic changes of menopause, and the paradox of obesity, a curable disease that is rarely cured, as well as those conceptual advances in our understanding of diabetes mellitus that have clarified diagnosis and may have improved treatment. The relationship of diet and lipid intake to the development of breast and uterine cancer; dietary and drug treatment of lipid disorders; effects of exercise, smoking, and stress; and repercussions of lipid disorders on the family are explored. The volume should prove of use to gynecologists, internists, family practitioners, and pediatricians, as well as to all other professionals with a major concern for the health of female patients.

In this definitive new text, the major medicines, devices and vaccines used by women worldwide are brought together for the first time in a single volume. Written and edited by international experts with an evidence-based approach, the book offers a comprehensive summary of all the key areas of women's medicines. In the first part, issues relating to female drug exposure and considerations for prescribing for subgroups of women - for example during pregnancy and lactation - are presented in the context of contemporary clinical practice. In the second part, specific groups of pharmaceutical products are reviewed, including oral contraceptives, emergency contraception, treatment of chronic pelvic pain, hormone replacement therapy, bisphosphonates, herbal medicines for women, contraceptive devices and human papilloma virus (HPV) vaccines. Every chapter reviews and summarises the efficacy and safety of each group of products and concludes with a useful set of clinical take home messages. In the third part, broader perspectives are presented - from a primary care overview of prescribing for women, through to regulatory, political and religious aspects, including issues with women's medicines in developing countries. The final two chapters focus on risk communication and conclude that women themselves should be placed at the centre of all discussions about their medicines. The book is aimed at prescribers, other healthcare professionals and students in the field of women's health throughout the world. It is an extremely valuable resource for all in clinical practice, for students of medicine, nursing, pharmacy and related sciences, and also for those in medicines regulation, pharmacovigilance and the pharmaceutical industry.

Experimental and clinical researchers from a wide range of disciplines present a wealth of fresh scientific information on the biochemistry, molecular biology, pharmacology, and clinical activity of SERMs. The basic science chapters of the book focus-with an eye to the development of the ideal SERM-on the complex mechanisms of estrogen action, including ligand-dependent conformational changes in alpha and beta, and the recruitment of co-activators and co-repressors which modulate the estrogen receptor transcriptional activity and contribute to its crosstalk with growth factor signaling. The clinical presentation reviews the data accumulated on currently available SERMs, primarily tamoxifen and raloxifene, in cancer treatment and prevention, as well as their effects on the reproductive, vascular, skeletal, and central nervous systems. A tentative approach to menopause-related health issues is also provided for women with and without a previous diagnosis of localized breast cancer.