In this third volume, the Biennial Review of Infertility brings together the most up-to-date research and clinical information on male and female infertility, emerging assisted reproductive techniques, and controversial issues in reproductive medicine. An impressive panel of contributors presents cutting-edge information in a clear and well-balanced manner. This volume includes hot topics in reproductive medicine including age and its impact on fertility, lifestyle factors and reproductive health, fertility preservation for cancer patients, reproductive tourism and a discussion of clinical research design. The expanded section on controversies allows for point/counterpoint discussion between experts with differing opinions on topics like safety of the ICSI procedure and the role of IUI in modern reproductive medicine. Created to provide an ongoing appraisal of current knowledge, the Biennial Review of Infertility stimulates communication amongst all those working to help couples resolve their infertility.

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 fourth edition of this book updates and elaborates on the seven dimensions of maternal emotional health that have significant impact on delivery, postpartum adaptation, infant health, and early childhood development. Supported by the authors' original research and interviews, the book provides readers with an analysis of the role of these core functions throughout pregnancy, as well as practical materials for use with pregnant clients in the form of assessment instruments and evidence-based interventions for promoting positive development. The book provides a theoretical framework with rationales for the seven psychosocial dimensions, therapeutic and counseling intervention strategies to improve adaptive development in each of the seven psychosocial dimensions, findings specific to women in diverse cultural groups, a chapter devoted to women in the military and military spouses, and discussion of salient issues of pregnancy, including physical changes, body image, intimacy, trust, and ambivalence. The book focuses on the seven dimensions of maternal prenatal emotional health: Acceptance of the pregnancy. Motivation and preparation for motherhood. Relationship with husband/partner. Relationship with her own mother. Preparation for labor. Sense of control in labor Self-Esteem and Well-Being in labor. Psychosocial Adaptation to Pregnancy is a significant addition to the psychosocial assessment literature, a needed resource for clinical and health psychologists, clinical social workers, marriage and family therapists, professional counselors, midwives, and obstetrical nurses. It is also adaptable to undergraduate and graduate courses in maternal reproductive health and obstetrical nursing.

This book will explore the childbirth process through globally diverse perspectives in order to offer a broader context with which to think about birth. We will address multiple rituals and management models surrounding the labor and birth process from communities across the globe.

Labor and birth are biocultural events that are managed in countless ways. We are particularly interested in the notion of power. Who controls the pregnancy and the birth? Is it the hospital, the doctor, or the in-laws, and in which cultures does the mother have the control? These decisions, regarding place of birth, position, who receives the baby and even how the mother may or may not behave during the actual delivery, are all part of the different ways that birth is conducted.

One chapter of the book will be devoted to midwives and other birth attendants. There will also be chapters on the Evolution of Birth, on Women's Birth Narratives, and on Child Spacing and Breastfeeding.

This book will bring together global research conducted by professional anthropologists, midwives and doctors who work closely with the individuals from the cultures they are writing about, offering a unique perspective direct from the cultural group.

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.

This book presents an overview of the diagnostic performance of non- or semi-invasive tests for endometriosis in peripheral blood, endometrium, saliva, peritoneal fluid and urine. The value of existing and emerging systems biology technologies for biomarker development is addressed in several chapters on genetics, microarrays, proteomics and metabolomics. Although tests with high sensitivity and acceptable specificity have been developed, sometimes validated in independent populations and seem promising, more research is needed to translate these data into clinical benefit for patients and coordinate efforts internationally to standarize analysis, reports and operating procedures. The gold standard to diagnose endometriosis is currently through laparoscopic inspection with histological confirmation, a surgical procedure with rare but significant potential risks for the patients. A non-invasive test for endometriosis would be critical for the early detection of endometriosis of symptomatic women with pelvic pain and/or subfertility with normal ultrasound. This would include nearly all cases of minimal-mild endometriosis, some cases of moderate-severe endometriosis without a clearly visible ovarian endometrioma and cases with pelvic adhesions and/or other pelvic pathology, who might benefit from surgery to improve pelvic pain and/or subfertility. Such a test would also be useful in symptomatic women with ultrasound imaging suspicious for endometriosis, since it may be difficult to differentiate an ovarian endometrioma from other ovarian cysts and since the quality of ultrasound imaging is highly variable worldwide.

The Diploma of Royal College of Obstetricians and Gynaecologists (DRCOG) examination recognises a doctor's interest in women's health. Recent changes to the exam now require that candidates answer extended matching questions, single best answers and multiple choice questions. This comprehensive revision guide provides three full papers covering the entire DRCOG syllabus. Each paper is specifically designed for practice under exam conditions. To aid general revision, a detailed subject index enables a more focused approach to individual topics, and the explanatory answers have been fully referenced to assist further study where necessary.

Women's Health Communication explores and shares the stories of women who had a high-risk pregnancy and underwent premature labor or gave birth prematurely. This book discusses how women understand their experiences, cope with trying circumstances, and connect with others. Women's Health Communication provides insight into women's informational and support needs; delves into the range of emotions women experience; and examines how women seek out, avoid, and use the stories they encounter about pregnancy and birth to help them through their own traumatic experiences.

A much-needed overview of the available information now accumulating to indicate that assisted reproductive technologies are generally safe for both babies and mothers. However, the literature abounds with reports of a higher risk of obstetric and perinatal complications; regarding the long term outcomes for both women and children, the data are still scarce. The chapters summarized in this book review the current knowledge on long term safety of assisted reproduction and indicate the need for continued research to cover the lack of data in some specific patient groups and for recently developed treatments that only have a short period of follow-up.

Trying to get pregnant is enough to make any woman impatient. "The Impatient Woman's Guide to Getting Pregnant "is a complete guide to the medical, psychological, social, and sexual aspects of getting pregnant, told in a funny, compassionate way, like talking to a good friend who's been through it all. And in fact, Dr. Jean Twenge "has "been through it all--the mother of three young children, she started researching fertility when trying to conceive for the first time. A renowned sociologist and professor at San Diego State University, Dr. Twenge brought her research background to the huge amount of information--sometimes contradictory, frequently alarmist, and often discouraging-- that she encountered online, from family and friends, and in books, and decided to go into the latest studies to find out the real story.
The good news is: There is a lot "less "to worry about than you've been led to believe. Dr. Twenge gets to the heart of the emotional issues around getting pregnant, including how to prepare mentally and physically when thinking about conceiving; how to talk about it with family, friends, and your partner; and how to handle the great sadness of a miscarriage. Also covered is how to know when you're ovulating, when to have sex, timing your pregnancy, maximizing your chances of getting pregnant, how to tilt the odds toward having a boy or a girl, and the best prenatal diet.
Trying to conceive often involves an enormous amount of emotion, from anxiety and disappointment to hope and joy. With comfort, humor, and straightforward advice, "The Impatient Woman's Guide to Getting Pregnant "is the bedside companion to help you through it.

1. Clinical cases set out as questions that are mapped directly to the curriculum and following the order of the RCoA curriculum 2. A focus on clinical anaesthesia with common cases, that can be used in the clinical environment either for teaching or as a refresher 3. Short, quick-fire cases that enable learning and retention of information with a summary of key points to remember for each question

The Royal College of Obstetrics and Gynaecologists has recently introduced extended matching questions (EMQs) into the format of their MRCOG Part 1 exam. All candidates need to sit this exam and therefore need to be well rehearsed in the art of answering such EMQs. This book gives the candidate 300 practice EMQs with answers and explanations for these answers. It is divided into 3 sections. The first section provides the essential knowledge each candidate must have - it deals with anatomy, physiology, embryology, endocrinology, epidemiology, molecular biology and genetics, all highly relevant in the RCOG syllabus. This information is supplied with the help of useful figures and illustrations which are included to assist greater understanding and help the candidate revise. Section two contains 300 questions, grouped in clusters per topic, and section three provides the answers, along with the relevant reasons for them. Dr Prabha Sinha is herself an examiner for the DRCOG and MRCOG Part 2 exam, and is therefore the perfect choice for supplying the requisite information in this book. Along with her two colleagues, she has produced an excellent revision guide that will be an invaluable resource for all MRCOG candidates.

Endometriosis is a chronic health complaint that is experienced by up to 10% of women of reproductive age. Endometriosis results in significant psychological and financial burden. Surgical and pharmacological management can alleviate symptoms, but recurrence of endometriosis within one year is common. Many women use complementary and alternative therapies when the response to conventional medical treatments is inadequate.The latest book in the Evidence-based Clinical Chinese Medicine series uses a 'whole evidence' approach to summarise the management of endometriosis with Chinese medicine treatments. The current understanding of endometriosis - including symptoms, diagnosis and treatment - is summarised from conventional medicine and Chinese medicine perspectives. Next, a systematic approach is used to understand how endometriosis was treated with Chinese medicine in past eras.Internationally recognised scientific methods are used to identify and evaluate the clinical evidence for Chinese herbal medicine, acupuncture and related therapies. The potential mechanisms of herbal medicines are identified from experimental studies. The final chapter synthesises the evidence from the different literature sources and offers suggestions for contemporary clinical practice and future research.This book is a handy desktop reference for both clinicians and students of Chinese and integrative medicine. It provides a comprehensive synthesis of both traditional and contemporary knowledge that can inform clinical decision-making.

Endometriosis is a chronic health complaint that is experienced by up to 10% of women of reproductive age. Endometriosis results in significant psychological and financial burden. Surgical and pharmacological management can alleviate symptoms, but recurrence of endometriosis within one year is common. Many women use complementary and alternative therapies when the response to conventional medical treatments is inadequate.The latest book in the Evidence-based Clinical Chinese Medicine series uses a 'whole evidence' approach to summarise the management of endometriosis with Chinese medicine treatments. The current understanding of endometriosis - including symptoms, diagnosis and treatment - is summarised from conventional medicine and Chinese medicine perspectives. Next, a systematic approach is used to understand how endometriosis was treated with Chinese medicine in past eras.Internationally recognised scientific methods are used to identify and evaluate the clinical evidence for Chinese herbal medicine, acupuncture and related therapies. The potential mechanisms of herbal medicines are identified from experimental studies. The final chapter synthesises the evidence from the different literature sources and offers suggestions for contemporary clinical practice and future research.This book is a handy desktop reference for both clinicians and students of Chinese and integrative medicine. It provides a comprehensive synthesis of both traditional and contemporary knowledge that can inform clinical decision-making.

Key Features Explains normal physiology of pregnancy in addition to the physiology, evaluation, and management of endocrine diseases in pregnancy, and in the pre- and post-partum periods. Explores from a clinical standpoint with practical applications, useful for students, residents, fellows, mid-level providers, and practicing physicians. Discusses special considerations and emerging topics including pregnancy in transgender men, obesity and metabolism, and endocrine emergencies.

Maha Nasrallah-Babenko presents a culturally sensitive and uniquely accessible guide that equips clinicians, student sex therapists, and female clients with the tools to confidently treat genito-pelvic pain and penetration disorders (GPPPD). Addressing the issue from an integrated approach, the book provides evidence-based information and sensate, solo and partner practical exercises derived from the author's experience to help clinicians support women in redefining their relationship with sex, their bodies, and their partners. With a special focus on those from conservative and religious backgrounds, this beautifully illustrated text emphasizes the psychological, emotional, and relational factors that may increase shame and fear surrounding sex. The book defines GPPPD before outlining the author's ABCs approach, awareness, body, control, and safety, where she examines topics such as sexual abuse, how to communicate with you partner, sexual beliefs and messages, the importance of arousal, vulnerability and assertiveness, and shifting the significance of penetration for an enjoyable sex life. This book is essential reading for training and established sex therapists, family therapists, and couple therapists looking to support those struggling with sexual intimacy, as well as the couples seeking their help.

This book provides a collective examination of the theoretical, empirical, and clinical perspectives of pregnancy-related anxiety. Pregnancy-related anxiety is a distinct form of anxiety that is experienced by pregnant women and is characterized by pregnancy-specific fears and worries. This form of anxiety has been associated with a range of negative obstetric, neonatal, and maternal outcomes. There has been increased research interest in this form of anxiety, particularly over the last 15 years. The content is organized in three sections. The first section provides a thorough understanding of pregnancy-related anxiety, ranging from its historical development, evidence of its distinctiveness to the antecedents and outcomes of this anxiety for the mother and child. The second section examines key clinical issues around diagnosis and treatment specifically, current diagnosis/screening for this anxiety and approaches for intervention and treatment. The final section considers emerging areas of research such as pertinent issues around culture and acculturation which are key issues in an increasingly multicultural world. Moreover, the effects of pregnancy-related anxiety on the woman's broader psychosocial functioning are considered with specific chapters on body image and sexual abuse, two key areas of concern. A seminal resource, this book provides a broad examination of the topic from multiple frameworks and perspectives which sets this book apart from other books in print. This book intends to inform and stimulate future research studies, as well as increase awareness and understanding of pregnancy-related anxiety. It is a must-read for researchers, educators, clinicians, and higher education students who care about delivering better support and services to pregnant women, particularly those who are vulnerable and distressed.

Based on the experience of two Italian referral centers, the book depicts the characteristic findings obtained when using MR imaging to study the male and female pelvis including the obstetric applications. Each chapter provides a comprehensive account of the use of the imaging technique of examination, including the most recent advances in MR imaging, the anatomy and MR possibilities in the identification, characterization and staging of the different pelvic diseases highlighting its diagnostic possibilities. The advances in fetal MRI, representing the cutting edge of pelvic MR imaging, will also be depicted. The text is complemented by numerous illustrations, as well as clinical cases that make this a very practice-oriented work, presenting the role of diagnostic imaging in every-day clinical activity. The volume will prove an invaluable guide for both residents and professionals with core interest in gynecology, obstetrics and urology.

Maha Nasrallah-Babenko presents a culturally sensitive and uniquely accessible guide that equips clinicians, student sex therapists, and female clients with the tools to confidently treat genito-pelvic pain and penetration disorders (GPPPD). Addressing the issue from an integrated approach, the book provides evidence-based information and sensate, solo and partner practical exercises derived from the author's experience to help clinicians support women in redefining their relationship with sex, their bodies, and their partners. With a special focus on those from conservative and religious backgrounds, this beautifully illustrated text emphasizes the psychological, emotional, and relational factors that may increase shame and fear surrounding sex. The book defines GPPPD before outlining the author's ABCs approach, awareness, body, control, and safety, where she examines topics such as sexual abuse, how to communicate with you partner, sexual beliefs and messages, the importance of arousal, vulnerability and assertiveness, and shifting the significance of penetration for an enjoyable sex life. This book is essential reading for training and established sex therapists, family therapists, and couple therapists looking to support those struggling with sexual intimacy, as well as the couples seeking their help.

A working knowledge of the basic sciences that underpin mechanisms of disease and the body's response is widely recognised to be a critical part of urological training. This book is aimed at trainees to ensure they are up to date with this breadth of knowledge and it provides succinct summaries which are ideal for revising the basic sciences component of final assessments and examinations. The chapters cover anatomy and physiology, the basic principles of immunology and oncology and particular diseases. It is a compendium of "need to know" facts and is aimed at both FRCS (Urol) candidates and a wider gloabl surgical audience looking for an up to date summary.

This book examines the role of psychopharmacological treatment in a range of disorders that may be encountered during pregnancy, including major depressive disorders, anxiety disorders, bipolar affective disorder, schizophrenia, eating disorders and substance abuse. The natural history of each condition pre and post-partum is analyzed and the evidence for the efficacy of drug treatments, evaluated. Special attention is paid to the potential dangers of different treatment options for both mother and fetus, covering risks of malformation, pregnancy and obstetric risks, neonatal risks and possible long-term consequences. The risks of not treating a particular condition are also analyzed. On the basis of the available evidence, management guidelines are provided that additionally take into account non-pharmacological options. Closing chapters consider the value of complementary and alternative medicine and ECT and explore future research directions.

This is an ideal evidence based clinical guide to the essential principles and practical points arising from obstetric emergencies for residents, trainees, and obstetricians in practice. The concise text, illustrated with key diagrams, is from experienced educators and practitioners. *Provides a concise illustrated guide to the key principles and practical points involved *Gives trainees, residents, and obstetricians the practical information they need in an emergency *Supplies quick and easy reference to key points with illustrations

Fetal Cardiovascular Imaging, edited by Drs. Rychik and Tian, is the most complete video atlas available in this field - providing the detailed visual guidance you need to successfully identify a full range of fetal heart disorders. Complied by the team at the Cardiac Center at Children's Hospital in Philadelphia, this Expert Consult site and accompanying atlas-style text guide the acquisition and interpretation of fetal images for accurate diagnosis and effective management. Vivid color images, drawings, pathologic specimens and diagnostic algorithms facilitate tracking the progress of development of over 100 fetal heart problems. Enhance your cardiac imaging skills with a video library demonstrating imaging of the normal heart, and the imaging presentation of more than 100 different fetal heart problems. Recognize potential problems using views of the normal heart in development for comparative diagnosis. Get comprehensive coverage of cardiac anatomy, pathophysiology, natural history and disease management. See developing and existing problems as they appear in practice thanks to an abundance of vivid color images, drawings, pathologic specimens, and diagnostic algorithms. Track the progress of development in the fetal heart by using the best imaging modalities & techniques for more accurate diagnosis.

Endometriosis is a complex gynecological disorder with multifactorial etiology. An estrogen-dependent condition, it affects 6% to 10% of women in the general population, and in 35% to 50% of these women often experience pain, and sometimes infertility. Exploring this benign but chronic disease, the book covers the different aspects of endometriosis from basic to advanced levels, including diagnoses, management, treatment modalities, complications, and fertility. Features Provides an overview of the guidelines, expert opinions, and ethical dilemmas involved with endometriosis. Covers the various complications that these women can experience Presents informative illustrations that complement the text discussion An overview of surgery, hormone therapy, and other options is provided In-depth coverage of novel treatments, including alternative medicine, diet, nutrition, and lifestyle modifications

Recurrent pregnancy loss (RPL) includes recurrent first- and second-trimester abortions and recurrent preterm delivery, second- or third-trimester intrauterine fetal death, intrapartum stillbirth, and early neonatal death. This book includes protocols for case scenarios of early and late pregnancy loss as well as instances of poor obstetric history. Key Features Explores the management of different clinical presentations of RPL Includes preeclampsia, intrahepatic cholestasis of pregnancy, and hypertension-related disorders in pregnancy Includes clinical protocols with flowcharts Features tip boxes with learning points for easy reference