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.

Each patient seeking assisted reproduction has a unique set of circumstances that affects the outcome of treatment. Particularly challenging are those patients with pre-existing medical conditions or those receiving medical therapies that may impact the safety and success of their IVF treatments. Prior identification and preparation of the patient at increased risk of complications will enable the clinician to avoid problems in advance, anticipate the necessary management, and optimize outcomes. A new expanded edition of the prize-winning text IVF in the Medically Complicated Patient: A Guide to Management, Second Edition provides a readily accessible, authoritative, and didactic source of information to aid clinicians in this important field.

Offering a one-stop guide to recognition and therapeutic decision making, Diagnosis and Treatment of Rare Gynecologic Cancers fills a gap in the medical literature on uncommon ovarian, uterine, cervical, and vulvovaginal cancers and trophoblastic diseases. This authoritative text, edited by Drs. Michael Frumovitz, Mario Leitao, and Preetha Ramalingam, has been authored by internationally recognized experts from top institutions such as MD Anderson Cancer Center and Memorial Sloan Kettering Cancer Center. Each chapter covers different cancer subtypes and has been reviewed by an oncologist and a pathologist. Provides up-to-date clinical guidance on assessment and therapeutic options for patients with rare gynecologic malignancies. Presents information in a templated, easy-to-read format. Each chapter includes an introductory clinical case followed by epidemiology of disease, pathologic assessment, basic science/molecular/translational research, work-up of newly diagnosed disease, staging, treatment of newly diagnosed disease, treatment of recurrent disease, potential therapeutic targets, and a case resolution. Includes diagnostic and treatment algorithms for each form of cancer. Contains numerous anatomical figures, radiographs, photographs, and tables for quick visual reference. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Obstetrics is a unique field of medical care because, in its uncomplicated or natural form, pregnancy, labour and delivery are not diseases, but normal physiological events constituting an integral part of human life. Three equally important facets form the basis of obstetrics: the needs of the pregnant woman, the wellbeing of the baby, and the ability to perform a medical intervention should either of these be threatened - before, during and after birth. Clinical obstetrics: a South African perspective is an authoritative and up-to-date textbook dealing with current obstetric practice, focusing specifically on conditions and problems prevailing in South Africa. Clinical obstetrics: a South African perspective covers a wide range of topics from physiological adaptations, diagnosis and management of normal pregnancy and delivery, to teratogenesis, red cell allo-immunisation, congenital abnormalities and pre-term labour. It also discusses the risks involved in poor progress in labour, abnormal fetal lie and presentation, viral infections and multiple pregnancies. There are separate sections for medical and surgical conditions, as well as diagnostic procedures. Clinical obstetrics: a South African perspective is aimed primarily at medical students, but will also be of great value to nurses, registrars in obstetrics and gynaecology, general practitioners and specialists in this field.

The growing number of cancer survivors presents a new challenge to generalists and specialists involved in their care. Prior cancer treatments may compound known comorbidities or contribute to future health risks. The ultimate success of cancer treatments ultimately depends on the meticulous management of post-cancer care, and this requires a clinical workforce that is engaged and ready. Cancer survivorship has now become recognized as an independent field of research and clinical practice. This new concise guide is intended for cancer clinicians as well as generalists and specialists who meet cancer survivors in their practices for routine check-ups or specialized consultations. With an expanding population known to have complex medical, psychosocial and emotional needs, we hope this book sparks interest and provides answers for those involved in their care.

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.

Gynaecology in Primary Care comes at a time of great change in health service delivery. General practice is facing the challenges of developing Clinical Commissioning Groups, providing an ever greater range of primary care services and implementing NICE guidelines, whilst CCGs through their members will be under a legal duty to innovate. From a provider perspective, the book equips general practitioners with up-to-date knowledge of common gynaecological conditions, suggestions of best practice with regard to management and investigations to be undertaken within primary care, and guidelines for onward referral, where this is appropriate and necessary. From a commissioning perspective it provides an invaluable resource to CCGs, to inform their future pathways for gynaecology care. This highly practical book delivers the main aim of the RCP report - to ensure best care for female patients in the setting of their choice and where possible to develop streamlined one-stop services in primary care so that women do not have to take time off from their work and family commitments. It is ideal for general practitioners needing to be inspired and informed, and is also highly recommended for other healthcare professionals and medical students with an interest in women's health. 'Optimal patient care requires many connected features to synchronise effectively. This book describes how this could be achieved by focusing attention on well-crafted, evidencebased clinical pathways. This book advances our thinking on how we connect clinical, system and patient level perspectives on optimal care management.' Denis Gizzi, in his Foreword 'Written by a highly regarded, experienced and practicing GP, who has taken on the role as Clinical Director on behalf of the CCG for this programme area, this book is a valuable asset for both practicing GPs and developing CCGs to ensure that gynaecology services effectively commission, maximise the health of the population, improve the experience of the patient, and improve value for money.' Kath Wynne-Jones, in her Foreword 'An excellent guide to the management of gynaecological problems in primary care for not only clinicians in training, but for more experienced clinicians who look for straightforward and easily accessible advice to support their clinical management decisions. Look no further than this textbook. Dr Sharma's textbook will be a boon to developing organisations in delivering world-class services.' Dr Ian Wilkinson, in his Foreword

Too often, in the debate over reproductive rights and technologies, we lose sight of the fundamental emotional and psychological issues that define the experience of pregnancy. Robin Gregg here draws on the words and stories of over thirty women to provide a first- hand perspective on pregnancy in the modern age.

In an age where a new advance in reproductive technology occurs seemingly every month, pregnancy has come to be defined by such medical procedures as prenatal screening, amniocentesis, fetal monitoring, induced labor, and cesarean sections. Public policymakers, ethicists, religious figures, and the medical establishment control the debate, drowning out the voices of women who grapple in the most immediate sense with the issues. Even feminist theorists often overlook the nuances and paradoxes of the reproductive revolution as experienced by individual, particular women.

The reader follows these thirty women as they speak about whether to become pregnant, and by what means; how to choose a health provider; what meaning they attribute to their pregnancies; and how they navigate their way through the contradictory pressures they face during pregnancy. The intimate nature of Gregg's research, consisting as it does largely of women's pregnancy narratives, lends her book a vibrancy often lacking in academic writing about reproduction.

Section A: Scientific Aspects of Endometriosis.- 1 The pathogenesis and aetiology of endometriosis.- 2 The endometriotic implant.- 3 Steroid receptors in endometriosis.- 4 The endometrium and endometriosis.- 5 The peritoneal environment in endometriosis.- 6 The immune system in endometriosis.- 7 Endometriosis and infertility.- Section B: Clinical Aspects of Endometriosis.- 8 The classification of endometriosis: a comprehensive review.- 9 Extrapelvic endometriosis.- 10 Macro- and microsurgical treatment of endometriosis.- 11 Laser laparoscopy in the treatment of endometriosis.- 12 Gestogens and anti-gestogens as treatment of endometriosis.- 13 The use of danazol as a treatment of endometriosis.- 14 GnRH analogues in the treatment of endometriosis - rationale and efficacy.- 15 The role of definitive surgery and hormone replacement therapy in the treatment of endometriosis.- 16 The future.

Basic Science in Obstetrics and Gynaecology is an essential one-stop, portable revision tool for candidates preparing for Part 1 of the MRCOG specialist examination. Fully updated by experts who are internationally recognised in their fields, the chapters match the syllabus of the exam, combining detailed coverage of the science with related self-assessment questions that you will encounter in the MRCOG. This book is suitable for doctors specialising in obstetrics and gynaecology who want the best chance possible to pass this difficult exam. Covers all topics for the MRCOG Part 1, including basic science and clinical anatomy Contains self-assessment SBA questions to consolidate learning Includes three mock exam papers enabling you to practice for the exam Digital version included Fully revised and updated Completely updated self-assessment chapter, written in the style of the new exam Extensive revision of fetal physiology, biophysics, biochemistry, endocrinology, and physiology New top-quality illustrations to support learning

The study of human reproduction has focused on reproductive 'success' and on the struggle to achieve this, rather than on the much more common experience of 'failure', or reproductive loss. Drawing on the latest research from The UK and Europe, The United States, Australia and Africa, this volume examines the experience of reproductive loss in its widest sense to include termination of pregnancy, miscarriage, stillbirth, perinatal and infant death, as well as - more broadly - the loss of desired normative experiences such as that associated with infertility, assisted reproduction and the medicalisation of 'high risk' pregnancy and birth. Exploring the commonalities, as well as issues of difference and diversity, Understanding Reproductive Loss presents international work from a variety of multi-disciplinary perspectives and will appeal to sociologists, anthropologists and other social scientists with interests in medicine, health, the body, death studies and gender.

Paediatric and Adolescent Gynaecology (PAG) is a subspecialty that encompasses a broad spectrum of conditions affecting girls from birth up to adulthood. For younger children, vulval dermatological conditions are frequently seen, whilst the adolescent population will often present with menstrual dysfunction or pelvic pain, with a range of aetiologies. This book, aimed at trainees and consultants in the field and all healthcare professionals working in the multidisciplinary team providing care for girls with gynaecological conditions, offers practical, detailed advice on dealing with this spectrum: including rarer conditions such as disorders of puberty, including precocious puberty, delayed puberty and primary amenorrhoea, differences in sex development and Mullerian duct anomalies. Written by international experts in the field, this book will inform and inspire generations of healthcare professionals working in PAG.

This book fills the gap in understanding of pathology of the female genital tract that is often understated during training. Normal histology and pathology of abnormal conditions are covered for the lower and upper genital tract, in a concise manner with over 200 color illustrations. Topics include this covers inflammatory diseases, iatrogenic conditions, changes associated with menopause, and benign and malignant neoplasms. This text also address adjunctive testing such as molecular diagnostics and immunohistochemistry staining. The text is concise and practical with a liberal use of bullet points, and it includes clinicopathologic correlations. Breakout tables in each chapter cover information the clinician should provide the pathologist to get the most useful report, as well as pathology issues and challenges that may result in a report less specific than the clinician is expecting. Written by board certified experts, this book is the ultimate resource for gynecological pathologists, obstetrics, OB/GYN physicians, and gynecology practitioners.

The COPD chart presents a detailed overview of the symptoms and causes of Chronic Obstructive Pulmonary Disorder (COPD). Sections help explain the two related respiratory diseases that constitute COPD - emphysema and chronic bronchitis. Heavy cover stock with protective varnish for durability.

Now in its 3rd edition, Lecture Notes: Obstetrics and Gynaecology has been extensively revised and updated to provide a concise and practical introduction to obstetrics and gynaecology for medical students and junior doctors. Starting with a section on basic science, the text is divided into six sections that explain female health needs and their management from the early years to old age. The self-assessment section is now a separate chapter, and includes Extended Matching Questions (EMQs), scenarios for practical history taking for the Objective Structured Clinical Examination (OSCE) and Multiple Choice Questions (MCQs). Part 1 looks at female reproductive anatomy and physiology. Part 2 covers the puberty and menstrual problems of young women, sub-fertility, pregnancy prevention, and sexual problems. Part 3 examines the reproductive years including pregnancy and childbirth. Part 4 covers the mature woman including menstrual problems of the older woman and pelvic pain. Part 5 discusses the older woman including the menopause, incontinence and malignancy including breast cancer. Part 6 demonstrates the importance of public health statistics on the provision of services in obstetrics and gynaecology. Now in two-colour throughout, with a new colour plate section, Lecture Notes: Obstetrics and Gynaecology covers the core material needed for O&G courses, written specifically for medical students, nursing students, junior doctors on the Foundation Programme and the first two years of specialist training, midwives, and GPs.

OSCEs for the MRCOG Part 2 is designed to help the candidate in preparation for the oral examination or OSCE, the concluding element required to pass the MRCOG part 2 examination. The second edition builds upon the strengths of the first by concentrating on testing the candidate's theoretical and practical knowledge of obstetrics and gynaecology as recommended in the syllabus for the MRCOG Part 2 examination. The detailed scenarios test the trainee's ability to obtail obstetric and gynaecoloical histories, to counsel patients and to demonstrate clinical skills. The book will also help the candidate to critically appraise pieces of written work in discussion with examiners and to discuss the varied aspects of obstetrics, gynaecology and allied subjects on which they are likely to be examined during the oral assessment. Opening with a general introduction to the OSCE, the book gives readers invaluable advice on preparation for this particular form of examination such as body language, the importance of visual contact and how to interact appropriately with the examiner and the 'role player'. Helpful discussion sections at the end of each case or 'station' provide helpful suggestions for further study, and are supplemented by key references. Supplementary circuits with less detailed information are also provided for emaniation practice.

Childbirth in Republican China: Delivering Modernity (1911-1949) is the study of a pivotal period in which traditional midwifery, marked by private, unregulated old-style midwives, was transformed into modern midwifery through the adoption of a highly medicalized and state-sponsored birth model that is standard in urban China today. In the twentieth century, biomedical technologies altered the process of childbirth on virtually every level. What had been a matter of private interest, focusing on the family and lineage, became a national priority, a symbol of the new citizen who would participate in the creation of a revitalized nation. This transformation of reproduction coalesces with the broader story of China's twentieth-century revolutions, marked by an emphasis on science and modernity. The roles of the state and of western medical personnel were paramount in affecting these changes, but equally important are the intense social and cultural shifts that occurred simultaneously. The dominant themes of reproduction in twentieth-century China are characterized by expanding state involvement, shifting gender roles, escalating consumption patterns accompanying the commercialization of private lives, and the increasing medicalization of the birth process.

As recently detailed in an Institute of Medicine Report, pain represents one of the most costly and prevalent public health conditions in the United States, and the burden of pain is substantially greater for women than men. Women make up half of the world's population. Yet, the overall treatment of pain in women remains challenging to this day. The differences between men and women are anatomical, physiological and psychosocial in nature. Consequently, several unique features come to mind when discussing pain as experienced by women, such as pain related to pregnancy, pain related specifically to female organs, and chronic painful conditions which have a higher prevalence in the female population. The purpose of this book is to address the current understanding of mechanisms related to sex differences, and the clinical management of common acute and chronic painful conditions in women, using up-to-date evidence-based information. The painful conditions discussed include those that are specific to female anatomy and physiology and conditions that have a higher female prevalence. The book is divided into three sections. The first section covers basic science topics related to sex differences in pain. The epidemiology of painful conditions with female prevalence; sex differences in response to pain, and to analgesics; the role of sex hormones and genotype in pain perception and analgesia; sex differences in cerebral responses to pain revealed by brain imaging ; and the role of psychosocial factors, including psychological interventions will be discussed in this section. The second and third sections are clinically directed. The second section focuses on pain specific to female patients. Topics include the management of labor pain; the management of painful conditions during pregnancy; and the management of pain in the opioid tolerant pregnant patient. The latter includes discussion on the impact of pain management on the fetus in utero, and on the newborn who is breastfed. Chronic pain specific to females, including dysmenorrhea, chronic pelvic pain and vulvodynia will be discussed in this section. Cancer-related pain issues in women will be addressed in the chapter on persistent pain after breast cancer treatment and the chapter on interventional management of pelvic cancer pain. The third section covers painful conditions with high female prevalence. These include fibromyalgia, chronic fatigue syndrome and neuropathic pain in complex regional pain syndrome. Visceral pain with female prevalence such as irritable bowel syndrome, chronic pelvic pain of undetermined etiology will also be addressed in this section. This section also includes chapters on the presentation of cardiac pain in women; headaches including migraine; and temporomandibular joint disorders and orofacial pain. The book is intended for a wide readership, including physicians and allied healthcare professionals who encounter female patients with acute or chronic painful conditions. In addition, residents and medical students in training as well as graduate students in health sciences will benefit greatly from this book as they continue to learn about and manage difficult and complex issues related to pain in female patients.

Rare gynecological cancers kill all too commonly Gynecological cancer is a frightening prospect for women. It is terrifying also for physicians who need, but often can t find, guidance on how to investigate and appropriately treat the tumors. Rare cancers provide greater challenges as information can be harder to find and more difficult to verify. Rare Gynecologic Cancers: Diagnosis and Management brings together all you need to know on these life-threatening diseases. Straightforward summaries of pathophysiologic processes lead to the investigations that will improve your diagnostic accuracy. This provides the basis for you to identify effective treatment strategies for your patients. Written by a world-leading team of Editors and Authors and covering cancers of the Ovaries Uterus Vulva Vagina Cervix Rare Gynecologic Cancers: Diagnosis and Management will guide you to the best life-saving treatment for your patients.

This invaluable manual provides a practical overview of the field of gynecologic oncology. Focusing on clinical aspects of the specialty, it provides hands-on guidance for those caring for patients with ovarian, cervical, uterine, and lower genital tract cancers. It describes the current epidemiology, pathophysiology, presentation, diagnosis, and multimodality management of the most common gynecologic malignancies. Chapters are also devoted to radiation and chemotherapy, as well as symptom management. The book is designed for quick reference.

This book provides an exam-focused revision guide to both anaesthetic and surgical instruments. This is a comprehensive guide to passing an exam station and includes commonly tested knowledge. The Anaesthetic section includes airway, breathing, circulation and analgesia equipment. Surgical instruments include those used in cardiothoracic surgery, ENT, general surgery, orthopaedics and urology. Each instrument entry follows a standard format - description, indications for use, contraindications and complications. The standard format ensures that learning about each instrument and when to use it is faster and easier, thus optimising exam recall. Fully illustrated with all the core anaesthetic and surgical instruments Concise, easy-to-remember text Portable and practical Suitable for a wide range of health professionals The instrument syllabus is a small yet significant part of many exams, and this concise study guide will benefit a wide range of medical and surgical trainees, including those sitting the FRCA and MRCS examinations. Healthcare professionals, including nurses (ward or theatre), operating department practitioners and physician assistants (PAs), will also find the content useful as an on-the-job aide. About the Author: Dr Kelvin Yan, MRCP, AICSM is an NIHR Academic Clinical Fellow, University of Oxford and an Honorary Clinical Research Fellow, Imperial College London.

This book presents the contemporary history and dynamics of Mexican midwifery - professional, (post)modern or autonomous, traditional and Indigenous - as profoundly political and embedded in differing societal stratifications. By situated politics, the authors refer to various networks, spaces and territories, which are also constructed by the midwives. By politically situated, the authors refer to various intersections, unsettled relations and contexts in which Mexican midwives are positioned. Examining Mexican midwiferies in depth, the volume sharpens the focus on the worlds in which midwives are profoundly immersed as agents in generating and participating in movements, alliances, health professions, communities, homes, territories and knowledges. The chapters provide a complex panorama of midwives in Mexico with an array of insights into their professional and political autonomy, (post)coloniality, body-territoriality, the challenges of defining midwifery, and above all, into the ways in which contemporary Mexican midwiferies relate to a complex set of human rights. The book will be of interest to a range of scholars from anthropology, sociology, politics, global health, gender studies, development studies, and Latin American studies, as well as to midwives and other professionals involved in childbirth policy and practice.

This book brings together the most up-to-date information about the physiology of progestogens. Addressing the bidirectional communication between hormones, fertility, tumors, and autoimmunity, it provides the basic science and clinical perspectives of progestogens which have not been previously available in one volume. In addition to estrogens, androgens, mineralocorticoids and glucocorticoids, progestogens are a major class of steroid hormone. While present in certain phases of estrous and menstrual cycles, progestogens are named for their function in maintaining pregnancy. This book is essentially practical in orientation, addressing the specific issues that confront the practitioner, and provides information to Obstetricians, Gynecologists, Reproductive endocrinologists, as well as Gynecological Oncologists and Rheumatologists. Contributions are from an international team of experts in the field, now completely updated in this new edition with new developments in primary dysmenorrhea and contraception.

Our book aims to provide those working in the maternity services, including those in general practices, with an understanding of what it means to be on the receiving end of care. Together with a description of various types of traumatic birth, we explain some of the reasons why women vary in terms of how traumatised they are by their birth experience. We provide information, encouragement and support for maternity staff to help them lessen the incidence of birth trauma, and to develop the confidence to help women when birth trauma does occur. The authors are a senior counsellor and an obstetrician, each with a long experience of helping women who have had difficult births. The approach of each to the subject is different but complementary. The book covers the psychological and emotional aspects of traumatic birth as well as the medical issues and includes a section on the effect of traumatic birth on the staff themselves. The market for this book is practising midwives and obstetricians, who by understanding the prevalence of traumatic birth and some of its causes can contribute to its reduction. Those in their training years will find it helpful at the outset of their practice. It will also be of interest to general practitioners, health visitors and counsellors.

The subject of medicalisation of childbirth in colonial India has so far been identified with three major themes: the attempt to reform or 'sanitise' the site of birthing practices, establishing lying-in hospitals and replacing traditional birth attendants with trained midwives and qualified female doctors. This book, part of the series The Social History of Health and Medicine in South Asia, looks at the interactions between childbirth and midwifery practices and colonial modernities. Taking eastern India as a case study and related research from other areas, with hard empirical data from local government bodies, municipal corporations and district boards, it goes beyond the conventional narrative to show how the late nineteenth-century initiatives to reform birthing practices were essentially a modernist response of the western-educated colonised middle class to the colonial critique of Indian sociocultural codes. It provides a perceptive historical analysis of how institutionalisation of midwifery was shaped by the debates on the women's question, nationalism and colonial public health policies, all intersecting in the interwar years. The study traces the beginning of medicalisation of childbirth, the professionalisation of obstetrics, the agency of male doctors, inclusion of midwifery as an academic subject in medical colleges and consequences of maternal care and infant welfare. This book will greatly interest scholars and researchers in history, social medicine, public policy, gender studies and South Asian studies.