The advent of robotic surgery brought a rise in the proportion of minimally invasive surgery in gynecology. This book provides a practical guide to this innovative field. First it introduces the basics of robotic surgery and then focuses on specific gynecology-related surgeries. Gynecologists currently practicing robotic surgery as well as those who would like to include robotic surgery in their practice will benefit greatly from this book.

Now in its fourth 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 evolving controversies in reproductive medicine. An impressive panel of contributors presents cutting-edge information in a clear and well-balanced manner. Volume 4 discusses hot topics in contemporary reproductive medicine, including stem cell technologies for male infertility, the current state of ovarian tissue cryopreservation and time-lapse video microscopy of embryos. The expanded section on controversies allows for point/counterpoint discussion between experts with differing opinions on topics like eSET and the use and role of dietary supplements in IVF cycles. Created to provide an ongoing appraisal of current knowledge, the Biennial Review of Infertility stimulates communication amongst all clinicians and researchers working to help couples resolve their infertility.

With the increased prevalence of subfertility (any form of reduced fertility with prolonged time of unwanted non-conception) and the number of subfertile patients turning to assisted reproductive clinics for help, Subfertility: Recent Advances for Management and Prevention is a much-needed resource for today's health care providers. Written by doctors with extensive expertise in the areas of reproductive physiology and endocrinology, it provides a description of the methods for achieving conception, an overview of the causes of subfertility and how to detect them, a review of the psychological impact of subfertility, guidelines for the treatment of subfertility, and a look at assisted reproductive technologies. Provides a holistic approach to the causes and treatment of subfertility, with guidance on selecting patients on the basis of ovarian reserve/sperm parameters and the management of special endocrine abnormalities like polycystic ovarian syndrome, endometriosis, and thyroid disorders. Offers a concise review of the most recent advances for improving assisted reproductive techniques. Covers reproductive physiology and the causes of subfertility, with special focus on endocrine abnormalities that lead to subfertility. Consolidates today's available information on this timely topic into a single, convenient resource.

This text introduces readers to the diverse and unique ways art therapy is used with women who are undergoing various stages of the childbearing process, including conception, pregnancy, miscarriage, childbirth, and postpartum. Art Therapy and Childbearing Issues discusses a range of topics including the role of transference/countertransference, attachment and maternal tasks, and neuropsychology. The book also addresses several motifs that are outside cultural norms of pregnancy and childbearing, such as racial sociopolitical issues, grief and loss, palliative care, midwifery, menstruation, sex-trafficking, disadvantaged populations, and incarceration. Each chapter offers research, modalities, case studies and suggestions on how to work in this field in a new way, accompanied by visual representations of different therapy methods and practices. The approachable style will appeal to a range of readers who will come away with a new awareness of art therapy and a greater knowledge of how to work with women as they enter and exit this universal, psychobiological experience.

Together with Consulting Editor Dr. William Rayburn, Dr. Curtis Lowery has put together a unique issue that discusses the telemedicine in obstetrics and gynecology. Expert authors have contributed clinical review articles on the following topics What is telehealth and what do I need to know about it; Licensing, reimbursement and regulatory issues in the delivery of telemedicine and connected health; Telemedicine for low-risk obstetrics; Telemedicine In high-risk obstetrics; Telemedicine for gynecology; Telemedicine and Connected Health for GYN oncology; Telemedicine and connected health for contraception; Maternal Health and monitoring devices for obstetrics and gynecology; Telepsychiatry and drug treatment in obstetrics; Telemedicine as a method to reduce perinatal mortality; and Telemedicine and distance learning for OB/GYN provider education. Readers will come away with the information they need to incorporate telemedicine into their care of gynecologic or obstetric patients.

Doctors and the general public are increasingly recognising diseases of the vulva and vagina as a cause of sexual dysfunction, morbidity and death, yet the wide but sometimes rare range of conditions involving this area are poorly represented in most textbooks of pathology. As the first volume in the Essentials of Diagnostic Gynecological Pathology series sponsored by the British Association of Gynecological Pathologists, Pathology of the Vulva and Vagina is one of the very few dealing wholly with this subject. Pathology of the Vulva and Vagina introduces the topic with a stylishly illustrated description of the embryology and development which is fundamental to understanding the pathogenesis and symptomatology. Subsequent chapters cover infections and non- infectious dermatoses, specifying those that can predispose to cancer. The precancerous conditions of vulval intraepithelial neoplasia, melanocytic proliferations and extra-mammary Paget's disease are integrated respectively with accounts of human papilloma virus, malignant melanoma and recent awareness of ano- genital mammary-like glands. Advances in the recognition of potentially confusing benign conditions, prognosis and staging update the pathology of squamous and adenocarcinoma in these organs. The difficulties of sentinel node biopsy are explored and a comprehensive chapter clearly highlights the difficult differential diagnosis of mesenchymal lesions. As most histopathology departments receive many gynecological specimens, Pathology of the Vulva and Vagina has been written to be useful diagnostically to general as well as specialist gynecological histopathologists and pathologists in training. Gynecologists, oncologists, dermatologists, genitourinary physicians and cancer nurse specialists will find expert insights here that will help in treatment and counselling of their patients.

Due to new developments in prenatal testing and therapy the fetus is increasingly visible, examinable and treatable in prenatal care. Accordingly, physicians tend to perceive the fetus as a patient and understand themselves as having certain professional duties towards it. However, it is far from clear what it means to speak of a patient in this connection. This volume explores the usefulness and limitations of the concept of 'fetal patient' against the background of the recent seminal developments in prenatal or fetal medicine. It does so from an interdisciplinary and international perspective. Featuring internationally recognized experts in the field, the book discusses the normative implications of the concept of 'fetal patient' from a philosophical-theoretical as well as from a legal perspective. This includes its implications for the autonomy of the pregnant woman as well as its consequences for physician-patient-interactions in prenatal medicine.

Get Through MRCOG Part 1, Second Edition, provides a selection of questions covering the basic and applied sciences relevant to the clinical practice of obstetrics and gynaecology and mapped to the RCOG Knowledge Areas in the MCQ style. With appropriate explanations of the answers and references to the relevant guidelines, this is a definitive resource for those taking the MRCOG Part 1 examination.

This revised edition of Managing Hot Flushes and Night Sweats offers up-to-date and evidence-based information about the menopause and about hot flushes and night sweats, which are the main reason that women seek medical help. The four-week self-help guide uses cognitive behavioral therapy, providing information and strategies for managing hot flushes and night sweats, as well as stress and sleep. The guide is interactive with exercises and homework tailored to women's individual circumstances and lifestyles. It challenges myths about menopause and aging and provides better understanding of flushes which in turn reduces stress and improves post-menopausal well-being. The various chapters discuss processes of identification and modification of triggers of hot flushes and offers tips to women on dealing with hot flushes in social and work situations. The guide can be as effective as eight hours of group CBT and will help women who want to try a non-medical treatment that is brief and effective without side effects, or just want to be better informed.

Pre-eclampsia, a complication of pregnancy characterized by hypertension and/or edema and/or proteinuria, can have profound effects on the mother as well as the unborn fetus and even threaten their lives. Pre-eclampsia: Prevention, Prediction and Possibilities discusses the possible causes of the condition, its effects on various body systems, current methods of prediction, prevention, and treatment. What makes this book unique is its coverage of the deep intricacies of what causes Pre-eclampsia from examining the role of genetics and exosomes to lipids and their denaturation to endothelial denaturation and reperfusion damage. These extremely complex processes are thoroughly examined and then explained in a simplified way to enhance understanding. The latest concepts in color Doppler in prediction and current measures of prevention and treatment are explained at length. Overall, Pre-eclampsia will provide an updated resource for practicing obstetricians, research scientists, students and professionals involved in the care of pregnant subjects. Key Features Presents the etiopathology of Pre-eclampsia with recent research updates Establishes the link between Pre-eclampsia and other obstetric vasculopathies Covers individual systemic effects of the condition Explores the latest approach in prediction, prevention and treatment of Pre-eclampsia About the Author Dr. Pankaj Desai is a Consultant Obstetrics and Gynecology Specialist at Janani Maternity Hospital, Baroda, India. A prolific writer, he has contributed 43 chapters to different textbooks internationally and nationally. His outstanding academic contributions in the subject have been acknowledged and honored with 7 gold medals and 60 orations.

Sonography has emerged as a substantial diagnostic tool today. This handbook aims to cover ultrasound physics, abdominal and obstetric sonography, color Doppler, high resolution sonography and USG guided interventions with multiple choice questions and case reports for practical orientation.

Cardiac disease is one of the leading causes of maternal morbidity and mortality. Catastrophic outcomes typically encountered are due to gaps in knowledge and communication between health care providers. There is a great need for a standardized approach for care of this very high-risk group of pregnant women. The book encompasses detailed obstetrics and cardiology perspectives that are crucial in the management of the commonly encountered cardiac conditions in pregnancy. This text aims to provide guidance to the whole team caring for a pregnant cardiac patient consisting of obstetricians, maternal-fetal medicine, hospitalists, cardiologists, obstetric anaesthesiologists, emergency physicians, primary care providers and nurses. Features: Cardio-Obstetric team organization Preconception counselling and family planning considerations Cardiovascular disease screening and risk stratification of a pregnant cardiac patient Management of a wide spectrum of cardiovascular diagnoses through use of checklists and algorithms in a simple format Essential key points for each cardiac diagnosis

It is vital that healthcare practitioners understand the psychological impact of childbirth when caring for women. This accessible guide is designed to improve the care that women receive and, as a result, public health outcomes related to maternal and infant wellbeing. This book outlines how clinicians can offer practical support to women after birth. It: discusses what we know about how women adapt to motherhood and develop a post-childbirth identity; outlines some of the causes and manifestations of post-traumatic stress following childbirth; provides practical guidance for setting up postnatal pathways for women traumatised by birth and how to communicate effectively; equips practitioners with the knowledge and skills to support pregnant women with a fear of birth; incorporates narratives from women to demonstrate how their births and related events were perceived and processed, before discussing how women's views can be used to inform future practice; highlights the importance of restorative supervision for healthcare professionals working in this area to promote staff resilience and sustainability. Drawing together theoretical knowledge, evidence, practical skills and women's narratives to help clinicians understand the psychology of childbirth and support women, it is of significant value to all healthcare practitioners engaged in maternity services.

New methods, new approaches and advanced technologies have started to be used for patients to gain access to less costly and more quality diagnosis and treatment services in a shorter time. This book, which includes new approaches in health sciences, has been written by successful and expert researchers who work in different health disciplines of health sciences.

Genital prolapse, or pelvic organ prolapse, occurs when the structures of the pelvis protrude into the outside vaginal canal. Genital Prolapse and Urinary Incontinence is the first book of its kind dedicated specifically to genital prolapse and is filled with every different type of prolapse, including the bladder, uterus, rectum, and the mucosal fold containing the intestine. Covering all aspects of this defect while emphasizing the managed care of genital prolapse, this text also explores both surgical and non-surgical treatments, which include methods for the diagnosis and treatment of all abnormalities. This source examines:

The examination for Membership of the Royal College of Obstetricians and Gynaecologists (MRCOG) remains one of the most internationally recognised postgraduate examinations in the specialty. Over the years, the examination has evolved in keeping with changes in medical education; the Part 2 examination now consists of two papers made up of Single Best Answer (SBA) questions and Extended Matching Questions (EMQ). This invaluable resource consists of 400 SBA questions (200 in Obstetrics and 200 in Gynaecology), followed by 400 EMQs (200 in Obstetrics and 200 in Gynaecology), grouped into papers, to provide enough material to guide preparations and to give some practice experience of the examination formats. All the questions have answers with explanations and sources of evidence. In preparing for the examination, candidates should make repeated references to these sources of evidence. There is also general advice on how to prepare for the examination and discussion of the reasons why trainees fail the examination.

The first pocket-size resource to guide PA students through their OB/GYN rotation.Prepare for and thrive during your clinical rotations with the quick-access pocket guide series, The Physician Assistant Student's Guide to the Clinical Year. The OB/GYN edition of this 7-volume series delineates the exact duties required in obstetrics and gynecology. Written by an experienced PA educator, this guide details the clinical approach to common obstetric and gynecologic presentations such as pelvic pain, abnormal uterine bleeding, and an overview of the initial prenatal visit. It also provides treatment and management details for more than 30 of the most frequently encountered disease entities you will see in this rotation, including cervical dysplasia, dysmenorrhea, and ectopic pregnancy. Distinguished by brief, bulleted content with handy tables and figures, the reference offers all pertinent laboratory and imaging studies needed to confirm a diagnosis, with medication and management guidelines. This guide also describes the most common procedures you will learn during your OB/GYN, including PAP test, colposcopy, labor induction, and cesarean delivery. A special chapter on urgent gynecologic and obstetric conditions, such as placental abruption, sexual assault, and severe uterine bleeding, is also included. Key Features: Provides a pocket-size overview of the PA OB/GYN rotation Describes common clinical presentations, disease entities, and procedures Offers clinical pearls throughout Presents frequently encountered diagnostic studies and their indications Reflects the 2019 NCCPA PANCE blueprint Includes two bonus digital chapters! Three guided case studies to reinforce clinical reasoning plus 25 rotation exam-style questions with remediating rationales Other books in this series: The Physician Assistant Student's Guide to the Clinical Year: Family Medicine; Internal Medicine; Emergency Medicine; Surgery; Pediatrics; Behavioral Health.

Recent developments with novel systemic drugs, palliative surgical techniques and diagnostic imaging have given hope for the treatment of patients whose breast cancer has spread beyond its primary tumour. Written by a team from leading cancer centers in Europe, including the UK's Royal Marsden Hospital, the Handbook of Metastatic Breast Cancer, Second Edition provides advanced scientific information and guidance on clinical problems associated with metastatic breast cancer.

Expanded by 30% to explore the latest surgical approaches, techniques, equipment, and perspectives, this Second Edition leads surgeons through new applications in minimally invasive surgery, gynecology, urology, endoscopically-assisted plastic surgery, pediatric surgery, and video-assisted thoracoscopic procedures.

The first work of its kind, The History of Medications for Women: Materia medica woman is a richly detailed, far-ranging illustrated history of medications for women in all the great cultures and civilizations, from ancient times to the present. Compiled by an acclaimed author of medical history literature, this is the only book that extends from the earliest uses of ergometrine, lettuce, and mummy medicine, through the history of women's medications in ancient Assyria and Egypt, and into the 16th through 20th centuries. With the main sections organized by origin and timeline, the book contains lists of medications used by women from earliest times to the present accompanied by historically-based text. The author includes botanical, chemical, pharmacalogical, and therapeutic details where appropriate, as well as extensive quotations from both contemporary and old, rare books. The text is complemented with the history of obstetrics and gynecology, along with short biographies and illustrations. Additionally, the author presents a unique fund of hard-to-find information in sections devoted to topics such as anesthesia and analgesia, antiseptics, antibiotics and chemotherapy, blood transfusion and Rhesus disease, eclampsia, family planning, menopause, and uterine stimulants. Interesting and thought-provoking, The History of Medications for Women will not only provide an enjoyable read, but will allow you to appreciate the past and look at the future with a new perspective.

Perinatal factors are critical in the 'programming' of behavioral, endocrine and immunologic outcomes of adult life. Exposure to many factors in utero can drive fetal development along specific trajectories. Perinatal factors can also affect many diverse systems that have significant implications for long-term health outcomes. The findings from basic research are so diverse and suggest implications in many different arenas. Bringing together these findings, this book explores the evidence linking the role of early life events to long-term physical and psychological health outcomes. It pulls the research together and communicates the findings to the wider scientific and clinical communities.

The field of androgen excess disorders has advanced substantially since the original publication of this book. The Androgen Excess Society (AES) was founded to bring together investigators in the field. A better understanding of the screening, progression, and molecular genetics of nonclassic adrenal hyperplasia (NCAH) has improved the clinical care and diagnostic accuracy of these patients. New criteria for the diagnosis of the polycystic ovary syndrome (PCOS) were proposed in Rotterdam, criteria that have resulted in controversy and, hopefully, initiation of new studies. The association of insulin resistance with PCOS has been strengthened, and the role of metformin in tre- ing the infertility of the PCOS has been validated. Risks for diabetes and, more cont- versially, cardiovascular disease in women with PCOS have received substantial investigation. Our understanding of the epidemiology and economic impact of these disorders has expanded, emphasizing their critical importance. These are but a few highlights of how the terrain has changed in a relatively brief period of time. In keeping with these advances, the title of this book has been revised to reflect the growing importance of PCOS as the most prevalent androgen excess disorder in women, and arguably, as the one that might have the most serious adverse consequences for general health. There are fewer chapters to provide a more focused elucidation of the area. Several chapters were penned by new (and young) authors who are conducting cutting-edge research in the field.

"In Vitro Fertilization: A Comprehensive Guide" represents the next frontier in the integrated clinical and laboratory practice of ART. Uniquely balanced, the book provides the necessary understanding of the key laboratory techniques involved in ART and the complex aspects of clinical care. Featuring the contributions of world leaders in the field, the guide begins with the evaluation of the infertile woman and man. It then moves on to discuss treatment protocols and adjunctive treatments. Techniques for oocyte retrieval, insemination, and culture, and embryo transfer and cryopreservation are explored in detail. This comprehensive book covers all aspects of IVF and includes special sections on oocyte and embryo donation as well as gestational carriers, making it ideal for practicing clinicians. Advances such as pre-implantation genetic diagnosis and screening, in vitro maturation, and means of fertility preservation, including oocyte and ovarian tissue cryopreservation, are also covered. The book concludes with dedicated chapters on quality assessment and improvement, regulation and legal concerns, and stress and ART. Readers will gain complete in-depth knowledge of the most current therapies and techniques, enabling optimal care and counsel of their infertile patients."

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.

Understanding immunology is increasingly important in obstetrics and gynecology. Written primarily to meet the needs of practicing obstetricians and gynecologists, this book explores the role of immunological processes in reproduction. It presents immunologic concepts and illustrates important points with examples familiar to the clinician. The book is organized into four sections that explore the fundamentals of the immune system, the immunological paradox of pregnancy, clinical applications of immunology in obstetric and gynecologic practice, and immunopathology in obstetric and gynecologic practice. Written mainly for practicing obstetricians and gynecologists, the research results cited in the book are based on human experimentation. Fully illustrated with clear schematic drawings that highlight important concepts and processes, The Immunology of Human Reproduction gives readers an essential overview of immunology as it relates to human reproduction.