Is Menstruation Obsolete? argues that regular monthly bleeding is not the "natural" state of women, and that it actually places them at risk of several medical conditions of varying severity. The authors maintain that while menstruation may be culturally significant, it is not medically meaningful. Moreover, they propose that suppressing menstruation has remarkable health advantages. Because of cultural changes, shorter durations of breast feeding, and birth control, the reproductive patterns of modern women no longer resemble that of their Stone age ancestors. Women have moved from the age of incessant reproduction to the age of incessant menstruation. Consequently, they often suffer from clinical disorders related to menstruation: anemia, endometriosis, and PMS, just to name a few. The authors encourage readers to recognize what has gone previously unnoticed that this monthly discomfort is simply not obligatory. They present compelling evidence that the suppression of menstruation is a viable option for women today, and that it can be easily attained through the use of birth control pills. In fact, they reveal that contraceptive manufacturers, knowing that many women equate menstruation with femininity and that without monthly bleeding would fear that they were pregnant, engineered pill dosage regimens to ensure the continuation of their cycles. Indeed, throughout history societies have assigned menstruation powerful meaning, and Is Menstruation Obsolete? presents a fascinating history of how menstruation inspired doctors to try therapeutic bleeding for a variety of ailments, and how this therapy remained dominant in Western medicine until the early 20th century. Is Menstruation Obsolete? offers women a fresh view of menstruation, providing them with the information they need to make progressive choices about their health. This is a message whose time has come.

This atlas is an invaluable aid for pathologists and trainees who have worked with conventional smear cytology but need to familiarize themselves with the appearance seen in liquid-based cytology, which has largely replaced conventional smears for cervical screening. It includes state of the art information on normal Pap smears, normal glandular constituents, smear patterns, and inflammation, reactive changes, and repair; it also covers pathological changes, such as typical and atypical squamous cell abnormalities, high-grade intraepithelial lesions, and glandular cell abnormalities. It will be a useful guide for practitioners who need a quick reference on cytological specimens.

Compiling an authoritative collection of research, recommendations, and guidelines from a highly regarded team of experts, this reference promotes a clear understanding of the chemotherapeutic management of cancer in each organ site of the lower female genital tract including the ovaries, fallopian tubes, uterus, vulva, and vagina.

The contexts for becoming a parent are ever-changing, bringing new opportunities and new challenges. Becoming a Parent examines the transition to parenthood from diverse perspectives - it is about becoming, rather than being a parent. Drawing on a large body of theory and research, the book explores universal psychological journeys as well as the specific challenges faced by those whose pathways to parenthood are non-traditional or medically complicated. It also examines the unprecedented reproductive choices in contemporary society and provides a comprehensive overview of the personal and social impact of reproductive technologies. Pregnancy, childbirth, and early parenthood (the so-called 'fourth trimester') are discussed in detail and illustrated with case anecdotes and personal stories of people with 'high-risk' pregnancies, fathers as well as mothers, adoptive parents, and LGBTQ as well as heterosexual adults. It concludes with social and policy initiatives that can better support positive adaptation during this crucial life transition.

Obstetric and Gynaecological Ultrasound is a highly illustrated manual ideal for both the trainee and experienced sonographer that covers the full range of obstetric and gynaecological ultrasound examinations undertaken within a secondary referral setting. It combines the practicalities of how to perform these examinations with the information needed to interpret the findings and construct a clinically useful report. The new edition of this well-established book expands its scope to provide an understanding of ultrasound imaging within the clinical management of the gynaecological patient. Elsewhere, its obstetric content has been fully updated with the latest technological, clinical and medico-legal information relevant to routine practice. Furthermore, its experienced sonographer authors continue to advise on the practical aspects of scanning as well as the role, value and limitations of ultrasound in the diagnosis of different diseases thus providing firm foundations in both obstetric and gynaecological imaging. Explains the principles of grey scale ultrasound, Doppler ultrasound and instrumentation Addresses problems from both practical and clinical viewpoints Provides comparative images showing results of good and bad scanning techniques Advises on how to communicate findings to a pregnant woman or gynaecological patient Discusses both the normal and abnormal ultrasound appearances for each of the relevant anatomical areas together Scope fully expanded to cover gynaecological ultrasound imaging including: the physiological changes taking place during the menstrual cycle the effects of exogenous hormones on the various ultrasound appearances during the menstrual cycle the ultrasound appearances of common abnormalities of the uterus, ovaries and adnexae the ultrasound assessment of an adnexal mass using a standardized approach New images to reflect the improvements in imaging technology New chapter on screening for Down's syndrome and Edwards' and Patau's syndromes in accordance with current national screening recommendations New chapter on the medico-legal issues relevant to performing and reporting ultrasound examinations

Reproductive biologists, evolutionary biologists, demographers and social scientists all have a common interest in the business of human reproduction. Their perspectives, however, are very different and have traditionally prevented them from having much to do with each other. The conference on which this book is based brought together contributors from each of these disciplines in an attempt to explore the common ground that they share and so generate a better understanding of the factors that influence human fertility.

It is over two decades since the first test-tube baby was born. During this period a new belief that all infertile women can now have babies has become widely accepted; indeed, infertile couples may feel great pressure to seek a medical solution. However, the psychological and social effects of the changing experiences of infertility remain confusing, both for those who experience infertility and for wider society. In this book, a distinguished range of contributors, including novelist Hilary Mantel and Germaine Greer, examine the experience of infertility from both male and female perspectives, the psychological aspects of infertility diagnosis and treatment, and the often radical and unexpected effects on kinship.
Drawing from a wide range of theoretical backgrounds including Jungian, analytical, and compelling personal reflections, this book aims to unravel the implications of advancing reproductive technology for our understanding of ourselves and our families.

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Obtaining good quality oocytes and preparing them for in-vitro fertilization (IVF) is a key stage in assisted reproduction. This is a complex process with many pitfalls, making good clinical preparation and laboratory technique essential for success. Illustrated throughout, this book will be valuable to clinical embryologists, laboratory personnel wishing to redefine or develop technique and improve outcomes, IVF quality managers, and gynecologists performing oocyte retrieval. Featuring descriptions of the underlying science along with practical advice on methods and trouble-shooting, this comprehensive manual will aid all those involved in this complex process of oocyte retrieval and preparation in navigating towards optimal outcomes.

Analyzes various reproductive and gynecological disorders encountered in the care of women who do not wish to conceive, as well as those who have difficulty with conception, early pregnancy, and menopause. Discusses the latest strategies in the treatment of infertility, pelvic pain, ectopic pregnancy, and osteoporosis.

This practical handbook of gynecologic oncology provides a comprehensive and concise guide to the diagnosis and management of gynecologic cancer, including breast and colon cancers. Edited and written by the faculty of the gynecologic oncology programs of MD Anderson Cancer Center and Memorial Sloan-Kettering Cancer Center, the second edition reviews and updates the various chapters, including new developments in management and a new chapter on germ cell and sex cord-stromal tumors.

The text is aimed at fellows and residents in gynecologic oncology, radiation oncology and medical oncology as well as residents in obstetrics and gynecologic surgery and medicine. It will also be a handy guide for medical students and practising physicians.

Now in its second edition, this book remains a vital reference manual for those pathologists whose work involves them in the interpretation of endometrial biopsies. A full account is given of the appearances of the endometrium during the menstrual cycle, of the effects of hormones, the changes induced by steroid contraceptives and intrauterine devices, of functional disorders and of inflammatory disease. Particular attention is given to the various forms of hyperplasia and neoplasia, with special emphasis being placed upon the differential diagnosis of these conditions. Other chapters deal with sampling techniques, the anatomy and histology of the normal endometrium, descriptions of the tissue in normal and abnormal pregnancy, and gestational trophoblastic disease. This fully revised second edition reflects the fact that numerous new entities have been defined, the classification of many disease states has altered and new understanding of many endometrial diseases has been gained. This edition also discusses the changing pattern of endometrial biopsies resulting from modified clinical practice. Biopsy Pathology of the Endometrium provides the pathologist and gynaecologist with a highly illustrated and practical manual whose high quality photomicrographs will be an indispensable reference during the interpretation of endometrial biopsies.

This book is a comprehensive guide to the anatomic and functional evaluation of a normal and an abnormal foetal heart. Beginning with an introduction to foetal echocardiography, guidelines for performing a foetal echocardiogram, and indications and timing, the following sections discuss different foetal cardiac defects, including arrhythmias and heart failure. The final chapters provide in depth discussion on genetics and congenital heart disease (CHD), and the management of pregnancy after foetal CHD diagnosis. Each topic concludes with a summary and key points and is further enhanced by clinical images. Key points Comprehensive guide to the evaluation of a normal and abnormal foetal heart Provides guidance from both an anatomic and functional approach Explains how to perform a foetal echocardiogram, its indications and timing In depth discussion on management of foetal congenital heart disease

Get Through MRCOG Part 2: SBAs provides 3 exams' worth of questions mapped to the RCOG syllabus in the newly introduced SBA style. With detailed explanations and relevant references to guidelines, this is the definitive resource for those taking the MRCOG Part 2 examination.

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.

At a time when major universities are moving all scientific journals published before 1975 to remote locations and authors are instructed to cite only articles published in the last 20 years, when medical information is captured in the media in sound bites of 30 seconds or less, History of Obstetrics and Gynaecology is an indispensable addition to your personal library. The book recounts the events and changes that have taken place over many centuries in society: changes in scientific knowledge and the way it is communicated, changes in technology, and changes in the lives and times of those who have dedicated their efforts to the health of women and their progeny.

Covering developments in seemingly unrelated fields, the book illustrates how they were vital to advances in gynaecology and obstetrics. This multi-faceted approach, chronological tables, and reviews of related subjects and technologies, provides a far richer and more comprehensive treatment than would be possible if the authors had written from a century-by-century perspective. With narrative that engages and draws you along page after page, History of Obstetrics and Gynaecology puts the achievements of the last millennium in perspective.

Type 1 diabetes is a serious and common disease, afflicting one per 200 of the population worldwide. It is widely believed to cause harmful physical maldevelopment--congenital malformations--and other consequences in the unborn children of women with the disease. This book considers the history of the disease in pregnant women and this belief that it causes anomalies since the time of the discovery of insulin in 1921, and presents a profound and critical appraisal of the subject of its supposed prenatal harmfulness.

In lebensbedrohlichen Notfallsituationen ist sofortige Hilfe für die Patientin essenziell, auch ein ungeborenes Kind bedarf der besonderen Aufmerksamkeit. Ebenso wichtig ist es, medizinischen Komplikationen zielsicher zu begegnen. Der klar und übersichtlich strukturierte Leidfaden liefert Informations- und Entscheidungshilfen, die eine rasche und adäquate Diagnostik und Therapie ermöglichen. Zudem werden die Möglichkeiten der modernen gynäkologischen und geburtshilflichen Analgesie aufgezeigt. Die 3. Auflage wurde sorgfältig aktualisiert.

1. Prologue.- 2. Is Estrogen A Cellular Signal for Female Genital Tract Epithelium?.- 3. Reciprocal Tissue Interactions in Morphogenesis and Hormonal Responsiveness of the Female Reproductive Tract.- 4. Qualitative and Quantitative Morphology of Induction in Endometrial Epithelium.- 5. Interactions of Estrogens, Protooncogenes and Growth Factors.- 6. Expression of Metallothionein Genes in Preimplantation Embryos, Decidua and Placentae.- 7. Uterine Preparation for Blastocyst Attachment.- 8. Uterine Extracellular Matrix Remodeling in Pregnancy.- 9. Glycoprotein Expression and Function in Embryo-Uterine Interactions.- 10. Uterine-Conceptus Interactions During the Peri-implantation Period.- 11. Endocrine Functions of the Rodent Placenta: Placental Lactogens.- 12. The Origin and Role of Cytokines Determining Success and Failure in the Post-implantation Period.- 13. Epilogue.- Poster Presentations.- Contributors.

This is the sixth edition of a popular, highly readable primer in obstetrics and gynaecology. It has been thoroughly updated and aligns with the undergraduate curriculum in O&G devised by the Royal College of Obstetrics and Gynaecology. Highly illustrated throughout Essential information points at the end of chapters Case histories Practical procedures boxes Alert (warnings or advice) and tick (guidance or definitions) boxes throughout Over 100 self-assessment MCQs Appendices: Principles of Perioperative Care; Governance, Audit and Research Reflects the national undergraduate curriculum in obstetrics and gynaecology in the UK and Australia More information on: Fetal development Screening for fetal anomaly: non-invasive prenatal testing Placenta accreta Infections acquired in pregnancy: Zika, Rubella Non-invasive prenatal testin Fetal Doppler examination, e.g. middle cerebral artery, ductus venosus Management of preterm labour: oxytocin antagonists Induction of labour: components of Bishop score Ectopic pregnancy: Caesarean scar ectopic, cornual ectopic Emergency contraception: ulipristal acetate Sterilization: salpingectomy Genital tract infections: role of sexual health clinic, contact tracing Cervix: update on HPV screening and vaccination Ovary: update FIGO staging of ovarian carcinoma; "risk reducing surgery" for ovarian cancer WHO surgical safety checklist added to Appendix A. New self-assessment OSCE questions

This collection examines enduring and topical questions in sexual and reproductive health in a range of contemporary Asian cultures. Beliefs and practices surrounding conception, pregnancy, birth, and confinement are studies in culturally specific contexts in Japan, Taiwan, the Philippines, Thailand, Laos, Cambodia, and Indonesia. Important and widely applicable health issues are also addressed, including the perception and management of HIV/AIDS, experiences of menopause and the interaction of cosmopolitan ("western'') medicine with traditional healthcare.

This highly regarded atlas has been revised and updated, with 60 new colour illustrations highlighting key clinical points.

The only text to focus specifically on advanced health assessment/management of women This authoritative text for busy clinicians, advanced practice students, and faculty delivers essential content focused on improving the quality of healthcare provided to women/persons with a vagina across the lifespan. Brimming with new and updated content, the fifth edition reflects the most current evidence-based clinical practice guidelines available. It includes 14 new chapters written by experts in their field and the addition of disease management content, especially medications. Chapters are enhanced with management/pharmacology summary charts and case studies with discussion questions. The use of two colors improves readability, and amplified Instructor Resources include key statistics/epidemiology, learning objectives, suggested student activities and self-assessment questions, and UAB videos. Using a clear, concise outline format, this user-friendly text delivers quick, comprehensive information regarding the health assessment and management of women/persons with a vagina. It defines the role, skills, and scope of practice of different health providers and illuminates a variety of assessment skills, techniques, and procedures used by advanced practice clinicians in everyday practice. Sample assessment forms are integrated throughout along with numerous educational handouts for patients. Discussion of techniques includes a comprehensive list of requisite equipment and information on patient prep and recommended follow-up. Boxes, tables, and figures throughout reinforce key information. Purchase includes access to eBook for use on most mobile devices or computers. New to the Fifth Edition: Fourteen new chapters Telehealth in women's health Vaginal health and vaginal microscopy Mental health screening Preconception care Complementary and alternative medical therapies Adolescent health Lactation assessment and management Female veterans Male sexual and reproductive health Amenorrhea PMS/PMDD Sexual health and related problems Human trafficking The contraceptive consult Expanded breast health including breastfeeding Transgender care Updates on screening instruments Best-practice apps Case studies Management/treatment summaries Enhanced instructor package including key statistics/epidemiology, learning objectives, student activities, and self-assessment questions Two-color printing to improve readability Step-by-step videos of five office gynecology simulations from UAB Key Features: Delivered in outline, bulleted format for speedy reference Reflects the most current evidence-based clinical practice guidelines Offers easy-to-follow, step-by-step coverage of procedures Addresses treatment/management of multiple conditions Includes detailed illustrations