Despite the wide prevalence of urogynaecological problems, in clinical practice, there is a paucity of specialists that are skilled in the management of these conditions. The recognition of the need for a specialist to deal with these specific problems has led to the recent evolution of urogynaecology as a subspecialty. This book, Principles and Practice of Urogynaecology aims to equip the practicing professionals - Gynaecologists, Urogynaecologists and Urologists, with up-to-date information on the principles that guide the evaluation and management of pelvic organ prolapse and other common urogynaecological problems. With an emphasis on evidence based medicine, the book aims to deliver guidance on management of common urogynaecological problems and provides information on the latest cutting-edge surgical techniques. Written by global experts in the field of urogynaecology, the book focuses initially on pelvic floor anatomy and function, moving seamlessly to the evaluation and management of clinically relevant pelvic floor problems. A detailed discussion on management of mesh related complications is a highlight.

Gain confidence in the surgical management of female and male infertility. Authored by leading experts in operative gynecology and urology, in collaboration with the Society of Reproductive Surgeons, this valuable handbook provides readers with a comprehensive understanding of the indications, techniques, and outcomes of modern reproductive surgery. This manual presents clear step-by-step instructions illustrated with intraoperative photographs and surgical videos in order to offer patients surgical options and avoid, or improve, IVF.

WINNER Saltire Society First Book of the Year 2016. 'Immediately, poignantly, gripping...magnificent.' - Zoe Williams, The Guardian. When Chitra Ramaswamy discovered she was pregnant, she longed for a book that went above and beyond a manual; a book that did more than describe what was happening in her growing body. One that, instead, got to the very heart of this overwhelming, confusing and exciting experience. Expecting takes the reader on a physical, emotional, philosophical and artistic odyssey through pregnancy. A memoir exploring each of the nine months of Chitra's pregnancy, Expecting is a book of intimate, strange, wild and lyrical essays that pay tribute to this most extraordinary and ordinary of experiences.

The increasing understanding of individual differences in response to in-vitro fertilization (IVF) treatment, resulting from genetic and ethnical differences, has increased the potential for individualized treatment for patients, resulting in improved pregnancy and live-birth outcomes. This illustrated book summarizes, and provides updates on, the most recent developments in individualized infertility treatment and embryo selection techniques. Individualization is not only confined to the different steps in the ovarian stimulation process and the luteal phase support, but also to embryo selection techniques, which include, among others, the analysis of embryo development pattern and genetic testing. Chapters cover a multitude of topics, ranging from oocyte maturation and immunological testing to fertilization technique in the IVF laboratory and preparation for optimal endometrial receptivity in cryo cycles. Essential reading for IVF specialists and embryologists in IVF Clinics and also an important text for medical consultants specializing in reproductive medicine, gynecology and embryology.

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.

Fertility Awareness is key to understanding sexual and reproductive health at all life stages. It can be used to either plan or avoid pregnancy. Fertility Awareness Methods (FAMs) are highly effective when motivated couples are taught by trained practitioners. These methods are in demand for ecological, medical, cultural, religious and moral reasons. The ability to control fertility naturally is a lifestyle choice. The Complete Guide to Fertility Awareness provides the science and methodology suitable for health professionals and a general audience. It covers reproductive physiology and the fertility indicators: temperature, cervical secretions and cycle length calculations. It explores ways to optimise conception and to manage conception delays. Case studies and self-assessment exercises are included throughout. The book addresses the scientific credibility of new technologies including fertility apps, home test kits, monitors and devices. The Complete Guide to Fertility Awareness offers: evidence-based information for general practitioners, practice nurses, school nurses, midwives, sexual health doctors and nurses a unique perspective on subfertility for gynaecologists and fertility nurses an authoritative source of reference for medical, nursing and midwifery students a straightforward and practical reference for new and experienced FAM users the core text for the FertilityUK Advanced Skills Course in Fertility Awareness

This comprehensive and authoritative book is written by over seventy of the foremost experts working with the care of transgender and gender expansive patients for gynecologists and those working in neighboring disciplines. Among medical specialists, understanding of the complex reality and medical needs of transgender and gender diverse individuals is still limited. This book offers the opportunity to understand transgynecology in a way that is inclusive and up-to-date, with insights into liaison with specialties such as urology, dermatology, sexuology, physiotherapy amongst others. By contextualising transgender/gender diverse medicine before covering specific issues such as imaging, benign disorders, fertility maintenance, medico-legal concerns and uterine transplantation, this book is truly unique. Aimed at gynecologists, obstetricians, general practitioners, counsellors and all those who work with transgender, non-binary, or gender diverse patients, this book prepares the reader for the prerequisites and subtleties of transgynecology.

Ovarian stimulation is the starting point of reproductive medicine but the procedure can result in adverse reactions particularly the dangerous ovarian hyperstimulation syndrome. Fully revised in line with modern practice of ovarian stimulation, this new edition is divided into six sections that cover mild forms, non-conventional forms, IVF, complications and their management, alternatives, and the practicalities of procedures. All aspects of ovarian stimulation are discussed including the different stimulation protocols from which to choose, the management of poor responders and hyper-responders, as well as stimulation in patients with PCOS. Comprehensively reviewing the modern approach to ovarian stimulation, the alternative procedures are also described, both in IVF and other methods of assisted reproduction. Written by leading experts on reproductive health and fertility, this book will assist infertility specialists, gynecologists, reproductive endocrinologists and radiologists in determining successful treatment for their patients.

In celebration of its 20th anniversary, a thoroughly revised and expanded edition of the leading book on fertility and women's reproductive health. Since the publication of Taking Charge of your Fertility two decades ago, Toni Weschler has taught a whole new generation of women how to become pregnant, avoid pregnancy naturally and gain better control of their gynecological and sexual health by taking just a couple minutes a day using the proven Fertility Awareness Method. Now, this 20th Anniversary Edition has been thoroughly revised and fully updated with: the latest medical advances in assisted reproductive technologies (ART) more in-depth coverage of women's gynecological and sexual health new illustrations, photographs, and an expanded color insert new sample charts an expanded appendix Six new chapters including: Three Prevalent Conditions--Endometriosis, Ovarian Cysts and PCOS Natural Ways to Balance Your Hormones Preserving Your Future Fertility Miscarriages Idiopathic Infertility Causes of Unusual Bleeding Clear and comprehensive, yet warm and approachable, Taking Charge of Your Fertility is one of the most universally lauded health books on the market today. It is an essential reference for every woman of reproductive age.

This book provides those studying for the MRCOG Part 2 examination with welcome practice in answering Extended Matching Questions (EMQs). Updated throughout to map onto the MRCOG syllabus from September 2016, the book is designed to test the candidate's theoretical and practical knowledge of obstetrics and gynaecology. An introductory section on exam techniques is followed by a collection of 41 EMQ themes, split into obsterics and gynaecology. The questions are based on common clinical scenarios and cover a variety of topics. Answers are included after each topic, and these include explanatory material and useful references.

Obstetric anaesthesia is a specialized practice and covers the entire range of pain relief throughout normal labor as well as general anaesthesia for special procedures such as caesarian section. While there is a specialist group based at main teaching centers who practice obsteric anaesthesia exclusively, the majority of anaesthetists are based at smaller hospitals where there is no such specialist. Consequently, it is essential that all anaesthetists are familiar with the anaesthetic requirements of normal labor, and of all but the most extreme cases of abnormal labor. While this book is written for the specialist in obstetric anaesthesia, it is also ideal for trainee anaesthetists. It provides enough information for the final FRCA examination, but also contains sufficient detail on the various clinical problems that may present at any stage in their future career. The underlying principle is that the anaesthetist must understand the physiology of labor in normal and abnormal situations as well as the interventions of his obstetric colleagues in order to practice safely and effectively. The book will replace J. Selwyn Crawford's text, which presented a personal view, backed by his extensive research experience of obstetric anaesthesia.

This book promotes an evidence-based paradigm of fetal heart rate monitoring during labour, with a move away from the traditional 'pattern-based' interpretation to physiology-based interpretation. Chapters are presented in a systematic and accessible format, covering topics such as non-hypoxic causes of fetal brain injury, pre-existing hypoxia, types of intrapartum hypoxia, erroneous monitoring of maternal heart rate, fetal scalp blood sampling and fetal ECG (STAN), intermittent auscultation and medico-legal issues. Sections on 'pearls' and 'pitfalls' highlight good practice and common errors to promote best practice. End-of-chapter exercises allow the reader to engage with the theory and test their knowledge of key areas. This is a highly practical manual aimed at obstetricians and midwives, particularly those undergoing CTG training. The book will also be very useful to midwifery and medical students and to all those involved in multiprofessional intrapartum care.

This book will help readers gain vital guidance and support when treating the high-risk, high-reward population of women confronting (or battling) opioid-use disorders during pregnancy. Large numbers of pregnant women are dependent on opioids and require comprehensive non-judgemental care to replace traditional approaches of incarceration and child welfare involvement that worsen outcomes for both mother and infant. Invaluable and comprehensive, this toolkit provides the key to non-judgemental care for both mother and baby, throughout labor, delivery management and postpartum care. It bridges the important treatment gap through evidence-based, caring approach; standardizing exceptional care, for obstetricians, pediatricians, addictionists, and anyone caring for pregnant women with opioid-use disorders. Edited by a Board-certified expert in obstetrics, gynecology and addiction medicine, and a team of internationally-acclaimed leaders in women's health, this guide provides high-quality advice, guidelines and vital skills to tackle a currently expanding opioid epidemic.

A basic understanding of human genetics is vital for all those working in the field of assisted human reproduction. Genetic makeup can hamper reproduction and insight into this is making genetic diagnosis and counselling increasingly important. This fully updated textbook continues the clear structure of the original edition, beginning with a chapter on the basics of genetics and cytogenetics. Genetic causes of infertility and the effect of epigenetics and transposons on fertility are discussed in detail. Several new chapters are included in this edition, reflecting the advances of the field, including preconception genetic analysis and screening in IVF and mitochondrial genetics. Combining genetics, reproductive biology and medicine, this is an essential text for practitioners in reproductive medicine and geneticists involved in the field looking to improve their knowledge of the subject and provide outstanding patient care.

The Routledge International Handbook of Women's Sexual and Reproductive Health is the authoritative reference work on important, leading-edge developments in the domains of women's sexual and reproductive health. The handbook adopts a life-cycle approach to examine key milestones and events in women's sexual and reproductive health. Contributors drawn from a range of disciplines, including psychology, medicine, nursing and midwifery, sociology, public health, women's studies, and indigenous studies, explore issues through three main lenses: the biopsychosocial model feminist perspectives international, multidisciplinary perspectives that acknowledge the intersection of identities in women's lives. The handbook presents an authoritative review of the field, with a focus on state-of-the-art work, encouraging future research and policy development in women's sexual and reproductive health. Finally, the handbook will inform health care providers about the latest research and clinical developments, including women's experiences of both normal and abnormal sexual and reproductive functions. Drawing upon international expertise from leading academics and clinicians in the field, this is essential reading for scholars and students interested in women's reproductive health.

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

Midwifery Emergencies at a Glance is a succinct, illustrated guide covering the practical skills needed to manage obstetric and midwifery emergencies, as well as high-risk midwifery care. It provides clear guidance on the factors which predispose to complications so that preventative management can be employed whenever possible. Broad-ranging yet easy-to-read, Midwifery Emergencies at a Glance details the underlying physiology and pathophysiology related to the emergency and explores both the physical and psychological care of the woman, partner and newborn during and following the emergency. Key features: Evidence-based, with guidance from the NMC, RCOG, NICE, and The Resuscitation Council Presented in an innovative, visual style that makes the key concepts easy to understand Provides helpful websites that expand on various topics as well as providing information on support groups for the woman and her family Midwifery Emergencies at a Glance is an ideal guide for practising midwives, pre-registration student midwives, general practitioners and junior doctors to support both revision and clinical practice.

This book is a comprehensive guide to addressing, working with, and healing from emotional struggles related to fertility and eating disorders. Covering the emotional, psychological and physical impact of anorexia nervosa, bulimia and binge eating disorder, this book explores the lived experience of numerous women and men who have lived with eating disorders, fertility, and parenthood. It delves into research on medical complications that can affect fertility, attachment, the experience of shame, adjustment to the postpartum period, and offers clinical tools for therapists to use to support clients from a weight and body neutral perspective. Those who read this book will come away with a renewed sense of hope for recovery and healing from serious mental illnesses, and the notion that the value of having a family may be stronger than the eating disorder itself. The only book of its kind, The Clinical Guide to Fertility, Motherhood and Eating Disorders will be useful to practitioners, therapists, and scholars alike.

Why is it that women suffer far more than men from insomnia? What is the connection between the hormonal changes that a woman undergoes during her lifetime, and difficulty in falling asleep? What is the effect of cell phones on sleep? Should women engage in sports before going to sleep? What do women primarily dream about? In which country do people sleep the most? How do depression and anxiety affect sleep? And why is it inadvisable to resort to a "little pill" to provide unworried sleep? This clear and readable book, illustrated with short quotations of poetry and prose about sleep and dreams, provides a glimpse into the wonderful mechanism of sleep, explains how correct treatment of sleep disturbances results from understanding their causes, and shows the right path to a pleasant and satisfying night's sleep; it will be of great interest for all women and clinicians dealing with female patients. In particular, because of the connection between sleep and hormones, problems with sleep have repercussions for women's reproductive life cycle. This pioneering text will therefore be of particular interest to gynecologists working in Reproductive Medicine.

With mesh surgery for prolapse sometimes proving problematic, there has been a resurgence of professional medical interest in more traditional methods for the management of prolapse and of stress urinary incontinence. This concise guide to the practical aspects of pessary use will be of interest to all gynecologists involved in the clinical management of the patient with these problems. Contents: Historical review * Pessaries for pelvic organ prolapse * Incontinence pessaries * Pessary fitting * Pessary care * Outcomes of pessary use * Current clinical studies on vaginal pessaries Cover image of vaginal pessaries (c) 2019 Rick Hicaro, Jr., Chicago, IL 60647, USA

This accessible text expands on the recommendations of the American College of Obstetricians and Gynecologists' Well Woman Task Force (WWTF) to provide a practical guide to conducting a successful well-woman visit. Background chapters summarize the history of the WWTF and rationale and evidence supporting periodic health visits, explain the principles of early diagnosis and prevention, and offer advice on the practical side of conducting a visit, including considerations for special populations. Chapters detail each component of the visit, first explaining the scope of a problem, the rationale for screening or prevention, and the factors that alter a screening. The WWTF recommendations are then summarized and advice is offered on how to apply them. Case studies and advice on how to identify and assess new guidelines are also provided, ensuring providers are well-equipped to offer efficient and effective care.

The most frequently asked questions that confront the fetal medicine trainee/expert on a daily basis are "Is the finding real or merely an artifact?" and "Is the diagnosis correct?". However, to be able to find the description of an abnormal ultrasound finding in a textbook, one generally has to search by the definite diagnosis, which has not been done as yet. This uneasy feeling was the first factor that directed the layout of Ultrasound of Congenital Fetal Anomalies: Differential Diagnosis and Prognostic Indicators, Second Edition. Copiously illustrated, the book displays fetal anomalies by scanning view and descriptions of all major ultrasound planes, detailing what can be considered a normal view and what cannot. See What's New in the Second Edition: Early detection of fetal anomalies (1214 weeks) Ultrasound in fetal infections and in twins The nuchal translucency issue, the newest intracranial translucency as well as the range of congenital anomalies detectable at this gestational age Expanded coverage of heart anomalies, including arrhythmias and early fetal echocardiography The author's mission continues to be to provide guidance on how to quickly recognize and diagnose congenital fetal anomalies, beginning at the beginning with ultrasound sigh all the way through to final diagnosis.

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

This book provides those studying for the MRCOG Part 2 examination with welcome practice in answering Extended Matching Questions (EMQs). Updated throughout to map onto the MRCOG syllabus from September 2016, the book is designed to test the candidate's theoretical and practical knowledge of obstetrics and gynaecology. An introductory section on exam techniques is followed by a collection of 41 EMQ themes, split into obsterics and gynaecology. The questions are based on common clinical scenarios and cover a variety of topics. Answers are included after each topic, and these include explanatory material and useful references.