Contents
Preface. 4
Acknowledgements 5 Further reading. 5
Table and figure acknowledgements. 6
Part 1: Gynecology 8
Anatomy of the female reproductive tract. 8
The menstrual cycle. 10
Abnormal vaginal bleeding. 12
Ectopic pregnancy. 14
Pelvic pain. 16
Infections of the lower genital tract. 18
Pelvic inflammatory disease. 20
Gynecologic surgery. 22
Benign disorders of the lower genital tract. 24
Benign disorders of the upper genital tract. 26
Endometriosis and adenomyosis. 28
Contraception. 30
Sterilization. 32
Urinary incontinence and genital prolapsed. 34
Part 2: Reproductive endocrinology and infertility 36
Puberty and precocious puberty. 36
Amenorrhea. 38
Polycystic ovarian syndrome. 40
Hirsutism and virilization. 42
Abortion. 44
Recurrent pregnancy loss. 46
Antiphospholipid antibody syndrome. 48
Cervical incompetence and cervical cerclage. 50
The infertile couple. 52
Ovulation induction. 54
Assisted reproductive technology. 56
Menopause and hormone replacement therapy. 58
Part 3: Gynecologic oncology 60
Ovarian cancer. 60
Uterine cancer. 62
Cervical cancer. 64
Vaginal and vulvar cancer. 66
Other gynecologic malignancies. 68
Gestational trophoblastic disease. 70
Chemotherapy and radiotherapy. 72
Part 4: Obstetrics 74
Embryology and early fetal development. 74
Fetal physiology. 76
Endocrinology of pregnancy and parturition. 78
Maternal adaptations to pregnancy. 80
Prenatal diagnosis. 82
Obstetric ultrasound. 84
Infections in pregnancy: bacteria and protozoa. 86
Infections in pregnancy: viruses and spirochetes. 88
Hypertensive disorders of pregnancy. 90
Diabetes mellitus in pregnancy. 92
Cardiovascular disease in pregnancy. 94
Thyroid disease in pregnancy. 96
Other medical and surgical conditions in pregnancy. 98
Drugs and medications during pregnancy. 100
Disorders of amniotic fluid volume. 102
Disorders of fetal growth. 104
Antepartum fetal surveillance. 106
Hydrops fetalis. 108
Intrauterine fetal demise. 110
Multiple pregnancy. 112
Antepartum hemorrhage. 114
Premature labor. 116
Premature rupture of the membranes. 118
Induction and augmentation of labor. 120
Normal labor and delivery. 122
Abnormal labor and delivery. 124
Pain relief in labor. 126
Intrapartum fetal monitoring. 128
Operative vaginal delivery. 130
Cesarean delivery. 132
Third stage of labor and postpartum hemorrhage. 134
The puerperium. 136
Circumcision. 138
Index. 140