Titlebook: Office Gynecology; Advanced Management John V. Knaus (Clinical Associate Professor of Obs Book 1993 Springer-Verlag New York, Inc. 1993 ca

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Abnormal Uterine Bleeding,scrasias, and systemic diseases are all part of the differential diagnosis of this abnormality. In the premenopausal woman, pregnancy-related disorders, infection, and birth control methods are the most common factors. In the perimenopausal years, abnormal bleeding often occurs due to perimenopausal

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Primary Amenorrhea and Delayed Onset of Puberty,rder that should be revealed. In general, etiologic factors responsible for secondary amenorrhea may also be associated with primary amenorrhea. Causes unique to the patient who has not experienced menarche will be discussed in detail in this chapter.

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Pelvic Inflammatory Disease, reached epidemic proportions in the 1990s and may include infection of any or all the following: endometrium, myometrium, oviducts, ovaries, uterine serosa, parametrium, or pelvic peritoneum. Pelvic inflammatory disease is inarguably an extremely serious reproductive health problem. Each year, more

Metamorphosis

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Ganglion

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Dysmenorrhea and Chronic Pelvic Pain,p. Primary or physiologic dysmenorrhea is painful menses that occurs in the absence of pelvic disease. It has been shown that excessive production of prostaglandins by the endometrium can result in uterine ischemia and hypercontractibility and can cause severe dysmenorrhea. This has clarified a prev

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Dendritic-Cells

Management of Menopause, Including Hormonal Replacement Therapy,. By 2025, it is estimated that almost 60 million individuals will be over age 65 and about 30 million will be over age 75. In the past, women did not live long enough to reach the age of normal menopause. Only recently has the life span of the human encompassed the postmenopausal years; therefore,