AND ADOLESCENT GYNECOLOGY
Figure 6.1 Tanner staging, female developmental stages PRECOCIOUS PUBERTY Definition (N Engl J Med 2008;358:2366) • Dev of breast or pubic hair >2.5 SD below mean age. Traditional definition <8…
INFERTILITY
>40 yo → greatest infertility. • Fecundity: Probability that a single menstrual cycle results in live birth History (Fertil Steril 2004;82:S169) • Gravidity, parity, Preg outcomes/assoc complications • Age at…
SURGERY AND UROGYNECOLOGY
• CNS involvement (pontine micturition center) – afferent signal through spinothalamic tracts & dorsal columns → intensity of signal reaches threshold of consciousness triggering void when socially acceptable → efferent…
Hysterectomy
Thomas G. Stovall • Hysterectomy is one of the most commonly performed surgical procedures in the United States. • Vaginal hysterectomy is the procedure of choice in parous women unless…
Ovarian, Fallopian Tube, and Peritoneal Cancer
Teri A. LongacreMichael Friedlander • The peak incidence of invasive epithelial ovarian cancer is at about 60 years of age. About 30% of ovarian neoplasms in postmenopausal women are malignant,…
Anorectal Dysfunction
Geoffrey W. Cundiff • Defecatory dysfunction and fecal incontinence are common conditions for women that have tremendous psychosocial and economic implications. • The differential diagnosis for anorectal dysfunction is broad…
Cervical and Vaginal Cancer
John C. Elkas • Human papillomavirus (HPV) infection is the causal agent of cervical cancer. • Screening programs are effective at decreasing the incidence of cervical cancer. Vaccines also help…
Lower Urinary Tract Disorders
Ingrid NygaardLewis Wall • Bladder storage and emptying depend on a complex interplay between the brain, spinal cord, bladder, urethra, and pelvic floor. • Urinary incontinence is common in women…
