Postnatal care
10 Postnatal care Chapter Contents Postnatal care—what should it entail? 166 Common breastfeeding problems and issues 168 Postnatal depression 175 Tips for practitioners 180 References 180 Objectives • To review…
Menstrual Problems
2 Menstrual problems Chapter Contents Premenstrual syndrome 16 Secondary amenorrhoea 21 Menorrhagia 26 Tips for practitioners 33 References 33 Objectives • To know the prevalence and current understanding of the…
Menopause and osteoporosis
14 Menopause and osteoporosis Chapter Contents Features of the menopause 256 Hormone therapy (HT) 260 Guideline recommendations 261 Practical therapeutic issues 264 Individualisation of therapy 265 Alternatives to HT 274…
Unplanned pregnancy
4 Unplanned pregnancy Chapter Contents Reproductive rights and abortion 90 Pregnancy counselling 91 Countering the myths about abortion 92 Methods of abortion 94 Surgical abortion 94 Medical abortion 98 Abortion…
Breast problems
11 Breast problems Chapter Contents Breast symptoms presenting to GPs 184 Breast lumps 184 Mastalgia 188 Nipple discharge 189 Women with a family history of breast or ovarian cancer 192…
Early pregnancy loss
9 Early pregnancy loss Chapter Contents Spontaneous miscarriage 154 Ectopic pregnancy 158 Tips for practitioners 162 References 162 Objectives • To diagnose the cause of early bleeding in pregnancy •…
Adolescent gynaecology
1 Adolescent gynaecology Chapter Contents Pubertal development and primary amenorrhoea 2 Primary dysmenorrhoea 6 Dysfunctional uterine bleeding in adolescence 9 Tips for practitioners 11 References 12 Objectives • To understand…
Pelvic pain
5 Pelvic pain Chapter Contents Chronic pelvic pain 108 Endometriosis 112 Tips for practitioners 116 References 116 Objectives • To develop an approach to diagnosing the aetiology of chronic pelvic…
Initial management of infertility
7 Initial management of infertility Chapter Contents Incidence and causes of infertility 128 Initial GP investigation and management 129 Tips for practitioners 134 References 134 Objectives • To describe the…
Polycystic ovary syndrome
6 Polycystic ovary syndrome Chapter Contents Understanding PCOS 120 Diagnosing PCOS 122 A general practice approach to management 123 Lifestyle modification 123 Achieving pregnancy 123 Irregular and heavy periods 123…
