Reproduction and Hormonal Contraception

Mar 1, 2020 by in OBSTETRICS Comments Off on Reproduction and Hormonal Contraception

Reproduction and Hormonal Contraception Mitchell D. Creinin, MD Jeffrey T. Jensen, MD, MPH The discovery of the central regulatory role of hormones in reproduction led directly to the development of…

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Contraception, Population, and the Environment

Mar 1, 2020 by in OBSTETRICS Comments Off on Contraception, Population, and the Environment

Contraception, Population, and the Environment Jeffrey T. Jensen, MD, MPH Mitchell D. Creinin, MD As we write this chapter, the earth’s population of humans exceeds 7.7 billion. Hopefully our collective…

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Ovaries and Adnexa

Feb 2, 2020 by in GYNECOLOGY Comments Off on Ovaries and Adnexa

Ovaries and Adnexa 31.1 Simple Ovarian Cysts Description and Clinical Features The normal ovary in premenopausal women typically contains small cysts, less than 3 cm in diameter, representing follicles or…

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Myometrium

Feb 2, 2020 by in GYNECOLOGY Comments Off on Myometrium

Myometrium 29.1 Fibroids (Leiomyomas) and Leiomyosarcomas Description and Clinical Features Fibroids, or uterine leiomyomas, are commonly occurring benign myometrial tumors composed of smooth muscle and fibrous tissue. They are found…

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Endometrium

Feb 2, 2020 by in GYNECOLOGY Comments Off on Endometrium

Endometrium 30.1 Endometrial Polyps Description and Clinical Features Endometrial polyps are fairly common lesions that can occur at any age. They can be pedunculated or broad-based, are generally benign, and,…

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Genitourinary Tract

Feb 2, 2020 by in GYNECOLOGY Comments Off on Genitourinary Tract

Genitourinary Tract 14.1 Unilateral and Bilateral Renal Agenesis Description and Clinical Features Renal agenesis, which may be unilateral or bilateral, results from failure of the ureteric bud to develop during…

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Ectopic Pregnancy

Feb 2, 2020 by in GYNECOLOGY Comments Off on Ectopic Pregnancy

Ectopic Pregnancy 32.1 Tubal Ectopic Pregnancy Description and Clinical Features Approximately 2% of all pregnancies are ectopic (i.e., implanted at a site other than within the uterine cavity). More than…

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Therapeutic Obstetrical Procedures

Feb 2, 2020 by in GYNECOLOGY Comments Off on Therapeutic Obstetrical Procedures

Therapeutic Obstetrical Procedures 26.1 Fetal Blood Transfusion Description and Clinical Features If a fetus is found to be anemic based on umbilical blood sampling, it can be treated with a…

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Pelvic Floor

Feb 2, 2020 by in GYNECOLOGY Comments Off on Pelvic Floor

Pelvic Floor 33.1 Pelvic Floor Abnormalities Description and Clinical Features The pelvic floor is comprised of three compartments based on function and location, labeled anterior, middle, and posterior compartments. The…

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