Chapter 5 – Adolescent Menstrual Dysfunction
Summary Menstrual disorders such as irregular, heavy or painful periods are common in adolescent girls and may affect quality of life, disrupt sports and social activities and are known to…
GYNECOLOGY
Chapter 4 – Common Prepubertal Problems in Paediatric Gynaecology
Summary There are a number of gynaecological conditions which commonly present in childhood. The commonest of these such as vulvovaginitis are self-limiting though they can be quite difficult to treat….
Chapter 3 – Normal and Precocious Puberty
Summary Puberty is a critical phase of development during which complex physiological and psychological changes result in the immature child attaining reproductive capacity. The timing of the onset of puberty…
Chapter 2 – Gynaecological History and Examination in Children and Adolescents
Summary This chapter discusses the history and examination of children and young people with gynaecological concerns. A child refers to a younger child who lacks the understanding or maturity to…
Chapter 1 – Embryological Development of the Internal and External Female Genitalia
Summary The development of internal and external genitalia starts from the same baseline embryological point. From the ninth week of gestation, it diverges to differentiate into either male or female,…
Vaginal Atrophy and Common Skin Disorders of the Vulva and Vagina
Vaginal Atrophy and Common Skin Disorders of the Vulva and Vagina Anita H. Chen VAGINAL ATROPHY Introduction Menopause is characterized by loss of ovarian function and as life expectancy has…
Cosmetic Gynecology
Cosmetic Gynecology Bobby Garcia Robert D. Moore John R. Miklos Introduction Cosmetic gynecology (also referred to as female genital plastic and cosmetic surgery) has garnered substantial attention and notoriety in…
Rectovaginal and Anorectal Fistula
Rectovaginal and Anorectal Fistula Peter L. Dwyer Frida Carswell James Oliver Keck Introduction The assessment and treatment of rectovaginal fistulae (RVFs) is an area of pelvic floor disorders where the…
Evaluation and Management of Rectal Prolapse
Evaluation and Management of Rectal Prolapse Meghan L. Good Nitin Mishra Introduction Rectal prolapse (rectal procidentia) has been described for centuries and is defined by the circumferential full-thickness protrusion of…
Obstetrical Anal Sphincter Injuries and Sphincteroplasty
Obstetrical Anal Sphincter Injuries and Sphincteroplasty Bhumy Dave Heliker Afiba Arthur EPIDEMIOLOGY Obstetrical anal sphincter injuries (OASIS) are thirdand fourth-degree lacerations that occur at the time of vaginal delivery. A…
