By Antoniewicz, Leah; Curtis, Michèle G.; Fischer, Ashley; Gaertner, Rebecca S.; Linares, Silvia T.; McLaughlin, Holly; Orzechowski, David
Chapters reflect the typical matters visible through practitioners and comprise epidemiology of gynecologic disorder, exam information, laboratory trying out, diagnostic systems, remedy and acceptable stick to up, in addition to referral for uniqueness remedy and counseling. medical notes make this e-book a convenient source for the busy practitioner.
New to the 7th Edition…
- Brand new chapters on:
- Ambulatory workplace procedures
- Early being pregnant loss and ectopic pregnancy
- Medical-legal concerns in place of work gynecology
- Office evaluate of ladies with disabilities
simply obtainable professional details you would like with easy-to-read bulleted textual content Tables and algorithms to supply exact suggestions for decision-making Over 2 hundred tables greater than one hundred thirty five diagrams for speedy reference
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Example text
Endogenous levels of estrogen and progesterone directly influence the quantity and quality of cervical mucus. Women are taught to recognize these changes. indd 18 secretions) until the first appearance of a larger amount of very thin, slippery mucus. After that, abstinence resumes until 4 days after the last day the almost liquid-like discharge was present. Unprotected sex must be avoided for 14 to 17 days out of each cycle. A different approach is to avoid intercourse until after ovulation has occurred (as noted by BBT or cervical mucus).
Intrauterine device. Obstet Gynecol. 2005;105:223–232. 36. Hatcher R, Hatcher RA, Zieman M, et al. A Pocket Guide to Managing Contraception. Tiger, GA: Bridging the Gap Foundation; 2007. 37. Suvisaari J, Lahteenmaki P. Detailed analysis of menstrual bleeding patterns after postmenstrual and postabortal insertion of a copper IUD or a levonorgestrel-releasing intrauterine system. Contraception. 1996;54:201–208. 38. O’Brien P, Marfleet CC. Frameless versus classical intrauterine device for contraception.
80 Theoretically, polyurethane condoms may offer similar HIV protection as the latex condoms, but this has not been clinically confirmed yet. Users must realize that to reduce the risk of HIV transmission, latex male condoms must be used with each and every act of sex. 89,90 Female Condom The FDA approved the female condom in 1994 (Fig. 3). There are several studies that evaluated its use and effectiveness. One study included female employees of two hospitals in Cape Town, South Africa. Twenty-three of 52 participants used all 10 of the devices issued to them, 21 stated that they or their partner(s) did not enjoy using the method, and an additional 9 had other problems with it.