By Kenneth J. Ryan MD, Ross S. Berkowitz MD, Robert L. Barbieri MD, Andrea E. Dunaif MD
KISTNER'S GYNECOLOGY AND WOMEN'S health and wellbeing makes a speciality of the entire sufferer care of the girl. The 23 chapters are divided into 3 elements: gynecology evaluate, reproductive process and illness, and reproductive lifestyles cycle. Chapters are prepared via either organ structures and sickness with emphasis at the assessment of universal difficulties and their clinical administration. prognosis and therapy algorithms were further all through to advertise systematic considering and logical judgements, which counterpoint scientific potency. * positive aspects 23 chapters which specialise in overall sufferer care and emphasize the assessment and scientific administration of universal difficulties. * Lists key concerns in bankruptcy beginning outlines, permitting the reader to check issues lined and to test bankruptcy insurance at a look. * contains therapy algorithms which exhibit remedies at a look to aid and concentration medical decision-making.
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Extra info for Kistner's Gynecology and Women's Health
Example text
In a hypoestrogenic environment, the endometrium becomes inactive. Another approach is to use combined estrogen-progestin oral contraceptives to prevent menstrual bleeding during an episode of thrombocytopenia. This approach is of special benefit to women administered cyclic courses of chemotherapeutic agents, such as cyclophosphamide, because the oral contraceptives prevent menstrual bleeding during the thrombocytopenic episodes that follow chemotherapy. After the thrombocytopenic episode, the oral contraceptives are stopped and a "normal" withdrawal bleed is initiated.
In women with complete ovarian failure, the FSH level will usually be greater than 25 mIU/mL. In women with incipient ovarian failure, the FSH levels can fluctuate markedly between 15 and 25 mIU/mL. Measurements of FSH and estradiol levels during menses for 3 months will often assist the physician in gauging the permanency of the ovarian failure. One cause of premature ovarian failure is genetic abnormality in the sex chromosomes. Although most of these patients have ovarian failure before puberty, some will have a few years of normal menstrual function and then cease to menstruate.
Another approach is to use combined estrogen-progestin oral contraceptives to prevent menstrual bleeding during an episode of thrombocytopenia. This approach is of special benefit to women administered cyclic courses of chemotherapeutic agents, such as cyclophosphamide, because the oral contraceptives prevent menstrual bleeding during the thrombocytopenic episodes that follow chemotherapy. After the thrombocytopenic episode, the oral contraceptives are stopped and a "normal" withdrawal bleed is initiated.