Abnormal Uterine Bleeding with DVD

by Malcolm G. Munro

• ISBN13: 9780521721837
• ISBN10: 0521721830
• Edition: 1st
• Format: Paperback
• Copyright: 2010-02-08
• Publisher: Cambridge University Press

Summary

Abnormal uterine bleeding (AUB) is a common presenting symptom for both gynecologists and family practitioners with complex etiology and challenging differential diagnosis. Many cases of AUB can be managed effectively with hormonal, anti-inflammatory or antifibrinolytic agents. Although surgical management may include hysterectomy, more often one of a variety of less invasive, uterus-sparing procedures provides an effective and satisfactory clinical outcome. Effective management of women with AUB is enhanced by an understanding of the relevant basic sciences and the various mechanisms by which symptoms evolve. This includes clinical evaluation, the application of appropriate laboratory and imaging techniques and the identification of a customized menu of potential therapeutic interventions. Written by a leading practitioner, the approach includes advice on history taking, clinical examination and appropriate therapy. Basic science aspects are limited to what is really relevant to the clinicians. The accompanying DVD includes videos, animations, color images and patient support material to facilitate learning. A spectrum of providers and trainees will find this book to be an invaluable resource, including those from primary care, gynecology and family planning.

Author Biography

Malcolm G. Munro is Professor, Department of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA and Director of Gynecologic Services, Department of Obstetrics and Gynecology, Kaiser Permanente, Los Angeles Medical Center, Los Angeles, California, USA.

Table of Contents

Preface	p. ix
Background
Historical context	p. 1
Anatomy and physiology
Uterine anatomy	p. 11
Physiology of menstruation	p. 21
Classification and pathogenesis
Nomenclature and classification of abnormal uterine bleeding	p. 33
Pathogenesis of abnormal uterine bleeding	p. 40
Clinical management
Investigation of abnormal uterine bleeding	p. 57
Therapy: disorders of hemostasis (AUB-C)	p. 69
Therapy: endometrial causes (AUB-E) or disorders of ovulation (AUB-O)	p. 74
Therapy: structural abnormalities (AUB-P, -A, -L)	p. 89
Acute uterine bleeding	p. 100
Breakthrough bleeding (AUB-I)	p. 108
Premenarcheal bleeding	p. 118
Postmenopausal bleeding	p. 126
Procedures
Uterine anesthesia	p. 137
Endometrial ablation	p. 148
Endometrial sampling	p. 160
Hysterectomy	p. 171
Intrauterine progestin-releasing systems	p. 178
Myoma ablation	p. 184
Myomectomy	p. 192
Polypectomy	p. 201
Uterine artery embolization or occlusion	p. 206
Uterine imaging	p. 210
Glossary	p. 229
Index	p. 244
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