For medical students, generalists, and specialists alike, Netter’s Obstetrics & Gynecology, 4th Edition, provides superbly illustrated, up-to-date information on the conditions and problems most often encountered in OB/GYN practice. Classic Netter images are paired with concise, evidence-based descriptions of common diseases, conditions, diagnostics, treatments, and protocols. Large, clear illustrations and short, to-the-point text provide quick, authoritative access to expert medical thinking—perfect for gaining knowledge of this complex field, for everyday clinical practice, or for staff and patient education.
Features concise, exquisitely illustrated coverage of Anatomy and Embryology, Gynecology and Women’s Health, and Obstetrics.
Contains more than 300 exquisite Netter images, as well as new, recent paintings by Carlos Machado, that provide a quick and memorable overview of each disease or condition.
Includes eleven new chapters, including Sexuality and Gender Dysphoria, Alcohol Abuse in Women, Anal Incontinence, Cardiovascular Disease in Women, Genitourinary Syndrome of Menopause, Hereditary Cancer Syndromes, External Cephalic Version, and more.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iii 5. Preface - p. iii 6. About the Artists - p. iii 7. Part 1: Anatomy and Embryology - p. iii 8. Section I: Embryology - p. iii 9. List of Tables - p. iii 10. Chapter 1: Sexual Differentiation - p. iii 11. Chapter 2: Upper Genital Tract Development - p. g3 12. Chapter 3: Lower Genital Tract Development - p. g4 13. Chapter 4: Development of the Breast - p. g6 14. Section II: Anatomy - p. g8 15. Chapter 5: External Genitalia - p. g8 16. Chapter 6: Perineum - p. g11 17. Chapter 7: Vagina - p. g12 18. Chapter 8: Pelvic Viscera - p. g14 19. Chapter 9: Cervix, Uterus, and Adnexa - p. g15 20. Chapter 10: Ovaries - p. g16 21. Chapter 11: Breast - p. g18 22. Part 2: Gynecology And Women’s Health - p. g21 23. Section III: General Health Considerations and Counseling - p. g21 24. Chapter 12: Puberty: Normal Sequence - p. g21 25. Chapter 13: Health Maintenance: Ages 12–18 Years - p. g25 26. Chapter 14: Sexuality and Gender Dysphoria - p. g28 27. Chapter 15: Health Maintenance: Ages 19–39 Years - p. g30 28. Chapter 16: Contraception: Counseling Principles - p. g32 29. Chapter 17: Health Maintenance: Ages 40–64 Years - p. g35 30. Chapter 18: Health Maintenance: Ages 65 Years and Older - p. g38 31. Section IV: Diseases, Disorders, and Common Problems - p. g41 32. Chapter 19: Abuse: Physical and Sexual - p. g41 33. Chapter 20: Acne - p. g47 34. Chapter 21: Alcohol Abuse in Women - p. g49 35. Chapter 22: Alzheimer Disease - p. g52 36. Chapter 23: Anal Incontinence - p. g54 37. Chapter 24: Anemia - p. g57 38. Chapter 25: Anorectal Fistula - p. g59 39. Chapter 26: Anxiety - p. g61 40. Chapter 27: Asthma - p. g63 41. Chapter 28: Cardiovascular Disease in Women - p. g66 42. Chapter 29: Cholelithiasis - p. g68 43. Chapter 30: Chronic Pelvic Pain - p. g70 44. Chapter 31: Constipation - p. g73 45. Chapter 32: Crohn Disease - p. g75 46. Chapter 33: Depression (Unipolar) - p. g77 47. Chapter 34: Diverticular Disease - p. g79 48. Chapter 35: Domestic Violence (Intimate Partner Violence) - p. g81 49. Chapter 36: Dysmenorrhea: Primary and Secondary - p. g84 50. Chapter 37: Dyspareunia: Deep Thrust - p. g86 51. Chapter 38: Dysuria - p. g88 52. Chapter 39: Eating Disorders: Anorexia Nervosa and Bulimia - p. g90 53. Chapter 40: Fibromyalgia - p. g92 54. Chapter 41: Gallbladder Disease - p. g94 55. Chapter 42: Gastritis - p. g96 56. Chapter 43: Gastroesophageal Reflux - p. g98 57. Chapter 44: Hair Loss - p. g100 58. Chapter 45: Headache: Tension and Cluster - p. g103 59. Chapter 46: Headache: Migraine - p. g105 60. Chapter 47: Hematuria - p. g109 61. Chapter 48: Hemorrhoids - p. g111 62. Chapter 49: Hyperthyroidism - p. g112 63. Chapter 50: Hypothyroidism - p. g115 64. Chapter 51: Infertility: General Considerations - p. g117 65. Chapter 52: Irritable Bowel Syndrome - p. g119 66. Chapter 53: Low Back Pain - p. g121 67. Chapter 54: Melanoma - p. g123 68. Chapter 55: Myofascial Syndromes - p. g126 69. Chapter 56: Obesity - p. g128 70. Chapter 57: Osteoporosis - p. g131 71. Chapter 58: Pelvic Masses - p. g134 72. Chapter 59: Pessary Therapy - p. g136 73. Chapter 60: Postcoital Bleeding - p. g138 74. Chapter 61: Premenstrual Dysphoric Disorder - p. g140 75. Chapter 62: Pruritus Ani - p. g142 76. Chapter 63: Pyelonephritis - p. g144 77. Chapter 64: Rape and Rape Trauma Syndrome - p. g146 78. Chapter 65: Sexual Dysfunction: Libidinal and Orgasmic Dysfunction (Anorgasmia) - p. g149 79. Chapter 66: Sexually Transmitted Infections: Chancroid - p. g152 80. Chapter 67: Sexually Transmitted Infections: Chlamydia Trachomatis - p. g153 81. Chapter 68: Sexually Transmitted Infections: Condylomata Acuminata - p. g156 82. Chapter 69: Sexually Transmitted Infections: Gonorrhea - p. g158 83. Chapter 70: Sexually Transmitted Infections: Granuloma Inguinale (Donovanosis) - p. g160 84. Chapter 71: Sexually Transmitted Infections: Herpes - p. g162 85. Chapter 72: Sexually Transmitted Infections: Human Immunodeficiency Virus - p. g164 86. Chapter 73: Sexually Transmitted Infections: Human Papillomavirus - p. g167 87. Chapter 74: Sexually Transmitted Infections: Lymphogranuloma Venereum - p. g168 88. Chapter 75: Sexually Transmitted Infections: Molluscum Contagiosum - p. g172 89. Chapter 76: Sexually Transmitted Infections: Parasites - p. g174 90. Chapter 77: Sexually Transmitted Infections: Syphilis - p. g176 91. Chapter 78: Sexually Transmitted Infections: Trichomonas Vaginalis - p. g178 92. Chapter 79: Thrombophlebitis - p. g181 93. Chapter 80: Toxic Shock Syndrome - p. g184 94. Chapter 81: Ulcerative Colitis - p. g188 95. Chapter 82: Urinary Incontinence: Bypass and Overflow - p. g190 96. Chapter 83: Urinary Incontinence: Stress - p. g193 97. Chapter 84: Urinary Incontinence: Urge - p. g195 98. Chapter 85: Urinary Tract Infection - p. g198 99. Chapter 86: Varicose Veins - p. g200 100. Chapter 87: Weight Control For Women - p. g202 101. Section V: Vulvar Disease - p. g204 102. Chapter 88: Acne Inversa (Hidradenitis Suppurativa) - p. g204 103. Chapter 89: Aphthous Ulcers (Acute Genital Ulceration, Lipschütz Ulcers, Non-Sexually Acquired Genital Ulceration, and Vulvar Aphthae) - p. g210 104. Chapter 90: Bartholin Gland: Abscess/Infection - p. g212 105. Chapter 91: Bartholin Gland: Cysts - p. g214 106. Chapter 92: Contact Vulvitis - p. g215 107. Chapter 93: Dyspareunia: Insertional - p. g217 108. Chapter 94: Female Circumcision (Female Genital Cutting) - p. g218 109. Chapter 95: Genitourinary Syndrome of Menopause - p. g220 110. Chapter 96: Hymenal Stenosis - p. g222 111. Chapter 97: Hyperplastic Vulvar Dystrophy (Squamous Cell Hyperplasia, Lichen Simplex Chronicus) - p. g224 112. Chapter 98: Imperforate Hymen - p. g225 113. Chapter 99: Labial Adhesions - p. g227 114. Chapter 100: Lichen Planus - p. g228 115. Chapter 101: Lichen Sclerosus - p. g230 116. Chapter 102: Vulvar Cancer - p. g232 117. Chapter 103: Vulvar Hematoma - p. g234 118. Chapter 104: Vulvar Lesions - p. g236 119. Chapter 105: Vulvar Vestibulitis (Provoked Vulvodynia) - p. g237 120. Section VI: Vaginal Disease - p. g241 121. Chapter 106: Cystocele/Urethrocele - p. g241 122. Chapter 107: Enterocele - p. g246 123. Chapter 108: Fistulae: Gastrointestinal and Urinary Tract - p. g248 124. Chapter 109: Rectocele - p. g250 125. Chapter 110: Sarcoma Botryoides - p. g252 126. Chapter 111: Transverse Vaginal Septum - p. g253 127. Chapter 112: Vaginal Cysts - p. g255 128. Chapter 113: Vaginal Dryness - p. g256 129. Chapter 114: Vaginal Lacerations - p. g257 130. Chapter 115: Vaginal Prolapse - p. g259 131. Chapter 116: Vaginitis: Atrophic (Genitourinary Syndrome of Menopause) - p. g261 132. Chapter 117: Vaginitis: Bacterial (Nonspecific) and Bacterial Vaginosis - p. g263 133. Chapter 118: Vaginitis: Monilial - p. g265 134. Chapter 119: Vaginitis: Trichomonas - p. g267 135. Section VII: Cervical Disease - p. g269 136. Chapter 120: Abnormal Pap Smear: Atypical Squamous or Glandular Cells of Undetermined Significance - p. g269 137. Chapter 121: Abnormal Pap Smear: Low-Grade Squamous Intraepithelial Lesions and High-Grade Squamous Intraepithelial Lesions - p. g275 138. Chapter 122: Carcinoma In Situ (Cervix) - p. g277 139. Chapter 123: Cervical Cancer - p. g279 140. Chapter 124: Cervical Erosion - p. g282 141. Chapter 125: Cervical Eversion - p. g283 142. Chapter 126: Cervical Polyps - p. g284 143. Chapter 127: Cervical Stenosis - p. g286 144. Chapter 128: Cervicitis - p. g287 145. Chapter 129: Nabothian Cysts - p. g289 146. Section VIII: Uterine Pathology - p. g290 147. Chapter 130: Adenomyosis - p. g290 148. Chapter 131: Asherman Syndrome (Uterine Synechia) - p. g294 149. Chapter 132: Dysfunctional (Abnormal) Uterine Bleeding - p. g296 150. Chapter 133: Endometrial Cancer - p. g299 151. Chapter 134: Endometrial Hyperplasia: Simple and Complex - p. g301 152. Chapter 135: Endometrial Polyps - p. g304 153. Chapter 136: Endometritis - p. g305 154. Chapter 137: Hematometra - p. g307 155. Chapter 138: Intermenstrual Bleeding - p. g309 156. Chapter 139: Irregular Menstrual Periods - p. g311 157. Chapter 140: Menorrhagia - p. g313 158. Chapter 141: Postmenopausal Vaginal Bleeding - p. g316 159. Chapter 142: Sarcoma (Uterine) - p. g318 160. Chapter 143: Uterine Anomalies: Bicornuate, Septate, and Unicornuate Uterus - p. g320 161. Chapter 144: Uterine Leiomyomata (Fibroids, Myoma) - p. g322 162. Chapter 145: Uterine Prolapse - p. g325 163. Section IX: Adnexal Disease - p. g327 164. Chapter 146: Adenofibroma - p. g327 165. Chapter 147: Clear Cell Carcinoma - p. g327 166. Chapter 148: Dermoid Cyst (Teratoma) - p. g333 167. Chapter 149: Dysgerminoma - p. g335 168. Chapter 150: Ectopic Pregnancy - p. g336 169. Chapter 151: Endometriosis - p. g340 170. Chapter 152: Epithelial Stromal Ovarian Tumors - p. g342 171. Chapter 153: Germ Cell Tumor - p. g344 172. Chapter 154: Granulosa Cell Tumors - p. g346 173. Chapter 155: Hydrosalpinx (Chronic Pelvic Inflammatory Disease) - p. g348 174. Chapter 156: Krukenberg Tumor - p. g350 175. Chapter 157: Mucinous Ovarian Cysts - p. g352 176. Chapter 158: Ovarian Cancer - p. g354 177. Chapter 159: Ovarian Cysts - p. g357 178. Chapter 160: Ovarian Fibroma - p. g359 179. Chapter 161: Ovarian Torsion - p. g361 180. Chapter 162: Pelvic Inflammatory Disease - p. g363 181. Chapter 163: Pseudomyxoma Peritonei - p. g365 182. Chapter 164: Serous Ovarian Cysts - p. g367 183. Chapter 165: Sertoli-Leydig Cell Tumor (Arrhenoblastoma) - p. g369 184. Chapter 166: Tubo-Ovarian Abscess - p. g371 185. Chapter 167: Transitional Cell (Brenner) Tumor - p. g373 186. Section X: Breast Diseases and Conditions - p. g375 187. Chapter 168: Accessory Nipples (Polythelia) - p. g375 188. Chapter 169: BRCA1 And BRCA2 Mutations - p. g380 189. Chapter 170: Breast Cancer - p. g382 190. Chapter 171: Breast Cyst - p. g384 191. Chapter 172: Breast Duct Ectasia - p. g387 192. Chapter 173: Breast Fat Necrosis - p. g388 193. Chapter 174: Breast Fibroadenoma - p. g390 194. Chapter 175: Breast Intraductal Papilloma - p. g392 195. Chapter 176: Fibrocystic Breast Change - p. g394 196. Chapter 177: Galactocele - p. g396 197. Chapter 178: Galactorrhea - p. g398 198. Chapter 179: Mammography - p. g400 199. Chapter 180: Mastitis (Lactational) - p. g402 200. Chapter 181: Mastodynia and Mastalgia (Breast Pain) - p. g404 201. Chapter 182: Mondor Disease - p. g406 202. Chapter 183: Nipple Discharge - p. g408 203. Chapter 184: Paget Disease of the Breast - p. g410 204. Section XI: Reproductive, Genetic, and Endocrine Conditions - p. g412 205. Chapter 185: Amenorrhea: Primary - p. g412 206. Chapter 186: Amenorrhea: Secondary - p. g417 207. Chapter 187: Androgen Insensitivity Syndrome - p. g418 208. Chapter 188: Anovulation - p. g421 209. Chapter 189: Assisted Reproduction - p. g422 210. Chapter 190: Down Syndrome - p. g426 211. Chapter 191: Gonadal Dysgenesis - p. g428 212. Chapter 192: Hereditary Cancer Syndromes - p. g430 213. Chapter 193: Hirsutism - p. g432 214. Chapter 194: Hyperprolactinemia - p. g436 215. Chapter 195: Infertility - p. g439 216. Chapter 196: Menopause - p. g441 217. Chapter 197: Precocious Puberty - p. g444 218. Chapter 198: Polycystic Ovary Syndrome - p. g446 219. Chapter 199: Recurrent Pregnancy Loss - p. g448 220. Chapter 200: Sexual Ambiguity - p. g451 221. Chapter 201: Sheehan Syndrome - p. g453 222. Chapter 202: Turner Syndrome - p. g455 223. Chapter 203: Uterine Agenesis - p. g458 224. Chapter 204: Vaginal Agenesis - p. g459 225. Chapter 205: Virilization - p. g461 226. Part 3: Obstetrics - p. g463 227. Section XII: Obstetrics: General Considerations - p. g463 228. Chapter 206: Preconceptional Care and Counseling - p. g463 229. Chapter 207: Routine Prenatal Care: First Trimester - p. g469 230. Chapter 208: Routine Prenatal Care: Second Trimester - p. g471 231. Chapter 209: Routine Prenatal Care: Third Trimester - p. g473 232. Chapter 210: Antepartum Fetal Testing - p. g476 233. Chapter 211: Biophysical Profile - p. g477 234. Chapter 212: Contraction Stress Testing - p. g479 235. Chapter 213: Doppler Flow Studies - p. g481 236. Chapter 214: Nonstress Testing - p. g482 237. Chapter 215: Normal Labor - p. g484 238. Chapter 216: Fetal Heart Rate Testing: Bradycardia - p. g488 239. Chapter 217: Fetal Heart Rate Testing: Periodic Changes - p. g489 240. Chapter 218: Fetal Heart Rate Testing: Reduced Variability - p. g492 241. Chapter 219: Fetal Heart Rate Testing: Tachycardia - p. g493 242. Chapter 220: Obstetric Anesthesia/Analgesia - p. g495 243. Chapter 221: Normal Postpartum Changes - p. g496 244. Chapter 222: Breastfeeding (Lactation) - p. g499 245. Section XIII: Obstetric Conditions and Concerns - p. g500 246. Chapter 223: Abnormalities of Placental Implantation (Placenta Accreta Spectrum) - p. g500 247. Chapter 224: Active Management of Labor - p. g506 248. Chapter 225: Acute Fatty Liver of Pregnancy - p. g508 249. Chapter 226: Amniotic Fluid Embolism - p. g510 250. Chapter 227: Breech Birth - p. g512 251. Chapter 228: Caput Succedaneum - p. g514 252. Chapter 229: Cardiovascular Disease in Pregnancy - p. g516 253. Chapter 230: Cervical Insufficiency - p. g518 254. Chapter 231: Cholecystitis in Pregnancy - p. g520 255. Chapter 232: Chorioamnionitis - p. g522 256. Chapter 233: Diabetes Mellitus in Pregnancy - p. g525 257. Chapter 234: Fetal Alcohol Syndrome - p. g527 258. Chapter 235: Gestational Trophoblastic Disease - p. g529 259. Chapter 236: Gingivitis in Pregnancy - p. g531 260. Chapter 237: Hellp Syndrome - p. g533 261. Chapter 238: Hepatitis in Pregnancy - p. g535 262. Chapter 239: Hyperemesis Gravidarum - p. g537 263. Chapter 240: Intrauterine Growth Restriction - p. g539 264. Chapter 241: Multiple Gestation - p. g542 265. Chapter 242: Obstetric Lacerations - p. g544 266. Chapter 243: Oligohydramnios - p. g547 267. Chapter 244: Placenta Previa - p. g549 268. Chapter 245: Placental Abruption - p. g551 269. Chapter 246: Polyhydramnios - p. g553 270. Chapter 247: Postpartum Breast Engorgement - p. g554 271. Chapter 248: Postpartum Depression - p. g554 272. Chapter 249: Pre-Eclampsia and Eclampsia - p. g558 273. Chapter 250: Pruritic Urticarial Papules and Plaques of Pregnancy (Puppp) - p. g561 274. Chapter 251: Puerperal Infection (Endometritis) - p. g563 275. Chapter 252: Rh Incompatibility - p. g565 276. Chapter 253: Shoulder Dystocia - p. g567 277. Chapter 254: Spontaneous Pregnancy Loss (Abortion, Miscarriage) - p. g569 278. Chapter 255: Third Trimester Bleeding - p. g572 279. Chapter 256: Trauma in Pregnancy - p. g574 280. Chapter 257: Uterine Atony and Postpartum Hemorrhage - p. g576 281. Chapter 258: Uterine Inversion - p. g578 282. Chapter 259: Uterine Rupture - p. g580 283. Part 4: Procedures - p. g582 284. Section XIV: Procedures - p. g582 285. Chapter 260: Amniocentesis - p. g582 286. Chapter 261: Aspiration of Breast Cyst - p. g586 287. Chapter 262: Bartholin Gland Cyst/Abscess Drainage - p. g587 288. Chapter 263: Bartholin Gland Marsupialization - p. g589 289. Chapter 264: Breast Biopsy: Core - p. g590 290. Chapter 265: Breast Biopsy: Open - p. g592 291. Chapter 266: Breast Imaging - p. g594 292. Chapter 267: Cervical Cerclage - p. g596 293. Chapter 268: Cervical Conization (Cold Knife) - p. g598 294. Chapter 269: Cervical Polypectomy - p. g600 295. Chapter 270: Cesarean Birth - p. g600 296. Chapter 271: Chorionic Villus Sampling - p. g604 297. Chapter 272: Circumcision (Male; Newborn and Infant) - p. g607 298. Chapter 273: Colposcopy - p. g609 299. Chapter 274: Cervical Cryocautery - p. g612 300. Chapter 275: Cystourethroscopy - p. g612 301. Chapter 276: Diaphragm Fitting - p. g616 302. Chapter 277: Dilation and Curettage - p. g617 303. Chapter 278: Endometrial Biopsy - p. g620 304. Chapter 279: External Cephalic Version - p. g622 305. Chapter 280: Forceps-Aided Birth - p. g624 306. Chapter 281: Hysteroscopy: Diagnostic - p. g626 307. Chapter 282: Hysteroscopy: Polyp and Leiomyoma Resection - p. g628 308. Chapter 283: Intrauterine Contraceptive Device Insertion - p. g631 309. Chapter 284: Intrauterine Contraceptive Device Removal - p. g633 310. Chapter 285: Loop Electrosurgical Excision Procedure and Large Loop Excision of the Transformation Zone Conizations - p. g635 311. Chapter 286: Pessary Fitting - p. g637 312. Chapter 287: Sonohysterography - p. g639 313. Chapter 288: Speculum Examination - p. g641 314. Chapter 289: Subdermal Contraceptive Capsule Insertion - p. g643 315. Chapter 290: Subdermal Contraceptive Capsule Removal - p. g645 316. Chapter 291: Transvaginal Ultrasonography - p. g647 317. Chapter 292: Trigger Point Injection - p. g648 318. Chapter 293: Urodynamic Testing: Complex - p. g650 319. Chapter 294: Urodynamic Testing: Simple - p. g652 320. Chapter 295: Vacuum-Assisted Birth - p. g654 321. Index - p. g656
For medical students, generalists, and specialists alike, Netter’s Obstetrics & Gynecology, 4th Edition, provides superbly illustrated, up-to-date information on the conditions and problems most often encountered in OB/GYN practice. Classic Netter images are paired with concise, evidence-based descriptions of common diseases, conditions, diagnostics, treatments, and protocols. Large, clear illustrations and short, to-the-point text provide quick, authoritative access to expert medical thinking—perfect for gaining knowledge of this complex field, for everyday clinical practice, or for staff and patient education.
Features concise, exquisitely illustrated coverage of Anatomy and Embryology, Gynecology and Women’s Health, and Obstetrics.
Contains more than 300 exquisite Netter images, as well as new, recent paintings by Carlos Machado, that provide a quick and memorable overview of each disease or condition.
Includes eleven new chapters, including Sexuality and Gender Dysphoria, Alcohol Abuse in Women, Anal Incontinence, Cardiovascular Disease in Women, Genitourinary Syndrome of Menopause, Hereditary Cancer Syndromes, External Cephalic Version, and more.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iii 5. Preface - p. iii 6. About the Artists - p. iii 7. Part 1: Anatomy and Embryology - p. iii 8. Section I: Embryology - p. iii 9. List of Tables - p. iii 10. Chapter 1: Sexual Differentiation - p. iii 11. Chapter 2: Upper Genital Tract Development - p. g3 12. Chapter 3: Lower Genital Tract Development - p. g4 13. Chapter 4: Development of the Breast - p. g6 14. Section II: Anatomy - p. g8 15. Chapter 5: External Genitalia - p. g8 16. Chapter 6: Perineum - p. g11 17. Chapter 7: Vagina - p. g12 18. Chapter 8: Pelvic Viscera - p. g14 19. Chapter 9: Cervix, Uterus, and Adnexa - p. g15 20. Chapter 10: Ovaries - p. g16 21. Chapter 11: Breast - p. g18 22. Part 2: Gynecology And Women’s Health - p. g21 23. Section III: General Health Considerations and Counseling - p. g21 24. Chapter 12: Puberty: Normal Sequence - p. g21 25. Chapter 13: Health Maintenance: Ages 12–18 Years - p. g25 26. Chapter 14: Sexuality and Gender Dysphoria - p. g28 27. Chapter 15: Health Maintenance: Ages 19–39 Years - p. g30 28. Chapter 16: Contraception: Counseling Principles - p. g32 29. Chapter 17: Health Maintenance: Ages 40–64 Years - p. g35 30. Chapter 18: Health Maintenance: Ages 65 Years and Older - p. g38 31. Section IV: Diseases, Disorders, and Common Problems - p. g41 32. Chapter 19: Abuse: Physical and Sexual - p. g41 33. Chapter 20: Acne - p. g47 34. Chapter 21: Alcohol Abuse in Women - p. g49 35. Chapter 22: Alzheimer Disease - p. g52 36. Chapter 23: Anal Incontinence - p. g54 37. Chapter 24: Anemia - p. g57 38. Chapter 25: Anorectal Fistula - p. g59 39. Chapter 26: Anxiety - p. g61 40. Chapter 27: Asthma - p. g63 41. Chapter 28: Cardiovascular Disease in Women - p. g66 42. Chapter 29: Cholelithiasis - p. g68 43. Chapter 30: Chronic Pelvic Pain - p. g70 44. Chapter 31: Constipation - p. g73 45. Chapter 32: Crohn Disease - p. g75 46. Chapter 33: Depression (Unipolar) - p. g77 47. Chapter 34: Diverticular Disease - p. g79 48. Chapter 35: Domestic Violence (Intimate Partner Violence) - p. g81 49. Chapter 36: Dysmenorrhea: Primary and Secondary - p. g84 50. Chapter 37: Dyspareunia: Deep Thrust - p. g86 51. Chapter 38: Dysuria - p. g88 52. Chapter 39: Eating Disorders: Anorexia Nervosa and Bulimia - p. g90 53. Chapter 40: Fibromyalgia - p. g92 54. Chapter 41: Gallbladder Disease - p. g94 55. Chapter 42: Gastritis - p. g96 56. Chapter 43: Gastroesophageal Reflux - p. g98 57. Chapter 44: Hair Loss - p. g100 58. Chapter 45: Headache: Tension and Cluster - p. g103 59. Chapter 46: Headache: Migraine - p. g105 60. Chapter 47: Hematuria - p. g109 61. Chapter 48: Hemorrhoids - p. g111 62. Chapter 49: Hyperthyroidism - p. g112 63. Chapter 50: Hypothyroidism - p. g115 64. Chapter 51: Infertility: General Considerations - p. g117 65. Chapter 52: Irritable Bowel Syndrome - p. g119 66. Chapter 53: Low Back Pain - p. g121 67. Chapter 54: Melanoma - p. g123 68. Chapter 55: Myofascial Syndromes - p. g126 69. Chapter 56: Obesity - p. g128 70. Chapter 57: Osteoporosis - p. g131 71. Chapter 58: Pelvic Masses - p. g134 72. Chapter 59: Pessary Therapy - p. g136 73. Chapter 60: Postcoital Bleeding - p. g138 74. Chapter 61: Premenstrual Dysphoric Disorder - p. g140 75. Chapter 62: Pruritus Ani - p. g142 76. Chapter 63: Pyelonephritis - p. g144 77. Chapter 64: Rape and Rape Trauma Syndrome - p. g146 78. Chapter 65: Sexual Dysfunction: Libidinal and Orgasmic Dysfunction (Anorgasmia) - p. g149 79. Chapter 66: Sexually Transmitted Infections: Chancroid - p. g152 80. Chapter 67: Sexually Transmitted Infections: Chlamydia Trachomatis - p. g153 81. Chapter 68: Sexually Transmitted Infections: Condylomata Acuminata - p. g156 82. Chapter 69: Sexually Transmitted Infections: Gonorrhea - p. g158 83. Chapter 70: Sexually Transmitted Infections: Granuloma Inguinale (Donovanosis) - p. g160 84. Chapter 71: Sexually Transmitted Infections: Herpes - p. g162 85. Chapter 72: Sexually Transmitted Infections: Human Immunodeficiency Virus - p. g164 86. Chapter 73: Sexually Transmitted Infections: Human Papillomavirus - p. g167 87. Chapter 74: Sexually Transmitted Infections: Lymphogranuloma Venereum - p. g168 88. Chapter 75: Sexually Transmitted Infections: Molluscum Contagiosum - p. g172 89. Chapter 76: Sexually Transmitted Infections: Parasites - p. g174 90. Chapter 77: Sexually Transmitted Infections: Syphilis - p. g176 91. Chapter 78: Sexually Transmitted Infections: Trichomonas Vaginalis - p. g178 92. Chapter 79: Thrombophlebitis - p. g181 93. Chapter 80: Toxic Shock Syndrome - p. g184 94. Chapter 81: Ulcerative Colitis - p. g188 95. Chapter 82: Urinary Incontinence: Bypass and Overflow - p. g190 96. Chapter 83: Urinary Incontinence: Stress - p. g193 97. Chapter 84: Urinary Incontinence: Urge - p. g195 98. Chapter 85: Urinary Tract Infection - p. g198 99. Chapter 86: Varicose Veins - p. g200 100. Chapter 87: Weight Control For Women - p. g202 101. Section V: Vulvar Disease - p. g204 102. Chapter 88: Acne Inversa (Hidradenitis Suppurativa) - p. g204 103. Chapter 89: Aphthous Ulcers (Acute Genital Ulceration, Lipschütz Ulcers, Non-Sexually Acquired Genital Ulceration, and Vulvar Aphthae) - p. g210 104. Chapter 90: Bartholin Gland: Abscess/Infection - p. g212 105. Chapter 91: Bartholin Gland: Cysts - p. g214 106. Chapter 92: Contact Vulvitis - p. g215 107. Chapter 93: Dyspareunia: Insertional - p. g217 108. Chapter 94: Female Circumcision (Female Genital Cutting) - p. g218 109. Chapter 95: Genitourinary Syndrome of Menopause - p. g220 110. Chapter 96: Hymenal Stenosis - p. g222 111. Chapter 97: Hyperplastic Vulvar Dystrophy (Squamous Cell Hyperplasia, Lichen Simplex Chronicus) - p. g224 112. Chapter 98: Imperforate Hymen - p. g225 113. Chapter 99: Labial Adhesions - p. g227 114. Chapter 100: Lichen Planus - p. g228 115. Chapter 101: Lichen Sclerosus - p. g230 116. Chapter 102: Vulvar Cancer - p. g232 117. Chapter 103: Vulvar Hematoma - p. g234 118. Chapter 104: Vulvar Lesions - p. g236 119. Chapter 105: Vulvar Vestibulitis (Provoked Vulvodynia) - p. g237 120. Section VI: Vaginal Disease - p. g241 121. Chapter 106: Cystocele/Urethrocele - p. g241 122. Chapter 107: Enterocele - p. g246 123. Chapter 108: Fistulae: Gastrointestinal and Urinary Tract - p. g248 124. Chapter 109: Rectocele - p. g250 125. Chapter 110: Sarcoma Botryoides - p. g252 126. Chapter 111: Transverse Vaginal Septum - p. g253 127. Chapter 112: Vaginal Cysts - p. g255 128. Chapter 113: Vaginal Dryness - p. g256 129. Chapter 114: Vaginal Lacerations - p. g257 130. Chapter 115: Vaginal Prolapse - p. g259 131. Chapter 116: Vaginitis: Atrophic (Genitourinary Syndrome of Menopause) - p. g261 132. Chapter 117: Vaginitis: Bacterial (Nonspecific) and Bacterial Vaginosis - p. g263 133. Chapter 118: Vaginitis: Monilial - p. g265 134. Chapter 119: Vaginitis: Trichomonas - p. g267 135. Section VII: Cervical Disease - p. g269 136. Chapter 120: Abnormal Pap Smear: Atypical Squamous or Glandular Cells of Undetermined Significance - p. g269 137. Chapter 121: Abnormal Pap Smear: Low-Grade Squamous Intraepithelial Lesions and High-Grade Squamous Intraepithelial Lesions - p. g275 138. Chapter 122: Carcinoma In Situ (Cervix) - p. g277 139. Chapter 123: Cervical Cancer - p. g279 140. Chapter 124: Cervical Erosion - p. g282 141. Chapter 125: Cervical Eversion - p. g283 142. Chapter 126: Cervical Polyps - p. g284 143. Chapter 127: Cervical Stenosis - p. g286 144. Chapter 128: Cervicitis - p. g287 145. Chapter 129: Nabothian Cysts - p. g289 146. Section VIII: Uterine Pathology - p. g290 147. Chapter 130: Adenomyosis - p. g290 148. Chapter 131: Asherman Syndrome (Uterine Synechia) - p. g294 149. Chapter 132: Dysfunctional (Abnormal) Uterine Bleeding - p. g296 150. Chapter 133: Endometrial Cancer - p. g299 151. Chapter 134: Endometrial Hyperplasia: Simple and Complex - p. g301 152. Chapter 135: Endometrial Polyps - p. g304 153. Chapter 136: Endometritis - p. g305 154. Chapter 137: Hematometra - p. g307 155. Chapter 138: Intermenstrual Bleeding - p. g309 156. Chapter 139: Irregular Menstrual Periods - p. g311 157. Chapter 140: Menorrhagia - p. g313 158. Chapter 141: Postmenopausal Vaginal Bleeding - p. g316 159. Chapter 142: Sarcoma (Uterine) - p. g318 160. Chapter 143: Uterine Anomalies: Bicornuate, Septate, and Unicornuate Uterus - p. g320 161. Chapter 144: Uterine Leiomyomata (Fibroids, Myoma) - p. g322 162. Chapter 145: Uterine Prolapse - p. g325 163. Section IX: Adnexal Disease - p. g327 164. Chapter 146: Adenofibroma - p. g327 165. Chapter 147: Clear Cell Carcinoma - p. g327 166. Chapter 148: Dermoid Cyst (Teratoma) - p. g333 167. Chapter 149: Dysgerminoma - p. g335 168. Chapter 150: Ectopic Pregnancy - p. g336 169. Chapter 151: Endometriosis - p. g340 170. Chapter 152: Epithelial Stromal Ovarian Tumors - p. g342 171. Chapter 153: Germ Cell Tumor - p. g344 172. Chapter 154: Granulosa Cell Tumors - p. g346 173. Chapter 155: Hydrosalpinx (Chronic Pelvic Inflammatory Disease) - p. g348 174. Chapter 156: Krukenberg Tumor - p. g350 175. Chapter 157: Mucinous Ovarian Cysts - p. g352 176. Chapter 158: Ovarian Cancer - p. g354 177. Chapter 159: Ovarian Cysts - p. g357 178. Chapter 160: Ovarian Fibroma - p. g359 179. Chapter 161: Ovarian Torsion - p. g361 180. Chapter 162: Pelvic Inflammatory Disease - p. g363 181. Chapter 163: Pseudomyxoma Peritonei - p. g365 182. Chapter 164: Serous Ovarian Cysts - p. g367 183. Chapter 165: Sertoli-Leydig Cell Tumor (Arrhenoblastoma) - p. g369 184. Chapter 166: Tubo-Ovarian Abscess - p. g371 185. Chapter 167: Transitional Cell (Brenner) Tumor - p. g373 186. Section X: Breast Diseases and Conditions - p. g375 187. Chapter 168: Accessory Nipples (Polythelia) - p. g375 188. Chapter 169: BRCA1 And BRCA2 Mutations - p. g380 189. Chapter 170: Breast Cancer - p. g382 190. Chapter 171: Breast Cyst - p. g384 191. Chapter 172: Breast Duct Ectasia - p. g387 192. Chapter 173: Breast Fat Necrosis - p. g388 193. Chapter 174: Breast Fibroadenoma - p. g390 194. Chapter 175: Breast Intraductal Papilloma - p. g392 195. Chapter 176: Fibrocystic Breast Change - p. g394 196. Chapter 177: Galactocele - p. g396 197. Chapter 178: Galactorrhea - p. g398 198. Chapter 179: Mammography - p. g400 199. Chapter 180: Mastitis (Lactational) - p. g402 200. Chapter 181: Mastodynia and Mastalgia (Breast Pain) - p. g404 201. Chapter 182: Mondor Disease - p. g406 202. Chapter 183: Nipple Discharge - p. g408 203. Chapter 184: Paget Disease of the Breast - p. g410 204. Section XI: Reproductive, Genetic, and Endocrine Conditions - p. g412 205. Chapter 185: Amenorrhea: Primary - p. g412 206. Chapter 186: Amenorrhea: Secondary - p. g417 207. Chapter 187: Androgen Insensitivity Syndrome - p. g418 208. Chapter 188: Anovulation - p. g421 209. Chapter 189: Assisted Reproduction - p. g422 210. Chapter 190: Down Syndrome - p. g426 211. Chapter 191: Gonadal Dysgenesis - p. g428 212. Chapter 192: Hereditary Cancer Syndromes - p. g430 213. Chapter 193: Hirsutism - p. g432 214. Chapter 194: Hyperprolactinemia - p. g436 215. Chapter 195: Infertility - p. g439 216. Chapter 196: Menopause - p. g441 217. Chapter 197: Precocious Puberty - p. g444 218. Chapter 198: Polycystic Ovary Syndrome - p. g446 219. Chapter 199: Recurrent Pregnancy Loss - p. g448 220. Chapter 200: Sexual Ambiguity - p. g451 221. Chapter 201: Sheehan Syndrome - p. g453 222. Chapter 202: Turner Syndrome - p. g455 223. Chapter 203: Uterine Agenesis - p. g458 224. Chapter 204: Vaginal Agenesis - p. g459 225. Chapter 205: Virilization - p. g461 226. Part 3: Obstetrics - p. g463 227. Section XII: Obstetrics: General Considerations - p. g463 228. Chapter 206: Preconceptional Care and Counseling - p. g463 229. Chapter 207: Routine Prenatal Care: First Trimester - p. g469 230. Chapter 208: Routine Prenatal Care: Second Trimester - p. g471 231. Chapter 209: Routine Prenatal Care: Third Trimester - p. g473 232. Chapter 210: Antepartum Fetal Testing - p. g476 233. Chapter 211: Biophysical Profile - p. g477 234. Chapter 212: Contraction Stress Testing - p. g479 235. Chapter 213: Doppler Flow Studies - p. g481 236. Chapter 214: Nonstress Testing - p. g482 237. Chapter 215: Normal Labor - p. g484 238. Chapter 216: Fetal Heart Rate Testing: Bradycardia - p. g488 239. Chapter 217: Fetal Heart Rate Testing: Periodic Changes - p. g489 240. Chapter 218: Fetal Heart Rate Testing: Reduced Variability - p. g492 241. Chapter 219: Fetal Heart Rate Testing: Tachycardia - p. g493 242. Chapter 220: Obstetric Anesthesia/Analgesia - p. g495 243. Chapter 221: Normal Postpartum Changes - p. g496 244. Chapter 222: Breastfeeding (Lactation) - p. g499 245. Section XIII: Obstetric Conditions and Concerns - p. g500 246. Chapter 223: Abnormalities of Placental Implantation (Placenta Accreta Spectrum) - p. g500 247. Chapter 224: Active Management of Labor - p. g506 248. Chapter 225: Acute Fatty Liver of Pregnancy - p. g508 249. Chapter 226: Amniotic Fluid Embolism - p. g510 250. Chapter 227: Breech Birth - p. g512 251. Chapter 228: Caput Succedaneum - p. g514 252. Chapter 229: Cardiovascular Disease in Pregnancy - p. g516 253. Chapter 230: Cervical Insufficiency - p. g518 254. Chapter 231: Cholecystitis in Pregnancy - p. g520 255. Chapter 232: Chorioamnionitis - p. g522 256. Chapter 233: Diabetes Mellitus in Pregnancy - p. g525 257. Chapter 234: Fetal Alcohol Syndrome - p. g527 258. Chapter 235: Gestational Trophoblastic Disease - p. g529 259. Chapter 236: Gingivitis in Pregnancy - p. g531 260. Chapter 237: Hellp Syndrome - p. g533 261. Chapter 238: Hepatitis in Pregnancy - p. g535 262. Chapter 239: Hyperemesis Gravidarum - p. g537 263. Chapter 240: Intrauterine Growth Restriction - p. g539 264. Chapter 241: Multiple Gestation - p. g542 265. Chapter 242: Obstetric Lacerations - p. g544 266. Chapter 243: Oligohydramnios - p. g547 267. Chapter 244: Placenta Previa - p. g549 268. Chapter 245: Placental Abruption - p. g551 269. Chapter 246: Polyhydramnios - p. g553 270. Chapter 247: Postpartum Breast Engorgement - p. g554 271. Chapter 248: Postpartum Depression - p. g554 272. Chapter 249: Pre-Eclampsia and Eclampsia - p. g558 273. Chapter 250: Pruritic Urticarial Papules and Plaques of Pregnancy (Puppp) - p. g561 274. Chapter 251: Puerperal Infection (Endometritis) - p. g563 275. Chapter 252: Rh Incompatibility - p. g565 276. Chapter 253: Shoulder Dystocia - p. g567 277. Chapter 254: Spontaneous Pregnancy Loss (Abortion, Miscarriage) - p. g569 278. Chapter 255: Third Trimester Bleeding - p. g572 279. Chapter 256: Trauma in Pregnancy - p. g574 280. Chapter 257: Uterine Atony and Postpartum Hemorrhage - p. g576 281. Chapter 258: Uterine Inversion - p. g578 282. Chapter 259: Uterine Rupture - p. g580 283. Part 4: Procedures - p. g582 284. Section XIV: Procedures - p. g582 285. Chapter 260: Amniocentesis - p. g582 286. Chapter 261: Aspiration of Breast Cyst - p. g586 287. Chapter 262: Bartholin Gland Cyst/Abscess Drainage - p. g587 288. Chapter 263: Bartholin Gland Marsupialization - p. g589 289. Chapter 264: Breast Biopsy: Core - p. g590 290. Chapter 265: Breast Biopsy: Open - p. g592 291. Chapter 266: Breast Imaging - p. g594 292. Chapter 267: Cervical Cerclage - p. g596 293. Chapter 268: Cervical Conization (Cold Knife) - p. g598 294. Chapter 269: Cervical Polypectomy - p. g600 295. Chapter 270: Cesarean Birth - p. g600 296. Chapter 271: Chorionic Villus Sampling - p. g604 297. Chapter 272: Circumcision (Male; Newborn and Infant) - p. g607 298. Chapter 273: Colposcopy - p. g609 299. Chapter 274: Cervical Cryocautery - p. g612 300. Chapter 275: Cystourethroscopy - p. g612 301. Chapter 276: Diaphragm Fitting - p. g616 302. Chapter 277: Dilation and Curettage - p. g617 303. Chapter 278: Endometrial Biopsy - p. g620 304. Chapter 279: External Cephalic Version - p. g622 305. Chapter 280: Forceps-Aided Birth - p. g624 306. Chapter 281: Hysteroscopy: Diagnostic - p. g626 307. Chapter 282: Hysteroscopy: Polyp and Leiomyoma Resection - p. g628 308. Chapter 283: Intrauterine Contraceptive Device Insertion - p. g631 309. Chapter 284: Intrauterine Contraceptive Device Removal - p. g633 310. Chapter 285: Loop Electrosurgical Excision Procedure and Large Loop Excision of the Transformation Zone Conizations - p. g635 311. Chapter 286: Pessary Fitting - p. g637 312. Chapter 287: Sonohysterography - p. g639 313. Chapter 288: Speculum Examination - p. g641 314. Chapter 289: Subdermal Contraceptive Capsule Insertion - p. g643 315. Chapter 290: Subdermal Contraceptive Capsule Removal - p. g645 316. Chapter 291: Transvaginal Ultrasonography - p. g647 317. Chapter 292: Trigger Point Injection - p. g648 318. Chapter 293: Urodynamic Testing: Complex - p. g650 319. Chapter 294: Urodynamic Testing: Simple - p. g652 320. Chapter 295: Vacuum-Assisted Birth - p. g654 321. Index - p. g656
