Clinical Obstetrics and Gynecology

The difficult problem of differentiating ectopic pregnancy from other gynecologic disorders presenting with pain, bleeding, and amenorrhea is discussed by evaluating available diagnostic tests, singly and in combination. The first essential…

The popularity of estrogen therapy for the menopausal woman seems to be on the rise again, with new evidence on the risks and treatment of osteoporosis and the protective effect of progestin on the endometrium becoming clearer. The risks of…

Udgivelsesdato: 1983-Mar

The knowledge needed to formulate proper indications for hysterectomy include a thorough understanding of the physiology and pathology of the female reproductive organs, the clinical manifestations of pelvic disease, and normal and abnormal…

Prior to undergoing conservative pelvic surgery for improvement of fertility, there must be meticulous preoperative evaluation. This evaluation involves a history, all previous records and operative reports, psychologic evaluation, physical…

INDICATIONS FOR COMPLETE PELVIC OPERATIONS AND MORE RADICAL PROCEDURES IN THE TREATMENT OF SEVERE OR EXTENSIVE ENDOMETRIOSIS: PDF Only

In spite of a very recent upsurge in breast-feeding in industrialized countries, approximately one-half of parturients are candidates for postpartum lactation suppression. The mechanisms controlling lactation are complex and involve prepara…

I believe that surgery is the treatment of choice for patients with endometriosis desiring pregnancy. An exception to this, in my opinion, is the patient with early endometriosis without significant ovarian enlargement or adhesions limiting…

Reconstructive microsurgery has been associated with significantly improved results in infertility. These techniques have made the gynecologist much more conscious of peritoneal trauma and of postoperative adhesions. It has enabled the appr…

The use of the culdoscope and now the laparoscope has made the accurate diagnosis of endometriosis possible so that each case can be clinically staged. A suggested staging of endometriosis similar to that used for carcinoma of the cervix, i…