Gynaecology: Evidence-Based Algorithms

Description:

Clinical research has produced a continuous stream of evidence-based guidelines to guide practice in gynaecology. The guidelines are often widely scattered: this book brings together the essential guidelines in one comprehensive resource. The primary focus is on Royal College of Obstetricians and Gynaecologists and other UK national guidelines; however, many chapters contain a 'Guideline Comparator' box carrying information from important international guidelines. Where there are no UK guidelines, information based on international guidelines is provided; where any guidelines do not exist, available evidence and accepted norms of practice based on expert opinion are detailed. Several chapters also contain a 'what not to do' box, which should act as a source of rich debate. To assist those studying for postgraduate examinations - such as MRCOG - the information is presented in schematic flowcharts, representing a step-by-step method of approaching clinical problems and providing an easy-to-use learning resource.

Table of Contents:

SECTION 1: Early pregnancy care

1 Early pregnancy bleeding and miscarriage

2 Care of patients requesting termination of pregnancy

3 Recurrent first-trimester (≥ 3) and second-trimester (≥ 1) miscarriage

4 Gestational trophoblastic disease and neoplasia

5 Ectopic pregnancy

6 Hyperemesis gravidarum (HG)

SECTION 2: Disorders of menstruation

7 Dysmenorrhoea

8 Premenstrual syndrome

9 Heavy menstrual bleeding

10 Fibroids (leiomyoma)

11 Adenomyosis

12 Endometriosis

SECTION 3: Reproductive medicine

13 Disorders of sexual development (DSD)

14 Primary amenorrhoea

15 Premature ovarian insufficiency (POI)

16 Polycystic ovarian syndrome

17 Hirsutism

18 Hyperprolactinaemia

19 Precocious puberty (PP)

SECTION 4: Subfertility

20 Infertility – female

21 Infertility – male

22 Ovarian hyperstimulation syndrome

23 Fertility sparing treatments in gynaecological cancers

SECTION 5: Urogynaecology, pelvic floor problems, and hormone

24 Urinary incontinence (UI)

25 Uterovaginal prolapse

26 Vault prolapse

27 Menopause and hormone replacement therapy

SECTION 6: Gynaecological oncology

28 Epidemiology of cancer in females in the UK

29 Vulval dystrophy and vulvar intra-epithelial neoplasia

30 Vulval cancer

31 Cervical intra-epithelial neoplasia and colposcopy

32 Cervical cancer

33 Endometrial hyperplasia

34 Endometrial cancer

35 Post-menopausal bleeding

36 Ovarian cyst

37 Ovarian cancer

SECTION 7: Sexual and reproductive health, sexually transmitted infection,

38 Chronic pelvic pain (CPP)

39 Acute pelvic inflammatory disease

40 Vaginal discharge

41 Bacterial vaginosis

42 Vulvovaginal candidiasis

43 Trichomonas vaginalis

44 Sexually transmitted infections

45 Gonorrhoea

46 Chlamydia

47 Herpes

48 Lymphogranuloma venereum

49 Molluscum contagiosum

50 Chancroid

51 Donovanosis – granuloma inguinale

52 Phthirus pubis

53 Scabies

54 Syphilis

55 Anogenital warts (condylomata acuminata)

SECTION 8: Contraception

56 Contraceptive methods: general

57 UKMEC category and definition for the use of the contraceptive method

58 Quick starting contraception

59 Unscheduled bleeding with hormonal contraception (HC)

60 Missed pill

61 Contraceptive choices for young people

62 Contraception for women aged over 40 years

63 Postnatal contraception

64 Emergency contraception

65 Long-acting reversible contraception (LARC)

66 Male and female sterilization

67 Venous thromboembolism and hormonal contraception

Index