Gynaecology: Evidence-Based Algorithms

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.Preface; List of abbreviations; Part I. Early Pregnancy Care: 1. Early pregnancy bleeding and miscarriage; 2. Care of patients requesting termination of pregnancy (TOP); 3. Recurrent first trimester and second trimester miscarriage; 4. Gestational trophoblastic disease and neoplasia (GTD, GTN); 5. Ectopic pregnancy; 6. Hyperemesis gravidarum (HG); Part II. Disorders of Menstruation: 7. Dysmenorrhoea; 8. Premenstrual syndrome (PMS); 9. Heavy menstrual bleeding (HMB); 10. Fibroids (leiomyoma); 11. Adenomyosis; 12. Endometriosis; Part III. Reproductive Medicine: 13. Disorders of sex development (DSD); 14. Primary and secondary amenorrhoea; 15. Premature ovarian insufficiency (POI); 16. Polycystic ovarian syndrome (PCOS); 17. Hirsutism; 18. Hyperprolactinaemia; 19. Precocious puberty (PP); Part IV. Subfertility: 20. Subfertility: female; 21. Subfertility: male; 22. Ovarian hyperstimulation syndrome (OHSS); 23. Fertility sparing treatments in gynaecological cancers; Part V. Urogynaecology, Pelvic Floor Problems and HRT: 24. Urinary incontinence (UI); 25. Utero-vaginal prolapse; 26. Vault prolapse; 27. Menopause and hormone replacement treatment (HRT); Part VI. Gynaecological Oncology: 28. Epidemiology of cancer in females in the UK; 29. Vulval dystrophy and VIN; 30. Vulval cancer; 31. Cervical intra-epithelial neoplasia (CIN) and colposcopy; 32. Cervical cancer; 33. Endometrial hyperplasia; 34. Endometrial cancer; 35. Post menopausal bleeding (PMB); 36. Ovarian cyst; 37. Ovarian cancer; Part VII. Sexual and Reproductive Health, STI and Vaginal Infection: 38. Chronic pelvic pain (CPP); 39. Pelvic inflammatory disease (PID); 40. Vaginal discharge; 41. Bacterial vaginosis (BV); 42. Vulvo-vaginal candidiasis (VVC); 43. Trichomonas vaginalis (TV); 44. Sexually transmitted infections (STI): general; 45. Gonorrhoea; 46. Chlamydia; 47. Herpes; 48. Lymphogranuloma venereum (LGV); 49. Molluscum contagiosum; 50. Chancroid; 51. Donovanosis - granuloma inguinale; 52. Phthirus pubis; 53. Scabies; 54. Syphilis; 55. Ano-genital warts; Part VIII. 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 forty years; 63. Post natal contraception; 64. Emergency contraception (EC); 65. Long-acting reversible contraception (LARC); 66. Male and female sterilisation; 67. Hormonal contraception (HC) and venous thromboembolism; Index.