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Explore chapters and articles related to this topic
Colorectal Surgery for Deep Endometriosis Infiltrating the Bowel
Published in Nazar N. Amso, Saikat Banerjee, Endometriosis, 2022
Hanan Alsalem, Jean-Jacques Tuech, Damien Forestier, Benjamin Merlot, Myriam Noailles, Horace Roman
Endometriosis is one of the frequently encountered benign gynecologic conditions in our practice with an incidence of 7–10% (1). Management of patients with endometriosis has been challenging throughout the years. It requires careful evaluation and long-term planning. Unfortunately, to date, there haven't been any established direct causes of such disease. The dilemma of managing patients with diverse presentation has also been equally demanding. Women of various age groups present to our clinics with multiple symptoms that require special attention not only to the presenting symptoms but to how we can treat this woman as a whole. Special attention is paid to quality of life and fertility. With the rise of better diagnostic techniques (as discussed in the first section of this book) and more advanced training in radiological diagnosis of endometriosis, along with better surgical training in minimally invasive surgery (which will be covered in the latter section of this book), more and more patients are diagnosed with deep infiltrating endometriosis of the bowel. Deep infiltrating endometriosis of the bowel is not a rare condition. Just in France during 2015, over 1135 patients were managed for such condition (2).
Sexual Activity
Published in S Paige Hertweck, Maggie L Dwiggins, Clinical Protocols in Pediatric and Adolescent Gynecology, 2022
Y. Frances Fei, Melina L. Dendrinos
It is the role of the health-care provider toEnsure that patients are provided with accurate information regarding sexual health and reproductive safetySupport parents and guardians in being involved in their child's sexuality education. Open communication starting from a young age can leave the door open for the futurePerform confidential interviews starting at ages 11–14Establish rapport with a patient before asking private questionsScreen for inappropriate or risky behaviorAssess sexual history as part of the “HEADSS” questions: home, education/employment, activities, drugs/diet, sexuality, suicide, safety (see Chapter 20, “Gynecologic Exam”)
Prenatal Care
Published in Vincenzo Berghella, Obstetric Evidence Based Guidelines, 2022
Gabriele Saccone, Kerri Sendek
Routine pelvic exam early in pregnancy is not as accurate for assessment of gestational age as ultrasound (see Chap. 4) and is not a reliable predictive test of PTB or cephalopelvic disproportion later in pregnancy (see also Chaps. 7 and 18), and so it is not recommended for these assessments. Abdominal and pelvic examination to detect gynecologic pathology can be included in the initial examination, and women should be asked about cervical cancer screening. In this setting, cervical cancer screening can be recommended according to guidelines if not current (Chap. 34).
Bacterial vaginosis, vulvovaginal candidiasis, and trichomonal vaginitis in reproductive-age women in Yunnan, China: a descriptive study
Published in Journal of Obstetrics and Gynaecology, 2022
Ting Zhao, Xiao Xiao, Li Xiao, Xiao-Mei Wu, Tao Yuan
A descriptive cross-sectional study was conducted at the First People’s Hospital of Yunnan Province between September 2017 and August 2019. Reproductive-age women aged 14–50 years who were attending general gynaecology clinics for routine cervical smear tests were invited to participate, unless they reported human immunodeficiency virus infection, were pregnant, or were postmenopausal. Women who had taken any oral or topical antibiotics in the previous 30 days or those who had received any treatment for vaginitis during the month before identification were not eligible. The techniques performed in this study were authorised by the First People’s Hospital of Yunnan Province. We administered a questionnaire to obtain information via face-to-face interviews and collected data on sociodemographic characteristics, lifestyle-related behaviours, and routine hygienic practices. This study was approved by the Ethical Research Committee at the First People’s Hospital of Yunnan Province (approval number: 2018GJ037). All participants provided informed consent for their study participation.
Validating a measurement of psychological, physical and sexual abuse against women in gynecological care within the Chilean health system
Published in Health Care for Women International, 2022
Manuel Cárdenas Castro, Stella Salinero Rates
Gynecology is a medical discipline that almost exclusively affects people whose sex assigned at birth was women. As with any branch of the hegemonic medical model (Esteban, 1996; Martin, 2001), there are active gender biases that can have significant effects on women’s physical and mental health (García-Dauder & Pérez-Sedeño, 2017; Valls, 2009). These biases become even more evident when considering that they take place in a context where women may already feel exposed and vulnerable and where respectful treatment and a welcoming climate should therefore take precedence. In the same way, it is a type of healthcare that women will need throughout their lives; receiving inadequate care may cause them not to make timely appointments or postpone exams that could be important for their health.
Effects of a nursing care program based on the theory of human caring on women diagnosed with gynecologic cancer: a pilot study from Turkey
Published in Journal of Psychosocial Oncology, 2022
Gamze Teskereci, Hatice Yangın, Özen Kulakaç
The Chemotherapy Symptom Assessment Scale (C-SAS) was developed by Brown et al.23 It measures 24 chemotherapy symptoms. The Turkish validity and reliability of the scale were tested by Aslan, Vural, Kömürcü, et al.24 Each chemotherapy symptom is evaluated separately, and a total score for the scale is not calculated. The scale has three sections: “frequency”, “severity”, and “degree of discomfort” of chemotherapy symptoms. Since each symptom is evaluated separately, median values are calculated instead of mean values. High scores are indicators of more severe symptoms and discomfort.24 All the women in this study were already past menopause due to either natural causes or gynecologic surgery. Therefore the “irregular menstrual periods” item was excluded from the assessment.