Unexplained Fever In Gynecology
Benedict Isaac, Serge Kernbaum, Michael Burke in Unexplained Fever, 2019
The differential diagnosis11 includes both gynecologic and nongynecologic disorders: Gynecologic: Ectopic pregnancyComplicated ovarian cyst or tumorEndometriosisDegenerating fibroidsSpontaneous abortionNongynecologic: Acute appendicitisInflammatory bowel diseaseDiverticulitisUrinary tract infection
Chronic Pelvic Pain
Mark V. Boswell, B. Eliot Cole in Weiner's Pain Management, 2005
Chronic pelvic pain is, by definition, pain that persists for more than 6 months. In its various forms, chronic pelvic pain affects an estimated 12 to 15% of women in the United States, accounting for more than $881 million spent each year on outpatient visits (Mathias et al., 1996). It is one of the most common but taxing problems in gynecologic practice. Even after a thorough workup, the etiology may remain obscure, and the relationship between certain types of pathology and the pain response may be inconsistent and often inexplicable. In the patient who has no obvious pathology, it may be tempting to remove pelvic structures for their physiological variations. Approximately 12% of all hysterectomies are performed for pelvic pain and 30% of patients who present to pain clinics have already had a hysterectomy (Chamberlain & La Ferla, 1987; Reiter, 1990b).
The Infertility Workup
Steven R. Bayer, Michael M. Alper, Alan S. Penzias in The Boston IVF Handbook of Infertility, 2017
A complete physical and gynecologic examination should be performed after the initial consultation. The exam should contain a complete set of vital signs including blood pressure, pulse rate, and respiratory rate, as well as measurements of both weight and height to calculate BMI. The clinician should describe all thyroid, breast, cardiac, and respiratory abnormalities. When nipple discharge is present, simple microscopy may help determine if it is galactorrhea. Nearly 70% of women with galactorrhea will have hyperprolactinemia. Conversely, only 30% to 40% of women with hyperprolactinemia will have galactorrhea [6]. Vaginal and cervical discharge as well as uterine size, shape, and position should be noted when abnormal. If possible, adnexal tenderness, masses, and pelvic or vaginal nodules should be identified, since these may be signs of underlying endometriosis.
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.
Do women with pelvic floor disorders prefer to be treated by female urogynecologists?
Published in Health Care for Women International, 2020
Asnat Groutz, David Gordon, Mordechai Shimonov, Hadar Amir
The option to choose a female physician or surgeon became available and accessible only recently, as more and more women select to practice surgical specialties previously dominated by men (Davis, Risucci, Blair, & Sachdeva, 2011). Pelvic floor disorders include, per definition, intimate medical situations such as pelvic organ prolapse, urinary or fecal incontinence, and sexual dysfunction (Haylen et al., 2010). An urogynecologist is a physician with special training in female urology or gynecology who focuses on the evaluation and treatment of pelvic floor disorders, as well as pelvic reconstructive surgery. As yet, data regarding a possible preference for female urogynecologists among women with pelvic floor disorders are lacking. The researchers of the present study wanted to assess whether women with pelvic floor disorders prefer to be treated by female urogynecologists. Additional relevant personal and professional characteristics, other than gender, were evaluated as well.
Assessment of the effects of menopause on semicircular canal using the video head impulse test
Published in Journal of Obstetrics and Gynaecology, 2021
Ozlem Banu Tulmac, Gokce Simsek
The present study focussed on the effect of menopause on semicircular canal function in women who had not received hormonal treatment. One hundred and thirty-two patients aged between 40 and 60 years who were admitted to the gynaecology outpatient clinic with various complaints and who had general gynaecological problems such as uterine fibroids, pelvic inflammatory disease or vaginitis and met the inclusion criteria were included in the study. Vestibular system and gynaecological examinations were performed. Of these patients, 31 perimenopausal women (have menopausal symptoms and menstrual irregularity), six patients with vestibular disease, two patients with neurological disease, one patient with loss of vision, one patient whose vHIT test result could not be accessed, one patient who used a drug that could potentially affect balance, one patient who was identified as pregnant, one patient who was receiving HRT and one patient who did not comply with the test were excluded from the study.
Related Knowledge Centers
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- Birth Control
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