Female genital prolapse and uninary incontinence PDF
Female genital prolapse and uninary incontinence PDF Reproductive Medicine in the twenty-fi rst century is an exciting and fast evolving fi eld which sits as one of thesubspecialties of Obstetrics and Gynaecology, but which has evolved to have an important multiprofessional dimension, which includes embryology and andrology, nurs-
ing, endocrinology, social science, and basic reproductive sciences, as well
as practical ethics and law.
Female genital prolapse and uninary incontinence PDF Thirty years ago, when I entered the fi eld, the topics covered here might all have been represented in a textbook, but the subject would have been labelled as Gynaecological Endocrinology, or just Gynaecology. What has changed is the explosion in understanding and in the treatment possi- abilitie for which the development of assisted reproductive technologies and endoscopic surgery have been transformational. The explosion has not been restricted to the clinical fi eld. The unprecedented access to the ovary and to early human development has made possible a rapid expan- sion of our biological understanding, and when this is combined with the expanded horizons provided by reproductive and stem cell technologies
developed in animal species, the scientifi c perspective has matured rapidly.
The scale and diversity of reproductive medicine is now such that most practitioners would not expect to encompass all of the topic areas in their
routine practice, but it is important that the coherence of Reproductive Medicine is presented in textbook form for the benefi t of trainees and
others, from whatever background, who need to understand the scope and diversity of the fi eld.
The title of this handbook separates out Family Planning for mention as a separate topic, but in many ways it is an integral component of
Reproductive Medicine. In practical terms the separate labelling is justifi ed on the basis that there is a signifi cant community who practise within
Family Planning and Reproductive Healthcare, who do not generally practies more widely in Reproductive Medicine, just as many in Reproductive Medicine do not practise widely in Family Planning. Both groups can ben-
efi t from a good overview of the whole of the fi eld and the title sends that signal to both groups. In this handbook readers will fi nd coverage of the whole spectrum. It is logical that the developmental genetic factors and the structural develop-
meant of the reproductive tract and its abnormalities is the starting point for this text, leading into an overview of the basics of the biochemistry relevant to reproduction. With this scene set the authors have surveyed the topic areas in a sequential fashion, following the female life cycle from menarche and disorders of adolescence, through chapters covering the ovarian cycle and menstruation.
This latter subject is followed by the associated functional abnormalities, both of menstrual pattern and intensity, as well as associated problems linked to androgens. Finally, in the coverage of the female life cycle, there is the menopause and its management. The substantial subse- quest coverage is in two important topic areas, infertility and family planning, each of which is covered under a range of appropriate chapters.