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Polycystic Ovarian Syndrome - Is Natural Best?
Polycystic Ovarian Syndrome - Is Natural... Best?
Nursing Lecture
Added: 27/05/2016
Polycystic Ovarian Syndrome (PCOS) is a hormonal condition that appears to be growing in prevalence. While many medical-based treatments are often prescribed, a growing number of women are turning to ...a more natural approach. This session provides insight into these alternative approaches and will assist you to develop a balanced approach to this complex condition.
Drunk In Love: Effects of Alcohol On Fertility
Drunk In Love: Effects of Alcohol On Fer...tility
Nursing Lecture
Added: 13/05/2016
Despite the fact that alcohol is often used to facilitate social interaction and relaxation, it can have profound physiological impacts on sexual function. This session explores how alcohol affects ma...le and female sexual function.
Normal Variations
eChapter
Added: 28/02/2013
When performing an assessment of the female genital tract, it is essential not just to understand the appearance of the normal anatomy, but also the normal variations of this anatomy that may occur. W...hen these normal variations are identified, they may sometimes require treatment to improve quality of life, and this eChapter identifies and describes the most common normal variations of the female genital tract, provides criteria for diagnosis and outlines the preferred treatment of these variations. In the first section of the eChapter, the author describes four normal variations of the vulva. The first, Fordyce spots require no treatment but may generate confusion during the diagnostic phase for the inexperienced clinician. The second, the large labia majora rarely requires treatment, but women in which it is manifest may request surgical reduction for cosmetic reasons, or because the anatomy causes discomfort whilst walking. Vestibular papillomas once again are a normal variation to the anatomy, but the ability to distinguish them is crucial as they can be mistaken for genital warts and treated inappropriately. Finally, labial adhesions in infancy are discussed. The next section focuses on normal variations of the vagina and describes two common findings. The first is normal physiological discharge, and although treatment is not normally required, the importance of excluding more sinister causes is emphasised by the author. The second is a comprehensive examination of estrogen deficiency, and photographs are used to show it’s atrophic effects on the vagina. Management options such as estogen replacement are discussed, and the author emphasises the importance of considering the inclusion of psychosexual counselling as an important contribution to the treatment program. This eChapter forms part of the Ausmed publication The Vulva and Vaginal Manual, edited by Graeme Dennerstein, James Scurry, John Brenan, David Allen and Maria-Grazia Marin. A richly illustrated and comprehensive guide to the identification and treatment of over 275 vulvovaginal diseases The Vulva and Vaginal Manual is an invaluable resource especially suitable for: Gynecologists Dermatologists General Practitioners Obstetricians Midwives General nurses Practice nurses Nurse Practitioners There are also 14 additional eChapters from The Vulva and Vaginal Manual available for members to download from the Ausmed website. Subscription also entitles members to access the full range of resources that compliment and build upon the material described within The Vulva and Vaginal Manual, including a richly populated catalogue of Audio Lectures, Fast Facts and Video Learning Activities on the topics of gynecology, obstetrics, oncology, women’s health and a wide range of other healthcare topics. Both members and non-subscribers alike may also purchase a hard copy of this book of from the Ausmed Education Online Bookstore, along with hard copies of the complimentary publication Gynecological Cancer Care: A Guide to Practice.
The Gynecologist's Perspective
eChapter
Added: 28/02/2013
The eChapter begins by introducing a gynecological assessment methodology that is thorough, easy to understand and simple to apply in clinical practice. Starting with the presenting complaint, the aut...hor emphasizes the need to track back to the time of suspected onset, be it puberty, onset of menopause, incidence of first intercourse, surgery or even an episode of exceptional emotional stress, and what specifically about this complaint is disturbing the patient at the time of consultation. Detailed examples of this approach are described, including candidiasis and it’s relationship to puberty, atrophic vaginitis to ovarian failure, vulvar dermatoses to psychosexual disturbances, inflammatory disorders to fissure development and so on. The author then progresses to consider the importance of the related history, and stresses the need to incorporate parity, gravidity, mode of contraception, fertility requirements and a detailed menstrual history into the assessment. Once again, practical examples are given to illustrate the process, including the relationship between lactation and atrophic vaginitis, depression and infertility, and the importance of identifying intercurrent diseases such as vulvar psoriasis and extragenital lesions. The importance of identifying any topical treatment history is emphasised, as are systemic therapies such as HRT and contraception, and their relevance to diagnosis. The eChapter also describes in detail methods of physical examination, including appropriate positioning, the placement of hands, dealing with menstrual discharge, and the use of the Sims’ speculum, colposcopy, and the loupe. How to perform a Wright’s stain to identify host cell and microorganism morphology is described in detail, and normal, atrophic, infected and eroded slides are described with the support of color illustrations. This eChapter forms part of the Ausmed publication The Vulva and Vaginal Manual, edited by Graeme Dennerstein, James Scurry, John Brenan, David Allen and Maria-Grazia Marin. A richly illustrated and comprehensive guide to the identification and treatment of over 275 vulvovaginal diseases The Vulva and Vagina Manual is an invaluable resource especially suitable for: Gynecologists Dermatologists General Practitioners Obstetricians Midwives General nurses Practice nurses Nurse Practitioners There are also 14 additional eChapters from The Vulva and Vaginal Manual available for members to download from the Ausmed website. Subscription also entitles members to access the full range of resources that compliment and build upon the material described within The Vulva and Vaginal Manual, including a richly populated catalogue of Audio Lectures, Fast Facts and Video Learning Activities on the topics of gynecology, obstetrics, oncology, women’s health and a wide range of other healthcare topics. Both members and non-subscribers alike may also purchase a hard copy of this book of from the Ausmed Education Online Bookstore, along with hard copies of the complimentary publication Gynecological Cancer Care: A Guide to Practice.
The Dermatologist's Perspective
eChapter
Added: 28/02/2013
It is increasingly common for gynaecologists and dermatologists to work in partnership in the diagnosis and management of diseases of the vulva and vagina. This is because understanding the funda...mentals of dermatology applicable to the vulva and vagina has repeatedly been shown to be a valuable adjunct to the rationalisation of diagnosis, classification, investigation and management of disease. This eChapter describes these fundamentals in detail, describes the common dermatological conditions of the vulva, and provides guidance regarding contemporary treatment options. The eChapter begins by describing the scope of concern for dermatologists, and breaks the skin down into three distinct components: the epidermis, comprised of keratinocytes, melanocytes and Langerhans’ cells; the Dermis, comprised of the upper papillary dermis and the reticular dermis and the Basement Membrane Zone. The importance of obtaining a correct dermatological history is emphasised, and the author then progresses to discuss the interpretation of the macroscopic pathology of the skin of the vulva. How disease affects the functions of the various components of the vulval skin is then reviewed, with specific emphasis placed upon alterations in keratinocyte function, oedema of the dermis and coagulation of tissue fluid, and how these may be manifest in clinical signs such as surface scale, blisters, ulcers, scaly skin and crust. This discussion is then extended to include an overview of the processes that lay behind such diseases as erythema, wheals, lichenification, erythemato-squamous lesions, hypo-pigmentation, atrophy blisters, and ulcers. The chapter concludes by providing guidelines for treatment options, including non-pharmacological approaches such as saline soaks and lubricant creams, and pharmacological options such as corticosteroids in their various forms. This eChapter forms part of the Ausmed publication The Vulva and Vaginal Manual, edited by Graeme Dennerstein, James Scurry, John Brenan, David Allen and Maria-Grazia Marin. A richly illustrated and comprehensive guide to the identification and treatment of over 275 vulvovaginal diseases The Vulva and Vagina Manual is an invaluable resource especially suitable for: Gynecologists Dermatologists General Practitioners Obstetricians Midwives General nurses Practice nurses Nurse Practitioners There are also 14 additional eChapters from The Vulva and Vaginal Manual available for members to download from the Ausmed website. Subscription also entitles members to access the full range of resources that compliment and build upon the material described within The Vulva and Vaginal Manual, including a richly populated catalogue of Audio Lectures, Fast Facts and Video Learning Activities on the topics of gynecology, obstetrics, oncology, women’s health and a wide range of other healthcare topics. Both members and non-subscribers alike may also purchase a hard copy of this book of from the Ausmed Education Online Bookstore, along with hard copies of the complimentary publication Gynecological Cancer Care: A Guide to Practice.
Neoplasms
eChapter
Added: 28/02/2013
Some of the most complex disorders of the vulva and vagina are the neoplasms, and this is because of the variety of cells native to the anatomy gives rise to a wide range of possibilities in terms of ...potential cancer types. This comprehensive eChapter has been written by a distinguished gynaecological oncologist and provides descriptions, clinical features, diagnostic and treatment guidelines for over 240 different neoplasms of the vulva and vagina, and is an excellent resource for any health professional. This eChapter is divided into two sections, the first being concerned with neoplasms of the vulva. The author progresses through the descriptions of the various cancers in numerical order, and begins the section on cancers of the vulva with a general description of seborrheic keratosis, it’s clinical features, pathology and treatment, and follows this pattern for the remainder of the eChapter. The first section describes 195 unique neoplasms and their sub-types, including a comprehensive review of common cancers such as vulvar intraepithelial neoplasia (VIN and it’s variants) , intraepithelial carcinoma (CIN and it’s stages), squamous cell carcinoma, and rarer neoplasms such as keratoacanthoma, or the ‘self-healing SCC’, and Karposi’s sarcoma. The second section describes 51 neoplasms of the vagina, and includes classificatory and staging tables, as well as illustrative photographs and histological slides. The section describes the more common cancers, such as vaginal intraepithelial neoplasia (VAIN and it’s various stages), squamous cell carcinomas, and rarer examples such as Mullerian papilloma and benign mixed tumors. This eChapter forms part of the Ausmed publication The Vulva and Vaginal Manual, edited by Graeme Dennerstein, James Scurry, John Brenan, David Allen and Maria-Grazia Marin. A richly illustrated and comprehensive guide to the identification and treatment of over 275 vulvovaginal diseases The Vulva and Vaginal Manual is an invaluable resource especially suitable for: Gynecologists Dermatologists General Practitioners Obstetricians Midwives General nurses Practice nurses Nurse Practitioners There are also 14 additional eChapters from The Vulva and Vaginal Manual available for members to download from the Ausmed website. Subscription also entitles members to access the full range of resources that compliment and build upon the material described within The Vulva and Vaginal Manual, including a richly populated catalogue of Audio Lectures, Fast Facts and Video Learning Activities on the topics of gynecology, obstetrics, oncology, women’s health and a wide range of other healthcare topics. Both members and non-subscribers alike may also purchase a hard copy of this book from the Ausmed Education Online Bookstore, along with hard copies of the complimentary publication Gynecological Cancer Care: A Guide to Practice.
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