The book is designed to be a clear accessible guide to women’s health. The aims of the book are as follows:
- To examine women's health issues as they present in general practice
- To provide GPs with information relevant to their practice that extends upon that provided in "undergraduate" texts
- To provide evidence based information regarding women's health to GPs
- To give GPs tips and examples of useful approaches when undertaking histories, examining and managing women's health problems.
- To examine current controversies in women's health
- Addresses common issues seen by GPs in their practice and addresses the questions and quandaries they face on a day to day basis
- Gives practical information and advice to GPs that where possible is based on up to date guidelines or research evidence
- Tips and example of useful approaches when undertaking histories, examining, and managing women’s health problems
- Discussion of current controversies in women’s health
New to this Edition
The scope of the first edition was limited to sexual and reproductive health aspects of women’s health the second edition will extend this to a broader range of women’s health topics and include new areas such as multicultural issues, gendered aspects of health and women’s mental health.
- new contraceptive developments including quick start method for commencement of contraception, better missed pill rules, developments in the provision of emergency contraception and an overview of new contraceptive devices such as the Nuvaring.
- our understanding of the epidemiology of HPV and ability to vaccinate against cervical cancer.
- Better characterisation of the risk inherent with a family history of breast and/or ovarian cancer
- More awareness of the importance of preconception care, the breadth of issues that need to be addressed and the effect of lifestyle factors on fertility
- Updates on Polycystic ovary syndrome
- Refreshed style and format incorporating - objectives of the chapter set out as introduction, summaries of key points, boxes and tables highlighting pertinent points, tips for practitioners, case scenarios, question and answer based text format
- Existence of evidence based guidelines to support diagnosis and management of common conditions seen in general practice such as menorrhagia, endometriosis, miscarriage and post natal care, and to support evidence based counselling regarding ovarian cancer screening, sexual problems and intimate partner violence.
Table of Contents
1. Adolescent gynaecology Pubertal development and primary amenorrhoea; Primary
dysmenorrhoea; Dysfunctional uterine bleeding in adolescence
2. Menstrual problems Premenstrual syndrome; Secondary amenorrhoea; Menorrhagia
3. Contraception Good practice in contraceptive counselling; Combined hormonal contraception; Progestogen - only contraception Intrauterine devices; Barrier methods; Addressing non-compliance with contraception; Natural family planning; Emergency contraception; Sterilisation
4. Unplanned pregnancy Reproductive rights and abortion; Pregnancy counselling; Methods of abortion; Abortion and the law Threats to abortion services
5. Pelvic pain Chronic pelvic pain; Endometriosis
6. Polycystic ovary syndrome Understanding PCOS; A general practice approach to management
7. Initial management of infertility Incidence and causes of infertility; Investigations and management by the GP
8. Preconception care Preconception counselling; Specific advice
9.Early pregnancy loss Spontaneous miscarriage; Ectopic pregnancy
10. Postnatal care Postnatal care-what should it entail? Common breastfeeding problems and issues; Postnatal depression
11. Breast problems Breast problems presenting to GPs; Breast lumps; Mastalgia; Nipple discharge; Women with a family history of breast cancer
12. Screening women The principles of screening; Breast cancer screening; Preventing cervical cancer; Cervical cancer screening Ovarian cancer screening; STI screening; Is routine pelvic examination essential? Successful speculum examinations
13.Genital tract disorders Vulvovaginal conditions; Cervical conditions
14. Menopause and osteoporosis Features of the menopause; Hormone therapy (HT); Alternatives to HT; Managing established osteoporosis
15. Urinary problems Urinary tract infection (UTI); Urinary incontinence; Painful bladder syndrome/interstitial cystitis
16. Sexual problems Normal sexual response in women; Sexual dysfunction
17.Violence against women
By Danielle Mazza, MD, MBBS, FRACGP, DRANZCOG, Grad Dip Women's Health, Department of General Practice School of Primary Health Care Monash University