By Paul D. Chan, MD
Gynecology and Obstetrics for either inpatients and outpatients is featured during this well known publication. It emphasizes analysis and administration of universal problems that take place in ladies.
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Treatment of menopausal symptoms with estrogen 1. 2 years. As a result, the primary indication for estrogen therapy is for control of menopausal symptoms, such as hot flashes. 2. Estrogen therapy remains the gold standard for relief of menopausal symptoms, and is a reasonable option for most postmenopausal women, with the exception of those with a history of breast cancer, CHD, a previous venous thromboembolic event or stroke, or those at high risk for these complications. Estrogen therapy should be used for shortest duration possible (eg, 6 months to 5 years).
Ultrasonography 1. Ultrasonography can determine whether a breast mass is a simple or complex cyst or a solid tumor. It is most useful in the following circumstances: a. In women under age 35. b. When a mass detected on screening mammography cannot be felt. c. When the mass is too small or deep for aspiration. 2. The risk of cancer is low if the lesion is a simple cyst on ultrasound. For women with palpable masses, ultrasonography in conjunction with mammography is recommended in women over age 35 and ultrasound alone in women under age 35.
Hysteroscopy may be necessary, and dilation and curettage is a last resort. Transfusion may be indicated in severe hemorrhage. 3. Iron should also be added as ferrous gluconate 325 mg tid. IV. Primary childbearing years – ages 16 to early 40s A. Contraceptive complications and pregnancy are the most common causes of abnormal bleeding in this age group. Anovulation accounts for 20% of cases. B. Adenomyosis, endometriosis, and fibroids increase in frequency as a woman ages, as do endometrial hyperplasia and endometrial polyps.
Gynecology and Obstetrics by Paul D. Chan, MD