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Recent advances in imaging have renewed interest in uterine adenomyosis. The disease can now be diagnosed before hysterectomy which has advanced our understanding of its clinical impact, such as its effect on fertility. This book will provide an in-depth reference to recent scientific advances in the pathophysiology of uterine adenomyosis. It will represent some of the most up-to date and authoritative work in the field. This book is aimed at specialist clinicians and postgraduates wishing to acquire in-depth understanding of adenomyosis, and will be an essential reading for research scientists who will find a distillation of an up-to-date critical reading of literature.
The early history of endometriosis is interwoven with the history of adenomyosis, since it was not until the mid nineteen-twenties that the two conditions were finally separated. A History of Endometriosis provides a detailed reconstruction of the progress made in identifying, describing and treating the condition we call today endometriosis.
Comprised of clinical cases presenting diverse clinical scenarios of uterine fibroids, this concise, practical casebook will provide clinicians in reproductive medicine and obstetrics/gynecology with the best real-world strategies to properly diagnose and treat the various presentations of fibroids they may encounter in daily clinical practice. Opening with chapters discussing classification and pathogenesis, effects on fertility and treatment modalities for these common tumors, each subsequent chapter is a case that provides a unique clinical presentation of a patient’s symptoms and clinical findings, diagnostic work-up and the thought process involved in navigating the treatment options as well as the supporting evidence. Cases included illustrate different types and locations of fibroids in addition to various management strategies, complications and outcomes, and selected chapters also include video clips. Pragmatic and reader-friendly, Uterine Fibroids: A Clinical Casebook is written by experts in the field and is designed to facilitate and guide reproductive medicine specialists and gynecologists in the sometimes challenging decision-making process by presenting real case scenarios that span the spectrum of fibroid presentations and treatment options.
Although endometriosis and adenomyosis are often assessed under the same umbrella, the epidemiology, clinical manifestations and management strategies of endometriosis and adenomyosis occur differently during the life cycle of a woman. Endometriosis can be diagnosed at many points across the lifespan, including adolescence and the climacterium, as well as pregnancy. Being associated with potential adverse health effects, different clinical presentations requiring different therapeutic approaches render it imperative to tailor management strategies for each period of the lifespan: in utero and early life, puberty and adolescence, reproductive years, pregnancy, late reproductive age, and the menopause. This book provides comprehensive insight into the general aspects, diagnosis and treatment modalities of endometriosis and adenomyosis in all stages of a woman’s life - a unique element of its approach. Thematic sections discuss the basics of diagnosis and management of both endometriosis and adenomyosis from birth through menopause, including aspects of fertility preservation, sexual dysfunction, psychological considerations and prevention. The current pharmaceutical approaches and efficacy are presented, including progestins, oral contraceptives, aromatase inhibitors and GnRH agonists and antagonists. The final section provides current practice guidelines for the management of both conditions as well as an investigation into future research and clinical strategies. Taking a truly global perspective, Endometriosis and Adenomyosis will be a valuable resource for reproductive endocrinologists, infertility specialists and obstetricians and gynecologists worldwide.