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This book focuses on menstrual cycle bleeding and pain disorders from menarche to menopause. Hormonal and tissue basis of menstrual cycle are described as well as the role of ultrasound in the evaluation of normal and abnormal endometrium and sex steroid hormones used in the treatment of such disorders. How to identify patients with coagulation disorders, the correlation of AUB in early menarche and PCOS later in adolescence and adolescent menorrhagia are extensively analysed for their clinical and therapeutic implication.
Anovulatory syndromes and luteal phase defects are explained for their pathogenesis and role in women health. Dysmenorrhea and other pain syndromes as well PMS and PMDD are analysed for their diagnosis and management and the impact of endometriosis, adenomyosis and uterine myoma for the linkage of these organic diseases, inflammation and bleeding and pain disorders related to menstrual cyclicity. Endometrial hyperplasia and malignancy are also extensively examined for their pathogenesis, symptoms and role in uterine bleeding and pelvic pain as well as how to face oncological therapies induced amenorrhea.
The last part of the book analyses and discuss the causes of menorrhagia in menopausal transition and the management of bleeding disorders under menopause hormone therapy.
Written by experts in the field, this book will be of benefits to residents, general practitioners and specialists, gynaecologists, endocrinologists, paediatricians and GPs who deal with women s health care.