Download Pediatric and adolescent gynecology by Sue Ellen Koehler Carpenter MD; John A. Rock Jr. MD PDF

By Sue Ellen Koehler Carpenter MD; John A. Rock Jr. MD

Now in its completely revised, up-to-date moment version, this quantity deals complete suggestions for gynecologists comparing and handling difficulties in babies, prepubertal childrens, and teens. This variation positive aspects greater than a hundred new illustrations, extended assurance of sexually transmitted illnesses, and an updated bankruptcy on contraception for adolescents.Coverage contains specific directions for interpreting pediatric sufferers and useful recommendation on prognosis and therapy of scientific difficulties, together with endocrine problems, menstrual abnormalities, and infectious illnesses. shut recognition is given to psychosexual concerns similar to adolescent sexuality, sexual abuse, and gynecological take care of the mentally handicapped.

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Fusion of the Labia Minora Fusion of the labia minora is often the sequela of infection or sexual abuse. However, congenital fusion apparently unassociated with these factors has been observed in siblings (220) and in more than one generation (221,222). Imperforate Hymen Ordinarily the central portion of the hymen is patent (perforate), thereby allowing outflow of mucus and blood. If the hymen is imperforate, mucus and blood accumulate in the vagina or uterus (hydrocolpos or hydrometrocolpos). An imperforate hymen is easily corrected by surgical incisions, preferably cruciform.

Genetics of oocyte depletion. In: Lobo RA, ed. Perimenopause. Serono symposia USA Norwell, Massachusetts. New York: Springer, 1998:36. 49. Simpson JL. Gonadal dysgenesis and abnormalities of the human sex 32. Ferguson-Smith MA, Sanoudou D, Lee C. Microdeletion of DMT1 at chromosomes: current status of the phenotypic-karyotypic correlations. 3 is the commonest cause of 46,XY females. Am J Hum Genet Birth Defects 1975;11:(4)23. 1998;63:A162. 33. McDonald MT, Flejter W, Sheldon S, et al. XY sex reversal and gonadal dysgenesis due to 9p24 monosomy.

A gene mapping to the sex- 14. Simpson JL, Christakos AC, Horwith M, et al. Gonadal dysgenesis determining region of the mouse Y chromosome is a member of a novel associated with apparently chromosomal complements. Birth Defects family of embryonically expressed genes. Nature 1991;346:245. 1971;7(6):215. 35 15. German J, Simpson JL, Chaganti RSK, et al. Genetically determined sex- 34. de Grouchy J, Gompel A, Salmon-Bernard Y. Embryonic testicular reversal in 46,XY humans. Science 1978;205:53. regression syndrome and severe mental retardation in sibs.

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