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DC Dutta's Textbook of Gynecology, 6th The state-of-the art in Dutta's text lies in the presentation the pararectal fossa of either side DC. y Bedside Clinics & Viva-voce in Obstetrics and Gynecology . I do hope this comprehensive textbook of Dutta's Gynaecology will continue to be an essential. This edition of D C Dutta's Textbook of Gynaecology is a very comprehensive basic textbook in gynaecology for undergraduate students.

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Dutta Gynaecology Pdf

DC DUTTA's TEXTBOOK OF GYNECOLOGY including Contraception OTHER BOOKS BY THE SAME AUTHOR yy Textbook of Obstetrics yy A guide to Clinical . In this post, we have shared an overview and download link of DC Dutta's Textbook of Gynecology PDF 7th Edition. Read the overview below. Book 0 in the 7th Edition series in the Gynaecology genre. 7th Edition; DC Dutta's Textbook of Gynecology 7th Edition; Textbook of Biochemistry for Medical Students by i want mudalier and menon clinical obstretrics 12th edition book pdf.

They can reduce fibroid size and bleeding. They may be given as follows: IM or subcutaneously eg, leuprolide 3. They are most helpful when given preoperatively to reduce fibroid and uterine volume, making surgery technically more feasible and reducing blood loss during surgery. In general, these drugs should not be used in the long term because rebound growth to pretreatment size within 6 months is common and bone demineralization may occur. To prevent bone demineralization when these drugs are used long term, clinicians should give patients supplemental estrogen add-back therapy , such as a low-dose estrogen-progestin combination. Exogenous progestins can partially suppress estrogen stimulation of uterine fibroid growth. Progestins can decrease uterine bleeding but may not shrink fibroids as much as GnRH agonists. Medroxyprogesterone acetate 5 to 10 mg orally once a day or megestrol acetate 40 mg orally once a day taken for 10 to 14 days each menstrual cycle can limit heavy bleeding, beginning after 1 or 2 treatment cycles. Alternatively, these drugs may be taken every day of the month continuous therapy ; this therapy often reduces bleeding and provides contraception. Depot medroxyprogesterone acetate mg IM every 3 months has effects similar to those of continuous oral therapy. Before IM therapy, oral progestins should be tried to determine whether patients can tolerate the adverse effects eg, weight gain, depression, irregular bleeding. Progestin therapy causes fibroids to grow in some women. Alternatively, a levonorgestrel-releasing intrauterine device IUD may be used to reduce uterine bleeding.

DC Dutta's Textbook of Gynecology, 6th Edition.pdf

Progestin therapy causes fibroids to grow in some women. Alternatively, a levonorgestrel-releasing intrauterine device IUD may be used to reduce uterine bleeding. For antiprogestins eg, mifepristone , the dosage is 5 to 50 mg once a day for 3 to 6 months. This dose is lower than the mg dose used for termination of pregnancy; thus, this dose must be mixed specially by a pharmacist and may not always be available.

SERMS eg, raloxifene may help reduce fibroid growth, but whether they can relieve symptoms as well as other drugs is unclear. Danazol, an androgenic agonist, can suppress fibroid growth but has a high rate of adverse effects eg, weight gain, acne, hirsutism, edema, hair loss, deepening of the voice, flushing, sweating, vaginal dryness and is thus often less acceptable to patients. NSAIDs can be used to treat pain but probably do not decrease bleeding.

The dosage is mg every 8 hours for up to 5 days. Its role is evolving.

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Surgery for fibroids Surgery is usually reserved for women with any of the following: A rapidly enlarging pelvic mass Recurrent uterine bleeding refractory to drug therapy Severe or persistent pain or pressure eg, that requires opioids for control or that is intolerable to the patient A large uterus that has a mass effect in the abdomen, causing urinary or intestinal symptoms or compressing other organs and causing dysfunction eg, hydronephrosis, urinary frequency, dyspareunia Infertility if pregnancy is desired Recurrent spontaneous abortions if pregnancy is desired Other factors favoring surgery are completion of childbearing and the patient's desire for definitive treatment.

Myomectomy is usually done laparoscopically or hysteroscopically using an instrument with a wide-angle telescope and electrical wire loop for excision , with or without robotic techniques.

Hysterectomy can also be done laparoscopically, vaginally, or by laparotomy. Most indications for myomectomy and hysterectomy are similar.

DC Dutta's Textbook of Gynecology 7th Edition - MEDGAG

Premalignant lesions. Genital malignancy.

Urinary problems on gynecology. Genital fistulae. Genital tract injury. Radiotherapy, chemotherapy, immunotherapy, and Gene therapy in gynecology. Hormone in gynecology practice. Gynecological problems from birth to adolescence. Special topics.

Operative Gynecology. Endoscopic surgery in gynecology. Current topics in gynecology. Practical gynecology. We always try to provide you the best download experience by using Google Drive links and other fast alternatives.

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D C Dutta’s Textbook of Gynaecology and Textbook of Obstetrics

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