DC Dutta's Textbook of Gynecology, 6th aracer.mobi 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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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.
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.
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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