USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)
CHRONIC PID Chronic bilateral lower abdominal-pelvic pain is present, varying from minimal to severe. Other ...
PRIMARY DYSMENORRHEA A 15-year-old girl comes to the outpatient office complaining of severe menstrual-period pa ...
NOTE Secondary dysmenorrhea refers to painful menstruation in the presence of pelvic pathology. It is more ...
The effect of the prostaglandins on the gastrointestinal smooth muscle also can account for nausea, vomiting, and dia ...
GYN TRIAD Endometriosis Management. Suppression of prostaglandins is the objective of treatment, with NSAIDs (e.g., pro ...
SECONDARY DYSMENORRHEA ENDOMETRIOSIS A 34-year-old woman complains of painful periods, painful sex, painful bowel ...
Pelvic-abdominal pain is not necessarily related to the extent of disease. Painful intercourse (dyspareunia) is ...
The best inhibition of the hypothalamic–pituitary–ovarian axis is achieved by GnRH analogs. GnRH stimulate ...
Endometriosis is not a malignant condition, but is associated with higher risk of ovarian carcinoma; mechanism ...
ADENOMYOSIS Refer to Chapter 4, Disorders of the Cervix and Uterus. ...
ECTOPIC PREGNANCY Refer to Obstetrics, Chapter 2, Failed Pregnancy. ...
FERTILITY CONTROL ...
LEARNING OBJECTIVES List the advantages and disadvantages of different forms of contraception including barrier ...
FERTILITY CONTROL Figure II-9-1 Contraception ...
BARRIER-SPERMICIDAL METHODS A 16-year-old adolescent comes to the family planning clinic requesting contraception. S ...
disrupts cell membranes (and thus may cause side effect of genital membrane irritation); can take the ...
STEROID CONTRACEPTION A 44-year-old woman, gravida 4 para 4, presents with questions about oral steroid con ...
Progestin-mediated metabolic effects include mood changes and depression from decreased serotonin levels, androgeni ...
COMBINATION MODALITIES Combination OCPs contain both an estrogen and a progestin. They are administered most ...
NOTE Of all the steroid contraceptives, combination OCPs are the only one to have regular, predictable menses. Whe ...
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