Hormonal Disorders in Gynecology

ISBN-13: 9783540103417 / Angielski / Miękka / 1980 / 116 str.

P. J. Keller; T. C. Telger

Opis

During the past 3 years, little has been added to our funda mental knowledge of hormonal disorders in gynecology. Diagnostically, however, there has been an almost com plete departure from traditional chemical methods in favor of radioimmunoassay techniques. As a result, diagnostic capabilities which previously were restricted to large cen ters have now been extended to the office and small clinic. Accordingly, the chapters dealing with these techniques have been revised and updated. There is also new material on advances in the hormonal treatment of endometriosis and hyperprolactinemic states. Finally, the bibliography has been extensively revised to include a number of recently published books and survey articles of general interest. Paul J. Keller v Preface to the First German Edition Menstrual disorders and sterility are among the most com mon complaints noted by both the specialist and general practitioner. For many patients they are far more distress ful than is generally assumed. Recent years have brought our knowledge. While this has led to great advances in major improvements in the results of treatment, it has made it difficult for the nonspecialist to keep abreast of developments in the field of gynecologic endocrinology."

Spis treści

A. Physiologic Principles.- I. Regulation of Female Sexual Function.- 1. Hypothalamus and Releasing Factors.- 2. Pituitary Gland and Pituitary Gonadotropins.- 3. Control Mechanisms.- II. The Menstrual Cycle.- 1. Ovary and Ovum.- 2. Female Sex Hormones.- a) Chemistry and Biosynthesis.- b) Biologic Effects.- 3. The Endometrial Cycle.- III. Conception and Pregnancy.- IV. Puberty, the Climacteric and the Postmenopause.- 1. Puberty.- 2. The Climacteric.- V. Importance of Endocrine Interactions.- B. Diagnosis of Hormonal Disorders.- I. Basic Principles.- II. Clinical Aspects.- 1. Anamnesis.- 2. Clinical Examination.- 3. Gynecologic Examination.- III. Special Investigations.- 1. Basal Body Temperature.- 2. Vaginal Cytology.- 3. Cervical Mucus.- 4. Endometrial Biopsy.- 5. Chromosomal Sex Determination.- 6. Laparoscopy.- 7. Cranial X-Ray.- 8. Further Investigations.- a) Semen Examination.- b) Postcoital Test (Sims-Huhner Test).- c) Tubal Insufflation.- d) Hysterosalpingography.- IV. Hormone Assays.- 1. Pituitary Gonadotropins.- 2. Prolactin.- 3. Estrogens.- 4. Progesterone and Pregnanediol.- 5. 17-Ketosteroids and Testosterone.- 6. 17-Hydroxycorticoids, Cortisol, Corticosterone.- 7. Thyroxin.- V. Function Tests.- 1. Gestagen Test.- 2. Estrogen Test.- 3. Gonadotropin Test.- 4. Clomiphene Test.- 5. Luteinizing Hormone Releasing Hormone Test.- 6. Adrenocorticotrophic Hormone Test.- 7. Dexamethasone Suppression Test.- 8. Metopirone Test.- 9. Dexamethasone-Human Chorionic Gonadotropin Test.- C. Important Hormonal Disorders in Gynecology.- I. Menstrual Disorders.- 1. Abnormalities of Rhythm.- a) Oligomenorrhea.- b) Polymenorrhea.- 2. Abnormalities of Type.- a) Hypermenorrhea.- b) Hypomenorrhea.- c) Menorrhagia.- 3. Acyclic Bleeding.- 4. Dysmenorrhea and Premenstrual Tension.- a) Dysmenorrhea.- b) Premenstrual Tension.- II. Amenorrhea.- 1. Primary Amenorrhea.- a) Hypothalamic-Pituitary Disorders.- b) Ovarian Hypoplasia.- c) Turner’s Syndrome (Gonadal Dysgenesis).- d) Testicular Feminization.- e) Mayer-Rokitansky-Kuster Syndrome.- 2. Secondary Amenorrhea.- a) Central Disturbances.- b) Amenorrhea-Galactorrhea Syndrome.- c) Sheehan’s Syndrome.- d) Premature Menopause.- e) Stein-Leventhal Syndrome.- f) Intrauterine Changes.- III. Sterility.- IV. The Peri- and Postmenopausal Period.- 1. Deficiency Symptoms.- 2. Bleeding.- a) Pre- and Perimenopausal Bleeding.- b) Postmenopausal Bleeding.- V. Hirsutism and Virilism.- 1. Hirsutism.- 2. Virilism.- VI. Diseases of the Mammary Glands.- 1. Mammary Hypoplasia.- 2. Mammary Hyperplasia.- 3. Cystic Disease of the Breast.- 4. Galactorrhea.- References.