SECTION 1: Overview of Women’s Health
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The Woman’s Health Examination
I. Medical History
II. Physical Examination
III. Diagnosis and Management Plan
IV. Interpersonal and Communication Skills -
The Obstetrician/Gynecologist’s Role in Screening and Preventive Care
I. Primary Prevention
II. Secondary Prevention -
Ethics in Obstetrics and Gynecology
I. Ethical Framework(s)
II. Ethical Foundations
III. Ethical Considerations in Obstetrics and Gynecology
IV. Guidelines for Ethical Decision Making -
Embryology and Anatomy
I. Embryology
II. Anatomy
III. Development Anomalies -
Reproductive Physiology
I. Endocrine Regulation of Female Reproduction
II. Ovarian Structure and Function
III. Menstrual Cycle Regulation
IV. Uterine Changes Throughout Menstrual Cycle
V. Endocrine Effects on Other Reproductive Tissues
SECTION 2: Obstetrics
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Endocrinology of Pregnancy
I. Fetal–Maternal–Placental Unit
II. Pregnancy Hormones
III. Maternal Metabolism
IV. Parturition (Childbirth) -
Maternal–Fetal Physiology
I. Maternal Physiology
II. Fetus and Placenta
III. Immunology of Pregnancy -
Preconception and Antepartum Care
I. Preconception Counseling
II. Antepartum Care -
Prenatal Diagnosis, Genetic Disorder Assessment, and Teratology
I. Prenatal Diagnosis
II. Genetic Disorder Assessment
III. Chromosomal Aneuploidy Screening
IV. Screening Based on Ethnicity or Family History
V. Diagnostic Testing for Aneuploidy
VI. Chromosomal Disorders
VII. Teratology -
Normal Labor and Delivery
I. Maternal Changes Prior to Labor
II. Evaluation for Labor
III. Stages of Labor
IV. Cardinal Movements of Labor
V. Normal Labor and Delivery
VI. Labor Induction
VII. Cesarean Delivery
VIII. Vaginal Birth After Cesarean Delivery -
Intrapartum Fetal Surveillance
I. Pathophysiology
II. Intrapartum Fetal Heart Rate Monitoring
III. Ancillary Tests
IV. Management of Nonreassuring Fetal Heart Rate Pattern
V. Meconium -
Immediate Care of Newborn
I. Initial Care of Well Newborn
II. Transitional Care of Newborn
III. Initial Care of the Newborn
IV. Newborn Screening -
Abnormal Labor and Malpresentation
I. Definitions
II. Labor Dystocia: Assessing 3 Ps
III. Diagnosis and Management of Labor Dystocia
IV. First-Stage Labor Disorders
V. Second-Stage Labor Disorders
VI. Operative Vaginal Deliveries
VII. Breech Presentation -
Postpartum Care/Complications
I. Physiology of Puerperium
II. Management of Immediate Postpartum Period
III. Postpartum Hemorrhage (PPH) -
Ectopic Pregnancy
I. Epidemiology/Morbidity and Mortality
II. Etiology
III. Clinical Presentation
IV. Differential Diagnosis
V. Management -
Common Medical and Surgical Problems in Pregnancy
I. Anemia in Pregnancy
II. Diabetes Mellitus
III. Thyroid Disease
IV. Urinary Tract Disorders
V. Cardiac Disease
VI. Asthma
VII. Surgical Conditions in Pregnancy
VIII. Trauma in Pregnancy -
Infectious Diseases in Pregnancy
I. Group B Streptococcus (GBS)
II. Herpes Simplex Virus (HSV)
III. Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS)
IV. Syphilis
V. Neisseria gonorrhoeae
VI. Chlamydia trachomatis
VII. Cytomegalovirus (CMV)
VIII. Hepatitis A Virus (HAV)
IX. Hepatitis B Virus (HBV)
X. Hepatitis C Virus (HCV)
XI. Parvovirus B-19
XII. Varicella
XIII. Toxoplasma gondii
XIV. Human Papillomavirus (HPV)
XV. Rubella -
Hypertension in Pregnancy
I. Classification
II. Preeclampsia Pathophysiology
III. Evaluation
IV. Management -
Multifetal Gestation
I. Types of Twins
II. Rates
III. Risks
IV. Diagnosis and Management -
Fetal Growth Abnormalities: Fetal Growth Restriction and Macrosomia
I. Fetal Growth Restriction
II. Macrosomia -
Isoimmunization
I. Natural History
II. Effects of Antibody Development on Fetus and Newborn
III. Significance of Paternal Antigen Status (When Mother is Rh – )
IV. Diagnosis
V. Assessment of Abnormal Antibody Screen
VI. Management
VII. Prevention
VIII. Management of Isoimmunization to Other RBC Antigens -
Preterm Labor
I. Background
II. Causes and Risk Factors
III. Evaluation
IV. Management
V. Prevention -
Third-Trimester Bleeding
I. Evaluation of Third-Trimester Bleeding
II. Placenta Previa
III. Placental Abruption
IV. Vasa Previa
V. Uterine Rupture -
Premature Rupture of Membranes
I. Background
II. Etiology
III. Diagnosis
IV. Evaluation and Management -
Postterm Pregnancy and Intrauterine Fetal Demise
I. Postterm Pregnancy
II. Intrauterine Fetal Demise -
Obstetric Procedures
I. Informed Consent
II. Ultrasound
III. Chorionic Villus Sampling
IV. Amniocentesis
V. Spontaneous Vaginal Delivery (SVD)
VI. Vaginal Birth After Cesarean Delivery (VBAC)
VII. Operative Vaginal Delivery
VIII. Breech Vaginal Delivery
IX. Cesarean Delivery
X. Tubal Ligation
XI. Cervical Cerclage
XII. External Cephalic Version
XIII. Surgical Management of Postpartum Hemorrhage (PPH)
SECTION 3: Gynecology
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Contraception
I. General
II. Combination Hormonal Contraceptives
III. Progestin-only Contraceptives
IV. Intrauterine Devices (IUDs)
V. Barrier Contraceptives
VI. Natural Family Planning
VII. Emergency Contraception
VIII. Ineffective Methods -
Sterilization
I. General
II. Male Sterilization: Vasectomy
III. Female Sterilization
IV. Counseling for Sterilization -
Reproductive Tract Congenital Anomalies
I. Embryology
II. Epidemiology
III. Clinical Manifestations
IV. Diagnostic Evaluation
V. Treatment
VI. Müllerian Anomaly Classification
VII. Congenital Anomalies of Vulva and Vagina
VIII. Congenital Anomalies of Hymen
IX. Congenital Anomalies of Upper Vagina
X. Congenital Anomalies of Lower Vagina
XI. Congenital Anomalies of Ovaries and Fallopian Tubes -
Reproductive Tract Benign Conditions
I. Vulva
II. Vagina
III. Cervix
IV. Uterus
V. Fallopian Tubes and Ovaries -
Vulvovaginitis and Sexually Transmitted Diseases
I. Vulvovaginal Ecosystem
II. Vulvovaginitis
III. Bacterial Vaginosis
IV. Vulvovaginal Candidiasis
V. Trichomonas Vulvovaginitis
VI. Atrophic Vaginitis
VII. Desquamative Inflammatory Vaginitis
VIII. Sexually Transmitted Diseases -
Pelvic Support Defects, Urinary Incontinence, and Urinary Tract Infection
I. Pelvic Support Defects
II. Urinary Incontinence
III. Urinary Tract Infections -
Endometriosis
I. Definition
II. Incidence
III. Risk Factors
IV. Theories of Pathogenesis
V. Presentation
VI. Diagnosis
VII. Treatment -
Dysmenorrhea and Chronic Pelvic Pain
I. Dysmenorrhea
II. Chronic Pelvic Pain -
Breast Disorders
I. Anatomy
II. Evaluation of Breast Signs and Symptoms
III. Benign Breast Disease
IV. Breast Cancer
V. Breast Cancer in Pregnancy
VI. Screening Guidelines -
Gynecologic Procedures
I. Genital Tract Biopsy
II. Colposcopy
III. Cervical Cone Biopsy (Conization)
IV. Hysteroscopy
V. Cryotherapy
VI. Laser
VII. Pregnancy Termination
VIII. Endometrial Ablation
IX. Hysterectomy
X. Preoperative Evaluation
XI. Postoperative Evaluation
XII. Imaging Studies -
Sexual Function and Dysfunction
I. Sexual Problems
II. Normal Sexual Response
III. Physiology of Female Sexual Response
IV. Definitions of Sexual Dysfunction
V. Factors That Affect Sexual Function
VI. Screening for Sexual Dysfunction
VII. Factors to Consider When Establishing Diagnosis
VIII. Treatment -
Sexual Assault and Domestic Violence
I. Sexual Assault
II. Child Sexual Assault (CSA)
III. Domestic Violence
SECTION 4: Reproductive Endocrinology and Infertility
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Puberty
I. Puberty
II. Neuroendocrine
III. Somatic Changes
IV. Precocious Puberty
V. Delayed Puberty/Primary Amenorrhea -
Amenorrhea and Abnormal Uterine Bleeding
I. Overview of the Menstrual Cycle
II. Primary Amenorrhea
III. Secondary Amenorrhea
IV. Abnormal Uterine Bleeding (AUB) -
Hirsutism and Virilization
I. Hyperandrogenism
II. Normal Androgen Metabolism
III. Hyperandrogenic Disorders
IV. Ovarian Neoplasms
V. Adrenal Disorders
VI. Idiopathic Hirsutism (Constitutional or Familial Hirsutism)
VII. Iatrogenic Hirsutism
VIII. Other Hirsutism Issues to Consider -
Menopause
I. Definitions
II. Hormone Changes
III. Causes of Premature Menopause
IV. Symptoms
V. Disease Risk
VI. Hormone Therapy -
Infertility
I. Definition
II. Etiology
III. Evaluation
IV. Unexplained Infertility
V. Treatment -
Premenstrual Syndrome and Premenstrual Dysphoric Disorder
I. Definition
II. Incidence
III. Symptoms
IV. Etiology
V. Diagnosis
VI. Treatment
SECTION 5: Gynecologic Oncology
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Cell Biology and Principles of Cancer Therapy
I. Cell Cycle
II. Chemotherapy
III. Radiation
IV. Novel Agents -
Gestational Trophoblastic Neoplasia
I. Introduction
II. Epidemiology
III. Hydatidiform Mole
IV. Malignant Gestational Trophoblastic Neoplasia -
Benign Vulvar Disease
I. Lichen Simplex Chronicus
II. Lichen Sclerosus
III. Lichen Planus
IV. Psoriasis
V. Vestibulitis
VI. Squamous Cell Hyperplasia
VII. Vulvar Neoplasia
VIII. Vaginal Neoplasia -
Cervical Dysplasia and Carcinoma
I. Anatomy
II. Epidemiology
III. Cervical Cytology
IV. Abnormal Cytology Management
V. Cervical Cancer Staging
VI. Cervical Cancer Treatment
VII. Prevention -
Cancer of the Uterine Corpus
I. Epidemiology
II. Pathogenesis
III. Clinical Presentation
IV. Diagnosis
V. Treatment -
Ovarian and Adnexal Disease
I. Anatomy
II. Age Considerations in Physical Exam
III. Functional Ovarian Cysts
IV. Benign Ovarian Neoplasms
V. Malignant Ovarian Neoplasms
VI. Surgical Management of Ovarian (and Fallopian Tube) Cancers
VII. Fallopian Tube Cancer
VIII. Primary Peritoneal Carcinoma
Index