Pacific Gynecology

1 진찰의 원칙

1.1 부인과적 진찰 9
1. History 9
2. Physical examination 9

2 기본원칙

2.1 Anatomy and embryology 13
1. Pelvic structure 13
2. Pelvic viscera 22
3. Genital tract의 주위 기관 28
2.2 Reproductive physiology 31
1. Anatomy of neuroendocrinology 31
2. Reproductive hormones 33
2.3 Menstrual cycle physiology 38

3 피임 및 성기능 이상

3.1 Family planning 45
1. Overview 45
2. Nonhormonal methods 47
3. Hormonal contraception 52
4. Sterilization 57
5. Abortion 59
6. 중요 숙지 사항 60
3.2 Sexuality, sexual dysfunction, and sexual assault 62
1. Sexual response cycle 62
2. Sexual dysfunction 62
3. Sexual assault 63
3.3 Common psychiatric problems 65
1. The context of psychiatric conditions 65
2. Specific disorder 66

4 일반 부인과 질환

4.1 Benign diseases of the female reproductive tract 67
1. Prepubertal age group 68
2. Adolescent age group 72
3. Reproductive group 75
4. Postmenopausal group 81
4.2 Pelvic pain and dysmonorrhea 84
1. Definitions 84
2. Acute pain 84
3. Cyclic pain : primary and secondary dysmenorrhea 88
4. Chronic pelvic pain 90
4.3 Genitourinary infections and sexually transmitted diseases 94
1. Normal vaginal flora 94
2. Vaginal infections 95
3. Other major infections 102
4. Urinary tract infection 104
4.4 Intraepithelial disease of the cervix, vagina, and vulva 105
1. CIN(Cervical Intraepithelial Neoplasia) 105
2. VAIN(Vaginal Intraepithelial Neoplasia) 119
3. Vulvar intraepithelial disease 120
4.5 Early pregnancy loss and ectopic pregnancy 121
1. Abnormal intrauterine pregnancy 121
2. Ectopic gestation 122
4.6 Benign breast disease 131
1. Detection 131
2. Breast tissue evaluation : history and cytology 134
3. Benign breast conditions 136
4. Breast conditions requiring evaluation 139

5 부인과 수술

5.1 Gynecologic endoscopy 141
1. Laparoscopy 141
2. Hysteroscopy 150
5.2 Hysterectomy 153
1. Indications 153
2. Vaginal versus abdominal hysterectomy 154
3. Technique 155

6 비뇨부인과학 및 골반 재건 수술

6.1 Lower urinary tract disorders 157
1. Physiology of micturition 157
2. Urinary incontinence 159
3. Voiding dysfunction and bladder pain syndromes 166
6.2 Pelvic organ prolapse 167
1. Pathophysiology 167
2. Evaluation 168
3. Treatment 169

7 생식 내분비학

7.1 Puberty 173
1. Normal pubertal development 173
2. Aberrations of pubertal development 176
3. Genital ambiguity at birth 185
7.2 Amenorrhea 186
1. 무월경의 정의 186
2. Amenorrhea without secondary sexual characterisitics 186
3. Amenorrhea with secondary sexual characterisitics and anatomic abnormailities 191
4. Amenorrhea with secondary sexual characteristics and nonanatomic causes 195
7.3 Endocrine disorders 205
1. Hyperandrogenism 205
2. Prolactin disorders 218
7.4 Endometriosis 221
1. 개요 221
2. Etiology 221
3. Prevalence 223
4. Diagnosis 223
5. Treatment 228
7.5 Infertility 232
1. Definition 232
2. Epidemiology 232
3. Initial assessment 232
4. Causes of infertility 233
5. Treatment options 253
7.6 Recurrent pregnancy loss 270
1. 개요 270
2. Etiology 270
3. Preconception evaluation 278
4. Postconception evaluation 280
5. Therapy 280
6. Prognosis 284
7.7 Menopause 285
1. 개요 285
2. 폐경기 질환 285
3. Risks of hormone therapy 291
4. Sexual dysfunction 294

8 부인 종양학

8.1 Uterine cancer 295
1. Epidemiology and risk factors 295
2. Endometrial hyperplasia 297
3. Endometrial cancer screening 300
4. Endometrial cancer 301
5. Uterine sarcoma 324
8.2 Cervical and vaginal cancer 331
1. Cervical cancer 331
2. Vaginal carcinoma 357
8.3 Ovarian and fallopian cancer 362
1. Epithlial ovarian cancer 362
2. Nonepithelial ovarian cancers 387
3. Fallopian tube cancer 402
8.4 Vulvar cancer 405
1. Overview 405
2. Squamous cell carcinoma 407
3. Melanoma 418
4. Bartholin gland carcinoma 420
5. Basal cell carcinoma 421
6. Verrucous carcinoma 422
7. Vulvar sarcoma 422
8. Metastatic tumors of the vulva 422
8.5 Gestational trophoblastic disease 423
1. Hydatidiform mole 423
2. Persistent gestational trophoblastic tumor(GTT) 429
3. Chemotherapy 437
4. Subsequent pregnancies 438
8.6 Breast cancer 438
1. Epidemiology 438
2. Predisposing factors 438
3. Diagnosis 440
4. Pathology and natural history 441
5. Treatment 446
6. Special breast cancers 449
7. Breast cancer in pregnancy 450