Introduction Subfertility is a condition that affects approximately one in six couples. The cause may be related to a problem with the man, woman or both. In view of the intimate nature of the problem, subfertility is often associated with…
The Menstrual Cycle Overview of the cycle The endometrial cycle results from the growth and shedding of the uterine lining – the endometrium. This cycle, the average duration of which is 28 days, is controlled by the hormones from the…
Introduction Puberty should transform a girl into a fertile woman. Its social importance is so great that any deviation from normality may be the cause of considerable embarrassment and anxiety. This chapter describes normal puberty and outlines the management of…
Introduction In general, history and examination cannot be divided neatly into different specialties, and questions relating to obstetrics and gynaecology should form part of the assessment of any woman presenting to any specialty. There may be embarrassment and recrimination, for…
Introduction A thorough understanding of pelvic anatomy is essential for clinical practice. Not only does it facilitate an understanding of the process of labour, it also allows an appreciation of the mechanisms of sexual function and reproduction, and establishes a…
Editor's comment : This new chapter is included in recognition of the increasing power of informatics and data analysis that have become evident in the 21 st century. We are no longer constrained to examining tiny “slices of disease” or…
Funding sources This work was supported by the American Association under grant number 18POST33990293 (BAB) and the National Institutes of Health under grant numbers P01HL051971 (BAB, JPG), P20GM104357 (BAB, JPG), R01HL136684 (JPG), R01HL137791 (EMG), R01HL123527 (EMG), T32HL105324 (JPG), and U54GM115428…
Editors' comment: The short-term maternal and offspring effects of preeclampsia are presented in Chapter 2. This is a new chapter to the fifth edition of Chesley's Hypertensive Disorders in Pregnancy, focusing on long-term health. The topic of remote maternal health…
Editors’ comment: When Dr. Chesley published his original textbook in 1978, tests to predict preeclampsia had hardly been studied. Nevertheless, the concepts of prediction and prevention were never far from his mind. For example, his proposal to use urate clearance as…
Editors' comment: This is a new chapter in the fifth edition of Chesley's Hypertensive Disorders in Pregnancy . The present chapter includes a revision of the previous chapter named “Antihypertensive Treatment” of the fourth edition ( Chapter 19 ), by…