Williams Gynecology PDF
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Williams GYNECOLOGY NOTICE Medicine is an ever-changing science. As new research and clinical experience broaden our knowl edge, changes in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources bdieved to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation or publication of this work wartants that the information contained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work. Readers are encouraged to confirm the information contained herein with other sources. For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this work is accurate and that changes have not been made in the recom mended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs. Williams GYNECOLOGY FOURTH EDITION Barbara L. Hoffman, MD John 0. Schorge, MD Lisa M. Halvorson, MD Cherine A. Hamid, MD Marlene M. Corton, MD Joseph I. Schaffer, MD New York Chicago San Francisco Lisbon London Madrid Mexico City Milan New Delhi San Juan Seoul Singapore Sydney Toronto Copyright© 2020,2016, 2012,2008 by McGraw-Hill Education. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part oft his publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written pennission of the publisher. ISBN: 978-1-26-045687-5 MHID: 1-26-045687-0 The material in this eBook also appears in the print version of this title: ISBN: 978-1-26-045686-8, MHID: 1-26-045686-2. eBook conversion by codeMantra Version 1.0 All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occur renee of a trademarked name, we use names in an editorial fashion only, and to the benefit oft he trademark owner, with no intention of infringement of the trademark. Where such designations appear in this book, they have been printed with initial caps. McGraw-Hill Education eBooks are available at special quantity discounts to use as premiums and sales promo tions or for use in corporate training programs. 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Under no circumstances shall McGraw-Hill Education and/or its licen sors be liable for any indirect, incidental, special, punitive, consequential or similar damages that result from the use of or inability to use the work, even if any of them has been advised of the possibility of such damages. This limitation ofliability shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort or otherwise. IN MEMORIAM Kristin Paulson Landon Early in production of this edition, our Williams family lost a dedicated member of the team in Ms. Kristin Landon. We knew her as our valued copyeditor for many editions of both William Obsmrics and Wtlliams Gyn«ology. However, Kristin's life was multifaceted, with talents that included analytic chemist, musician, cooking enthusiast, and writer. Indeed, her published science fiction novels include the Hidden Worlds trilogy and Windhome. We knew Kristin as an integral member of our textbook team. Her precision added clarity to our efforts and made our textbooks better. This page intentionally left blank DEDICATION This edition ofWilliams Gynecology is dedicated to Dr. Karen Bradshaw, who has served as an Editor ofWilliams Gynecology since its inaugural edition. We are especially grateful for her tenacity during the formative years of our project and her academic suppon to bring our first edition to print. Our text's content has benefited greatly from her clinical acumen coupled with a mastery of the evidence-based literature. Her clear, concise chapters distilled challenging reproductive endocrinology tenets into easily understood concepts that translate to the bedside. Indeed, her many teaching awards throughout her career attest to this gift. Dr. Bradshaw's roots at the University ofTexas Southwestern run deep and include her medical school years, residency training, and fellowship study in Reproductive Endocrinology and Infertility. Early in her career as a faculty member at UTSW, she became Director of the Assisted Reproductive Technologies Program. Subsequently, she helped develop the Pediatric Gynecology Service at ChUdren's Hospital, which was a first for Dallas and continues to this day. This was the first of many collaborative and multidisciplinary projects that typify her career. As another example, she was instrumental in expanding the field of minimally invasive surgery (MIS) at our institution and initiated the Laparoscopy Teaching Service. She pannered with the Depanment of Surgery and was provided a joint appointment to foster MIS development. She served on the Southwestern Minimally Invasive Surgery Executive Committee from its inception in 1997 until her retirement in 2019. In addition to academia, Dr. Bradshaw was clinically and administratively active in our expanding private practice on campus. As an advocate of health for women as they entered and advanced through menopause, she was the first holder of the Helen J. and Roben S. Strauss and Diana L. and Richard C. Strauss Distinguished Professorship in Women's Health. Her vision led to development of a single, multidisciplinary site to care for the various health aspects of mature women. This was subsequently endowed and became the Lowe Foundation Center for Women's Preventative Health Care. During her academic career, Dr. Bradshaw promoted academic excellence at UTSW. She served administratively on numerous academic committees involved with medical school, residency, and specialty training. Moreover, Karen was a passionate advocate for the advancement ofw omen in academia at our institution. She was also a voice on the national academic stage. Karen served on the Board of the American Society of Reproductive Endocrinology and Infenility and extensively participated in their postgraduate training efforts. She filled prominent leadership roles in the Society for Reproductive Endocrinology and Infenility, including president. In both organizations, she actively advanced both residency and fellowship training in the specialty. For us in the Department ofObstetria and Gynecology, Dr. Bradshaw has played an imponant role as mentor and colleague. Her experience and clinical expenise have been invaluable, and she has provided guidance for challenging gynecology cases. On so many levels, we have benefitted greatly from her academic and clinical contributions. This page intentionally left blank CONTENTS Editors .......................................................................................... xv Contributors..................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xvii Artists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxi Preface ........................................................................................ xxiii Acknowledgments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxv GENERAL GYNECOLOGY 1. Well Woman Care ......................... 2 8. Abnormal Uterine Bleeding ............. 179 2. Techniques Used for Imaging 9. Benign Uterine Pathology ...............2 04 in Gynecology ........................... 29 10. Benign Adnexal Mass ...................2 19 3. Gynecologic Infection .................... 56 11. Endometriosis ..........................2 33 4. Benign Disorders of the 12. Pelvic Pain ..............................2 53 Lower Reproductive Tract ................ 92 13. Breast Disease ..........................2 79 5. Contraception and Sterilization ......... 111 14. Psychosocial Issues and 6. First-Trimester Abortion ................. 137 Female Sexuality. .......................3 02 7. Ectopic Pregnancy ......................1 61 15. Pediatric and Adolescent Gynecology ...3 20 ix
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