Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Serous adenocarcinoma of the fallopian tube, associated with verrocous carcinoma of the uterine cervix: a case report of synchronic rare gynecological tumors
Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : Human fallopian tube: a new source of multipotent adult mesenchymal stem cells discarded in surgical procedures
For the Seventh Edition of this text, the title has been changed to Kistner's Gynecology
and Women's Health (from Kistner's Gynecology) to recognize the broad scope and
expanded interest in the field of women's health care. Although over the past 35 years,
previous editions of Kistner have appealed largely to students, trainees, and
practitioners in gynecology, this new edition should be useful not only for gynecologists
but for internists, family practitioners, and women's health specialists who are devoting
more of their time and effort to women's medical issues.
Retrograde Menstruation Theory (promoted by Dr. John Sampson in the 1920's). He surmised that menstrual tissue flows backwards through the fallopian tubes and deposits on the pelvic organs where it seeds and grows.
Leiomyomas are discrete, rounded, firm, white to pale pink, benign myometrial tumors composed mostly of smooth muscle with varying amounts of fibrous connective tissue. Approximately 95% arise from the uterine corpus and 5% from the cervix. Only occasionally do they arise from a fallopian tube or round ligament. Leiomyomas are the most frequent pelvic tumors, occurring in 25% of white and 50% of black women by age 50 years. Leiomyomas account for 10% of gynecologic problems and have their peak incidence in the fifth decade.
AI refers to several different procedures, all of which involve inserting sperm into a woman’s
body, the differences referring to whether the sperm is placed in her vagina, uterus, cervix or
fallopian tubes. AI can also be combined with hormonal drugs to stimulate production of
multiple eggs to increase likelihood that one of them will be fertilized. AI can be done at home
with a syringe or in a medical setting.
Fifteen per cent of couples who want a baby experience an unwanted delay in conception. Although there has been no change in the prevalence of fertility problems, more cojples seek help than did previously. The causes of fertility problems include disorders oi ovjlation. sperm and the Fallopian tube, although no identifiable cause is found in a third of couples trying for a baby.
Female infertility is most often caused by problems with ovulation (40%) or fallopian tubes
(40%). Other possible causes include endometriosis, in which the uterine lining grows outside
the uterus, premature ovarian failure, in which a woman’s ovaries stop functioning before she
reaches the age of forty, and uterine fibroids. Women who were exposed in the womb to
diethylstilbestrol (DES), a synthetic estrogen prescribed to women from 1938-1971, have had an
increased risk of infertility.
Sexually transmitted infections (STIs) also play a major role in infertility.
This development of egg cells occurs within the ovary once a month.
One mature egg cell is released from one of the ovaries. The ovaries con-
tain follicles. A follicle is a hollow bundle of cells with an egg inside. The
follicle helps the egg mature. As the egg matures, the follicle enlarges and
ﬁlls with ﬂuid. The greatly enlarged follicle moves to the edge of the ovary
and bursts, releasing the egg and the ﬂuid. This event is ovulation, the
release of an egg from the ovary. (See Figure 17-4.
Do you experience pain or cramps between periods? If you do, you may be experiencing Mittelschmerz.
Mittelschmerz is pelvic pain and cramps that occur during ovulation in some women. The word Mittelschmerz originates from Germany and translated means "middle pain." You may hear Mittelschmerz called various terms including painful ovulation, mid-cycle pain, and middle cramps or pain.
Ovulation normally occurs about two weeks after the first day of menstruation. During ovulation, one of the ovaries releases an ovum, or egg, into the corresponding fallopian tube.
The female reproductive system is composed of the external and internal genitalia. The external genitalia (Fig. 2-1) are collectively termed the pudendum or vulva and are directly visible. The internal genitalia include the vagina, cervix, uterus, uterine (fallopian) tubes, and ovaries (Figs. 2-2 and 2-3). Special instruments are required for inspection of the internal genitalia.
The pelvic adnexae include the ovaries and fallopian tubes. In general,
ovaries increase in size throughout childhood, plateau in adulthood, then de-
crease in size in the postmenopausal period (5). Postmenopausal ovary size is
affected by the number of years since menopause and the quantity of prior
pregnancies (6); however, ovaries should not be palpable in a woman who is
two or more years beyond menopause, and such a finding should prompt fur-
ther evaluation with transvaginal ultrasound.
Specific Infections Caused by S. Pneumoniae S. pneumoniae causes infections of the middle ear, sinuses, trachea, bronchi, and lungs (Table 128-2) by direct spread from the nasopharyngeal site of colonization. Infections of the central nervous system (CNS), heart valves, bones, joints, and peritoneal cavity usually arise by hematogenous spread. Peritoneal infection may also result from ascent via the fallopian tubes. The CNS may also be infected by drainage from nasopharyngeal lymphatics or veins or by contiguous spread of organisms (e.g., through a tear in the dura).
The extruded ovum is directed into a uterine tube by its fimbriae and the peritoneal fluid currents. Normally, a few hours after insemination, spermatozoa will have passed through the cervix and uterus into the fallopian tubes. Capacitation of the sperm (preparation for fertilization) occurs between its passage into the cervix and its reaching the midportion to outer portion of the tube. Fertilization occurs when a spermatozoon penetrates the ovum, usually in the outer portion of the fallopian tube. It is unusual for fertilization to occur more than 24 h after ovulation.
Ectopic pregnancy is defined as a pregnancy in which the implantation of the embryo occurs out- side the uterine cavity, most frequently in one of the two fallopian tubes or, more rarely, in the abdo-minal cavity or the cervix .
If you have early Stage I ovarian cancer, the extent
of surgery may depend on whether you want to get
pregnant and have children. Some women with very
early ovarian cancer may decide with their doctor to
have only one ovary, one fallopian tube, and the
You may be uncomfortable for the first few days
after surgery. Medicine can help control your pain.
Before surgery, you should discuss the plan for pain
relief with your doctor or nurse. After surgery, your
doctor can adjust the plan if you need more pain relief.