Cover -- Title -- Copyright -- Contents -- Contributors -- Preface -- Acknowledgments -- Share Advanced Health Assessment of Women, Clinical Skills and Procedures: Third Edition -- Unit I: Female Reproduction -- Chapter 1: Anatomy and Physiology of Female Reproduction -- I. Female reproduction explained -- II. Ovaries -- III. Fallopian tubes -- IV. The uterus -- V. Vagina -- VI. Pelvic support -- VII. Uterine ligaments -- VIII. Associated pelvic organs -- Bibliography -- Chapter 2: The Reproductive Cycle -- I. Reproductive cycle -- II. Hormonal influences explained -- III. Ovarian cycle -- IV. The endometrial cycle -- V. Hormonal regulation and feedback mechanisms -- Unit II: Health Assessment -- Chapter 3: The Health History -- I. Definition of sexual health -- II. Elements of a comprehensive, developmentally relevant sexual health assessment -- III. Advanced health history techniques -- IV. Special approaches to sexual health history -- V. The reproductive health history -- VI. Techniques for screening for sexual abuse -- VII. HIV risk assessment -- VIII. Sample questions and screening tools -- Bibliography -- Chapter 4: The Physical Examination -- I. A complete physical examination is an integral part of the health assessment of women. Components of the examination include assessment of -- II. The examination of the thyroid gland. Thyroid dysfunction can cause irregular menses, anovulation, and infertility. -- III. The breast examination -- IV. Abdominal examination -- V. The pelvic examination explained -- VI. Inspection of the external genitalia -- VII. Palpation of the external genitalia -- VIII. The bimanual examination -- IX. Palpation of the ovaries and fallopian tubes -- X. Rectovaginal examination -- XI. The speculum examination -- XII. On completion of the pelvic exam -- Bibliography -- Chapter 5: Assessment of the Skin.

I. Dermatology assessment -- II. Cutaneous assessment -- III. Dermatologic issues related to pregnancy -- IV. Dermatologic issues related to contraception -- V. General dermatology -- VI. Cosmesis and photo-aging -- Bibliography -- Chapter 6: Assessment of the Female Breast -- I. Basics related to examination of the female breast -- II. Important statistics -- III. Anatomy and physiology of the breast -- IV. Breast self-examination -- V. A patient history relevant to the examination of the female breast must be gathered to assess for any risk factors. -- VI. Inspection of the breasts -- VII. Palpation of the breast -- VIII. Palpate the nipple and the areola -- IX. Palpate lymph nodes -- X. Physical examination of an augmented breast -- XI. Chart -- XII. Mammogram -- XIII. Breast cancer risk-assessment tool -- Bibliography -- Unit III: Evaluation of Special Populations -- Chapter 7: Assessment of the Pregnant Woman -- I. Initial prenatal evaluation. -- II. Documentation of pregnancy. -- III. Estimated date of confinement (EDC) -- IV. Current identifying data -- V. Evaluate reactions to pregnancy -- VI. Current physical symptoms -- VII. History since conception provides screening for agents that may increase risks for anomalies or miscarriage and risks for pregnancy outcomes for the pregnant woman and her baby. -- VIII. Medical history -- IX. Obstetric and gynecologic history -- X. Surgical history -- XI. General health and nutrition -- XII. Social history -- XIII. Family history -- XIV. Physical examination -- XV. Laboratory tests -- XVI. Planning at initial visit -- Bibliography -- Chapter 8: Assessment and Clinical Evaluation of Obesity in Women -- I. Obesity in women -- II. Measures of obesity -- III. Gender differences in obesity -- IV. Genetic causes of obesity -- V. Medical causes of obesity -- VI. Eating disorders.

VII. Risk factors associated with exogenous obesity -- VIII. Obesity-focused health history -- IX. Obesity-focused physical examination -- X. Physical findings associated with cardiometabolic risk -- XI. Laboratory testing -- XII. Treatment interventions -- XIII. Development of a weight management plan -- Bibliography -- Chapter 9: Lesbian Health -- I. Introduction and overview -- II. Screening recommendations for sexual-minority women (lesbian, bisexual, and women who have sex with women) -- III. Using inclusive language -- IV. Approach to patient and provider communication -- V. Risk assessment and reduction -- Bibliography -- Unit IV: Evaluation of the Menopausal Woman -- Chapter 10: Assessment of Menopausal Status -- I. Menopause explained -- II. Physiology of menopause -- III. Menopause introduction and clinical issues -- IV. The goal of the clinical health evaluation is to identify menopause and age-related health issues provide preventive care, anticipatory guidance, education, counseling, and support and to diagnose and manage health problems. -- V. Intervention options -- Bibliography -- Chapter 11: Osteoporosis and Evaluation of Fracture Risk -- I. Scope of the problem -- II. Osteoporosis explained -- III. Measurement of bone density -- IV. The procedure -- V. Diagnostic assessment -- VI. Lifetime monitoring recommendations -- Bibliography -- Chapter 12: Atrophic Vaginitis, Vulvovaginal Atrophy -- I. Atrophic vaginitis explained -- II. Pathophysiology -- III. Indications for evaluation -- IV. Assessment -- V. Medical, surgical, and family history -- lifestyle -- and medications, including use of over-the-counter preparations. -- VI. Diagnostic testing and differential diagnosis -- VII. Treatment considerations -- VIII. Follow-up -- Bibliography -- Unit V: Gynecologic Abnormalities -- Chapter 13: Assessment of Pelvic Pain -- I. Pelvic pain.

II. Pelvic pain assessment -- III. Acute pelvic pain (APP). Most common type of pelvic pain, often experienced by patients after surgery or other soft tissue traumas. It tends to be immediate, severe, and short lived. -- IV. CPP -- Bibliography -- Chapter 14: Assessment of Vulvar Pain and Vulvodynia -- I. Vulvar pain -- II. Assessment of a woman with vulvar pain -- III. Differential diagnoses -- IV. Management -- V. Patient education and clinician resources -- Bibliography -- Chapter 15: Polycystic Ovarian Syndrome -- I. Overview and definition of polycystic ovarian syndrome (PCOS) -- II. Criteria for classification of PCOS -- III. Clinical screening -- IV. Clinical intervention -- Bibliography -- Chapter 16: Abnormal Uterine Bleeding -- I. Abnormal uterine bleeding (AUB) explained -- II. Clinical evaluation of the woman who presents with AUB -- III. Pathophysiology and differential diagnoses -- IV. Diagnostic testing -- V. Clinical management of AUB -- Bibliography -- Unit VI: Evaluation of the Pelvic Floor -- Chapter 17: Pelvic Organ Prolapse -- I. Pelvic organ prolapse explained -- II. Diagnosis of pelvic organ prolapse -- III. The diagnosis -- IV. Symptoms of anterior wall prolapse and uterine prolapse -- Bibliography -- Chapter 18: Urinary Incontinence -- I. Bladder dysfunction explained -- II. Pathophysiology of the lower urinary tract system (LUTS) -- III. Urinary incontinence explained -- IV. Types of urinary incontinence -- V. Diagnostic testing and differential diagnosis -- VI. Follow-up -- VII. There are valuable resources for information on urinary incontinence. -- Bibliography -- Unit VII: Assessment of Women at Risk -- Chapter 19: The Sexual-Assault Victim -- I. Sexual assault explained -- II. Some reasons why women may not report sexual assault -- III. The forensic examination.

IV. Guidelines for the primary care provider following sexual assault -- V. Management -- Bibliography -- Chapter 20: Intimate Partner Violence -- I. Violence and abuse explained -- II. Principles related to assessment of violence and abuse -- III. Health consequences of IPV -- IV. Some concluding comments -- Bibliography -- Chapter 21: Sexually Transmitted Infections -- I. Sexually transmitted infections (STIs) explained -- II. Clinical evaluation of female -- Acknowledgment -- Bibliography -- Unit VIII: Infertility and Subfertility Assessment -- Chapter 22: Initial Evaluation of Infertility -- I. Infertility explained -- II. Health assessment of the infertile woman/couple -- III. Physical examination of the infertile woman -- IV. The initial workup -- V. Male assessment -- Bibliography -- Chapter 23: Methods to Detect Ovulation -- I. Methods to detect ovulation -- II. Hormonal evaluation of ovulation -- III. The endometrial biopsy -- IV. Uterine cavity and fallopian tube assessment -- V. Ovarian reserve (OR) testing -- VI. Baseline hormone testing -- VII. Postcoital test -- VIII. Ovulation induction -- Bibliography -- Chapter 24: Donor Insemination -- I. Donor insemination explained -- II. Indications -- III. Success rates -- IV. Source of donor -- V. Shipping of frozen specimens -- VI. Preparation of the donor -- VII. Specimen quality -- VIII. Home insemination using frozen sperm -- Bibliography -- Unit IX: Contraception -- Chapter 25: Medical Eligibility Criteria for Contraceptive Use -- I. The Centers for Disease Control and Prevention (CDC) medical eligibility criteria explained -- II. In 2011 the CDC updated the 2010 MEC guidelines for combined hormonal contraceptive use among postpartum women, on the basis of new scientific evidence.

III. Recommendations for hormonal contraceptive use among women at high risk for HIV or infected with HIV were revised and updated by the CDC in 2012 based on new scientific evidence.