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PUL GYN 7
This document is a guideline for the management of pregnancy of uncertain location (PUL) provided by the Department of Obstetrics & Gynaecology at the University of Ruhuna. It explains that PUL occurs when a woman has a positive pregnancy test but no intrauterine or extrauterine pregnancy can be seen with a transvaginal ultrasound. The document…

Subfertility GYN 18
This document is a guide on the management of couples with fertility issues. It provides information on the main causes of infertility, factors affecting fertility, initial assessment of both the female and male partners, recommended investigations, and various treatment options including medical, surgical, and assisted reproduction techniques. The document also discusses specific conditions such as…

Prepubertal vaginal discharge GYN 17
This document discusses the management of reproductive vaginal discharge in prepubertal girls. It covers common causes such as vulvovaginitis and foreign bodies, as well as rare causes including sexual abuse, threadworm infection, urological causes, vaginal tumors, and sexually acquired infections. The document also provides information on gynecological examination of prepubertal girls and treatment options for…

Management of Endometrial Cancer GYN 11
This document is a guideline for the management of endometrial cancer, provided by the Department of Obstetrics & Gynaecology at the University of Ruhuna, Faculty of Medicine. It covers various aspects of endometrial cancer, including risk factors, clinical presentation, diagnostic evaluations, staging, and treatment options. The document also includes recommendations for follow-up and management of…

Chronic pelvic pain GYN 19
This document is a guideline on the management of chronic pelvic pain in women. It provides information on the definition, assessment, differential diagnoses, history taking, examination, investigations, and management of chronic pelvic pain. The document emphasizes the importance of accurate diagnosis and effective management to improve the quality of life for women with chronic pelvic…

Urinary incontinence GYN 15
This document is a guideline on the management of urinary incontinence in women. It provides information on the classification and definitions of urinary incontinence, as well as recommendations for assessment, investigations, and treatment options. The document covers both non-surgical and surgical management approaches, including lifestyle interventions, physical therapies, medications, and invasive procedures. It also includes…