Subfertility GYN 18

This document is a clinical guideline for the management of postmenopausal bleeding. It provides information on the definition, causes, assessment, and investigations for postmenopausal bleeding. It also discusses the indications for office-based endometrial biopsy and hysteroscopy with endometrial sampling. The document includes specific considerations for postmenopausal bleeding in women using hormone replacement therapy. The guideline…

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…

This document is a guideline for the management of pelvic organ prolapse in women. It provides information on the initial assessment, non-surgical and surgical management options, and follow-up after surgery. The document also mentions potential complications and mesh-related complications associated with the procedures. The guidelines aim to improve the quality of life for women with…

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…

This document is titled “Management of Amenorrhoea” and is from the Department of Obstetrics & Gynaecology at the University of Ruhuna. It provides information on the definition, causes, assessment, and treatment of both primary and secondary amenorrhoea. The document also discusses specific conditions related to amenorrhoea, such as Asherman syndrome and cervical stenosis, and highlights…

This document is a guideline for the management of cervical cancers, provided by the Department of Obstetrics & Gynaecology at the University of Ruhuna, Sri Lanka. It covers various aspects of cervical cancer, including its causes, symptoms, patient assessment, staging, treatment options, follow-up, and management of recurrent disease. The document emphasizes the importance of early…