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This book discusses a rare form of female genital tract abnormality. It starts with an introduction to modern pre-surgical diagnostic tools, including hysterosalpingography, 3D ultrasound and MRI. From external to internal genitalia, this book introduces all commonly known malformations, as well as a variety of rare congenital malformations of the female genital tract. For each malformation, it includes indications, timing, surgical illustration, contraindication, anaesthesia, surgical procedure, postoperative treatment, and key points. In order to facilitate understanding, extensive illustrations and surgical images are also provided. This text offers a comprehensive guide for clinicians, helping them to accurately diagnose and treat these patients, who may present with different clinical manifestations. The authors are well-known gynecologists actively involved in the diagnosis and treatment of difficult diseases. Editors Lan Zhu and Jinghe Lang are Professors at the Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing, China. Editor Felix Wong is a Professor at the Department of Obstetrics and Gynaecology, Liverpool Hospital, Liverpool, Australia. Professor Lang is also an Academician of Chinese Academy of Engineering.
Medicine & Public Health. --- Gynecology. --- Surgery. --- Medicine. --- Médecine --- Gynécologie --- Chirurgie --- Gynecology & Obstetrics --- Medicine --- Health & Biological Sciences --- Generative organs, Female --- Sex differentiation disorders --- Abnormalities --- Surgery --- Differentiation disorders, Sex --- Disorders of sexual differentiation --- Female generative organs --- Female generative tract --- Female genital tract --- Female genitalia --- Female reproductive system --- Female reproductive tract --- Sexual disorders --- Generative organs --- Surgery, Primitive --- Gynaecology --- Diseases --- Gynecology .
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The birth of a baby with ambiguous genitalia triggers a chain reaction of difficulties that rapidly spread to the entire family and most medical attendants, leading to lasting effects on the gender identity, personality, and sexual functioning of the unfortunate individual. The rapid advances in medicine over the last 50 years have totally changed the outlook for children with disorders of sex development (DSD), but there is still much to learn. This book crystallizes the combined experience of a leading dedicated unit over 25 years in delivering expert medical and surgical care to children with DSD in a holistic environment. It documents the most recent advances in the molecular biology and embryology of sex development, and describes each disorder in detail. The clinical presentation and approach to diagnosis are described both for babies and for children presenting later in childhood or at adolescence. The chapters on management highlight all the latest knowledge and include the shared wisdom of the authors on current controversies, such as the timing of surgical treatment. Finally, the authors describe their short-, medium-, and long-term outcomes, which demonstrate the strengths of holistic team management.
Gender identity disorders in children. --- Generative organs -- Abnormalities. --- Sexual disorders in children. --- Sex differentiation disorders --- Sex disorders --- Urogenital Abnormalities --- Gonadal Disorders --- Sexual and Gender Disorders --- Mental Disorders --- Male Urogenital Diseases --- Female Urogenital Diseases --- Endocrine System Diseases --- Congenital Abnormalities --- Diseases --- Psychiatry and Psychology --- Congenital, Hereditary, and Neonatal Diseases and Abnormalities --- Female Urogenital Diseases and Pregnancy Complications --- Disorders of Sex Development --- Medicine --- Health & Biological Sciences --- Urology & Nephrology --- Pediatrics --- Sex differentiation disorders. --- Sexual disorders. --- Generative organs --- Diseases. --- Sexual diseases --- Differentiation disorders, Sex --- Disorders of sexual differentiation --- Medicine. --- Human genetics. --- Pediatrics. --- Medicine & Public Health. --- Human Genetics. --- Theriogenology --- Sex (Biology) --- Psychosexual disorders --- Sexual disorders --- Genetics --- Heredity, Human --- Human biology --- Physical anthropology --- Paediatrics --- Pediatric medicine --- Children --- Health and hygiene
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Genetics --- Social psychology --- Psychology --- Sociology of the family. Sociology of sexuality --- Human physiology --- Psychosexual development --- Sex determination, Genetic --- Sex differences (Psychology) --- Sex differentiation disorders --- Differentiation disorders, Sex --- Disorders of sexual differentiation --- Sexual disorders --- Sex (Psychology) --- Chromosomal sex determination --- Determination of sex, Genetic --- Genetic determination of sex --- Genotypic sex determination --- Sex --- Gene expression --- Sex chromosomes --- Sex determination --- Development, Psychosexual --- Developmental psychology --- Cause and determination --- Disorders of Sex Development --- Psychosexual Development --- Sex Determination Analysis --- Sex Determination Technics --- Sex Determination Techniques --- Analyses, Sex Determination --- Analysis, Sex Determination --- Sex Determination Analyses --- Sex Determination Technic --- Sex Determination Technique --- Technic, Sex Determination --- Technics, Sex Determination --- Technique, Sex Determination --- Techniques, Sex Determination --- Sex Chromatin --- Anal Stage --- Phallic Stage --- Anal Stages --- Developments, Psychosexual --- Phallic Stages --- Psychosexual Developments --- Stage, Anal --- Stage, Phallic --- Stages, Anal --- Stages, Phallic --- Sexuality --- Ambiguous Genitalia --- Genital Ambiguity --- Hermaphroditism --- Intersex Conditions --- Intersexuality --- Pseudohermaphroditism --- Sexual Development Disorders --- Sexual Differentiation Disorders --- Disorders of Sexual Development --- Sex Development Disorders --- Sex Differentiation Disorders --- Ambiguities, Genital --- Ambiguity, Genital --- Condition, Intersex --- Conditions, Intersex --- Differentiation Disorder, Sex --- Differentiation Disorder, Sexual --- Differentiation Disorders, Sex --- Differentiation Disorders, Sexual --- Disorder, Sex Differentiation --- Disorder, Sexual Differentiation --- Disorders, Sex Differentiation --- Disorders, Sexual Differentiation --- Genital Ambiguities --- Genitalia, Ambiguous --- Intersex Condition --- Intersexualities --- Sex Development Disorder --- Sex Differentiation Disorder --- Sexual Development Disorder --- Sexual Differentiation Disorder --- Transgender Persons --- Physiology: reproduction & development. Ages of life --- Genetic sex determination. --- Psychosexual development. --- Sex determination, Genetic. --- Sex differences (Psychology). --- Sex differentiation disorders. --- Sex differentiation. --- Genetic sex determination --- Gender --- Socialization --- Biology --- Book --- Sex differences
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The formation of gender identity is a singularly complex part of an individual's development. When this process is further complicated by conflict between experienced gender and assigned gender or by medical conditions affecting sex development,lifetime consequenses can result. Gender Dysphoria and Disorders of Sex Development offers up-to-date understanding and interventions in one comprehensive volume featuring expert coverage of developmental trajectories, comorbid conditions, current medical and psychological treatments, and an instructive history of professional conceptualizations of gender dysphoria (GD) and disorders of sex development (DSD). Introductory chapters analyze the roles of sex hormones and genetics in brain organization and introduce an integrative biopsychosocial model of gender development. A framework for age-appropriate treatment for children (including guidelines for working with infants), adolescents, and adults is the book's core. And as sex reassignment continues to prove a viable option for some individuals, the latest endocrine-based and surgical interventions for adults are discussed as well. Throughout, this groundbreaking reference work emphasizes empirical knowledge, compassion, a strong ethical base, and coordinated interdisciplinary care. Among the topics covered: Genetic aspects of gender identity development and gender dysphoria Psychosexual development in individuals with disorders of sex development Gender identity diagnoses: history and controversies Early medical intervention in adolescents with gender dysphoria Psychiatric comorbidity in adults with gender identity problems The impact of stigma on transgender identity development and mental health For researchers and clinicians, including psychologists, psychiatrists, endocrinologists, and surgeons working in the field of GD and DSD, Gender Dysphoria and Disorders of Sex Development provides a unique view of the state of the field and recommendations for future research and care.
Gender identity disorders. --- Sex differentiation disorders. --- Sex change. --- Change of sex --- Reassignment, Sex --- Sex change surgery --- Sex reassignment --- Transsexual surgery --- Differentiation disorders, Sex --- Disorders of sexual differentiation --- Dysphoria, Gender --- Gender dysphoria --- Psychology. --- Sociology. --- Experiential research. --- Sexual behavior. --- Sexual psychology. --- Sex (Psychology). --- Gender expression. --- Gender identity. --- Gender Studies. --- Sexual Behavior. --- Psychology Research. --- Sex identity (Gender identity) --- Sexual identity (Gender identity) --- Identity (Psychology) --- Sex (Psychology) --- Queer theory --- Expression, Gender --- Sex role --- Psychology, Sexual --- Sex --- Sexual behavior, Psychology of --- Sexual psychology --- Sensuality --- Research --- Social theory --- Social sciences --- Behavioral sciences --- Mental philosophy --- Mind --- Science, Mental --- Human biology --- Philosophy --- Soul --- Mental health --- Psychological aspects --- Gender-affirming surgery --- Generative organs --- Hormone therapy --- Sexual disorders --- Psychosexual disorders --- Surgery --- Developmental psychology. --- Psychic research. --- Development (Psychology) --- Developmental psychobiology --- Psychology --- Life cycle, Human --- Gender dysphoria.
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Pediatric gynecology --- Adolescent --- Child --- Disorders of Sex Development --- Genital Diseases, Female --- Infant --- Infants --- Female Genital Diseases --- Gynecologic Diseases --- Diseases, Female Genital --- Diseases, Gynecologic --- Female Genital Disease --- Genital Disease, Female --- Gynecologic Disease --- Gynecology --- Ambiguous Genitalia --- Genital Ambiguity --- Hermaphroditism --- Intersex Conditions --- Intersexuality --- Pseudohermaphroditism --- Sexual Development Disorders --- Sexual Differentiation Disorders --- Disorders of Sexual Development --- Sex Development Disorders --- Sex Differentiation Disorders --- Ambiguities, Genital --- Ambiguity, Genital --- Condition, Intersex --- Conditions, Intersex --- Differentiation Disorder, Sex --- Differentiation Disorder, Sexual --- Differentiation Disorders, Sex --- Differentiation Disorders, Sexual --- Disorder, Sex Differentiation --- Disorder, Sexual Differentiation --- Disorders, Sex Differentiation --- Disorders, Sexual Differentiation --- Genital Ambiguities --- Genitalia, Ambiguous --- Intersex Condition --- Intersexualities --- Sex Development Disorder --- Sex Differentiation Disorder --- Sexual Development Disorder --- Sexual Differentiation Disorder --- Transgender Persons --- Children --- Minors --- Adolescents --- Adolescents, Female --- Adolescents, Male --- Teenagers --- Teens --- Adolescence --- Youth --- Adolescent, Female --- Adolescent, Male --- Female Adolescent --- Female Adolescents --- Male Adolescent --- Male Adolescents --- Teen --- Teenager --- Youths --- Paediatrics --- Gynaecology. Obstetrics
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The new, fully updated edition of this successful book, brings together the combined experience of a leading dedicated unit over 25 years in delivering expert medical and surgical care to children with DSD (Disorders|Differences of Sex Development) in a holistic environment. It documents the most recent advances in the molecular biology and embryology of sex development, and describes each variation in detail. The main focus of the book is on patients with variations with their anatomy and hormone function. New chapters describe the developments in the field in terms of definitions and incidence, the mental health of DSD patients and discuss the perspectives of patients families and support groups. The clinical presentation and approach to diagnosis are described both for babies and for children presenting later in childhood or at adolescence. The chapters on management highlight all the latest knowledge and include the shared wisdom of the authors on current controversies, such as the timing of surgical treatment. Finally, the authors describe their short-, medium-, and long-term outcomes, which demonstrate the strengths of holistic team management.
Gender identity disorders in children. --- Psychosexual disorders in children --- Human genetics. --- Pediatrics. --- Human Genetics. --- Paediatrics --- Pediatric medicine --- Medicine --- Children --- Genetics --- Heredity, Human --- Human biology --- Physical anthropology --- Diseases --- Health and hygiene --- Malformacions --- Aparell genital --- Infants --- Nens --- Pedologia --- Grups d'edat --- Bilingüisme en els infants --- Fills adoptius --- Fills d'alcohòlics --- Infants acollits --- Infants autistes --- Infants immigrants --- Infants desapareguts --- Infants difícils --- Infants inadaptats --- Infants internautes --- Infants pobres --- Infants refugiats --- Infants soldat --- Ludoteques --- Nenes --- Nodrissons --- Orfes --- Hospitals infantils --- Adolescents --- Infància --- Jocs infantils --- Nois adolescents --- Pares --- Programes de televisió per a infants --- Serveis socials per als infants --- Treball social amb els infants --- Aparell reproductor --- Genitals --- Òrgans de la reproducció --- Òrgans genitals --- Òrgans reproductors --- Òrgans sexuals --- Aparell genitourinari --- Aparell genital femení --- Aparell genital masculí --- Reproducció --- Anomalies (Medicina) --- Anomalies congènites --- Anomalies del desenvolupament --- Anomalies humanes --- Defectes congènits --- Defectes de naixement --- Deformacions (Medicina) --- Deformitats congènites --- Irregularitats congènites --- Lesions congènites --- Malformacions congènites --- Malformacions humanes --- Morfologia (Biologia) --- Teratologia --- Patologia --- Malformacions de la boca --- Malformacions de la columna vertebral --- Malformacions del cor --- Malformacions del fetus --- Malformacions del peu --- Malformacions en els animals --- Fills de la reialesa --- Sex differentiation disorders. --- Sex disorders. --- Sex disorders --- Sexual diseases --- Sex (Biology) --- Psychosexual disorders --- Differentiation disorders, Sex --- Disorders of sexual differentiation --- Sexual disorders --- Sexual disorders. --- Malformacions. --- Aparell genital. --- Infants.
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The field of androgen excess disorders has advanced substantially since the original publication of this book. The Androgen Excess Society (AES) was founded to bring together investigators in the field. A better understanding of the screening, progression, and molecular genetics of nonclassic adrenal hyperplasia (NCAH) has improved the clinical care and diagnostic accuracy of these patients. New criteria for the diagnosis of the polycystic ovary syndrome (PCOS) were proposed in Rotterdam, criteria that have resulted in controversy and, hopefully, initiation of new studies. The association of insulin resistance with PCOS has been strengthened, and the role of metformin in tre- ing the infertility of the PCOS has been validated. Risks for diabetes and, more cont- versially, cardiovascular disease in women with PCOS have received substantial investigation. Our understanding of the epidemiology and economic impact of these disorders has expanded, emphasizing their critical importance. These are but a few highlights of how the terrain has changed in a relatively brief period of time. In keeping with these advances, the title of this book has been revised to reflect the growing importance of PCOS as the most prevalent androgen excess disorder in women, and arguably, as the one that might have the most serious adverse consequences for general health. There are fewer chapters to provide a more focused elucidation of the area. Several chapters were penned by new (and young) authors who are conducting cutting-edge research in the field.
Adrenal glands. --- Adrenal glands --- Androgens --- Polycystic ovary syndrome --- Adrenogenital Syndrome --- Adrenal Gland Diseases --- Ovarian Cysts --- Hormones --- 46, XX Disorders of Sex Development --- Disorders of Sex Development --- Ovarian Diseases --- Hormones, Hormone Substitutes, and Hormone Antagonists --- Cysts --- Endocrine System Diseases --- Adnexal Diseases --- Urogenital Abnormalities --- Gonadal Disorders --- Physiological Effects of Drugs --- Neoplasms --- Diseases --- Congenital Abnormalities --- Female Urogenital Diseases --- Pharmacologic Actions --- Male Urogenital Diseases --- Genital Diseases, Female --- Congenital, Hereditary, and Neonatal Diseases and Abnormalities --- Chemical Actions and Uses --- Female Urogenital Diseases and Pregnancy Complications --- Chemicals and Drugs --- Hyperandrogenism --- Polycystic Ovary Syndrome --- Adrenocortical Hyperfunction --- Medicine --- Health & Biological Sciences --- Clinical Endocrinology --- Gynecology & Obstetrics --- Metabolism --- Physiological effect --- Disorders, Congenital --- Congenital Disorders --- Neonatal Diseases and Abnormalities --- Congenital Disorder --- Disorder, Congenital --- Female Genital Diseases --- Gynecologic Diseases --- Diseases, Female Genital --- Diseases, Gynecologic --- Female Genital Disease --- Genital Disease, Female --- Gynecologic Disease --- Male Genitourinary Diseases --- Genitourinary Disease, Male --- Genitourinary Diseases, Male --- Male Genitourinary Disease --- Male Urogenital Disease --- Urogenital Disease, Male --- Urogenital Diseases, Male --- Chemical Actions --- Actions, Chemical --- Actions, Pharmacologic --- Female Genitourinary Diseases --- Female Genitourinary Disease --- Female Urogenital Disease --- Genitourinary Disease, Female --- Genitourinary Diseases, Female --- Urogenital Disease, Female --- Urogenital Diseases, Female --- Abnormalities, Congenital --- Defects, Congenital --- Birth Defects --- Congenital Defects --- Deformities --- Abnormality, Congenital --- Birth Defect --- Congenital Abnormality --- Congenital Defect --- Defect, Birth --- Defect, Congenital --- Defects, Birth --- Deformity --- Benign Neoplasms --- Malignancy --- Neoplasia --- Neoplasm --- Neoplasms, Benign --- Cancer --- Tumors --- Benign Neoplasm --- Cancers --- Malignancies --- Neoplasias --- Neoplasm, Benign --- Tumor --- Drug Effects on Physiology --- Drug Physiological Effects --- Effects, Drug Physiological --- Physiological Effects, Drug --- Disorder, Gonadal --- Disorders, Gonadal --- Gonadal Disorder --- Abnormalities, Urogenital --- Genitourinary Abnormalities --- Abnormalities, Genitourinary --- Abnormality, Genitourinary --- Abnormality, Urogenital --- Genitourinary Abnormality --- Urogenital Abnormality --- Urogenital System --- Adnexal Disease --- Disease, Adnexal --- Diseases, Adnexal --- Diseases of Endocrine System --- Endocrine Diseases --- Disease, Endocrine --- Disease, Endocrine System --- Diseases, Endocrine --- Diseases, Endocrine System --- Endocrine Disease --- Endocrine System Disease --- System Disease, Endocrine --- System Diseases, Endocrine --- Cyst --- Hormones, Substitutes, Antagonists --- Disease, Ovarian --- Diseases, Ovarian --- Ovarian Disease --- Ambiguous Genitalia --- Genital Ambiguity --- Hermaphroditism --- Intersex Conditions --- Intersexuality --- Pseudohermaphroditism --- Sexual Development Disorders --- Sexual Differentiation Disorders --- Disorders of Sexual Development --- Sex Development Disorders --- Sex Differentiation Disorders --- Ambiguities, Genital --- Ambiguity, Genital --- Condition, Intersex --- Conditions, Intersex --- Differentiation Disorder, Sex --- Differentiation Disorder, Sexual --- Differentiation Disorders, Sex --- Differentiation Disorders, Sexual --- Disorder, Sex Differentiation --- Disorder, Sexual Differentiation --- Disorders, Sex Differentiation --- Disorders, Sexual Differentiation --- Genital Ambiguities --- Genitalia, Ambiguous --- Intersex Condition --- Intersexualities --- Sex Development Disorder --- Sex Differentiation Disorder --- Sexual Development Disorder --- Sexual Differentiation Disorder --- Hormone --- Hormone Receptor Agonists --- Agonists, Hormone Receptor --- Receptor Agonists, Hormone --- Corpus Luteum Cyst --- Corpus Luteum Cysts --- Cyst, Corpus Luteum --- Cyst, Ovarian --- Cysts, Corpus Luteum --- Cysts, Ovarian --- Ovarian Cyst --- Adrenal Gland Disease --- Disease, Adrenal Gland --- Diseases, Adrenal Gland --- Gland Disease, Adrenal --- Gland Diseases, Adrenal --- PCOD (Gynecology) --- PCOS (Gynecology) --- Polycystic ovarian disease --- Polyfollicular ovarian disease --- Sclerocystic ovarian degeneration --- Sclerocystic ovaries --- Sclerocystic ovary syndrome --- Stein-Leventhal syndrome --- Androgenic hormones --- Adrenal Gland Hyperfunction --- Hyperadrenalism --- Hyperadrenocorticism --- Hypercorticism --- Hyperfunction, Adrenal Gland --- Hyperfunction, Adrenocortical --- Androgen Effect --- Androgen Effects --- Androgen Receptor Agonists --- Androgenic Agents --- Androgenic Compounds --- Agents, Androgenic --- Agonists, Androgen Receptor --- Compounds, Androgenic --- Effect, Androgen --- Effects, Androgen --- Receptor Agonists, Androgen --- Receptors, Androgen --- Polycystic Ovarian Syndrome --- Polycystic Ovary Syndrome 1 --- Sclerocystic Ovarian Degeneration --- Sclerocystic Ovaries --- Sclerocystic Ovary Syndrome --- Stein-Leventhal Syndrome --- Ovarian Degeneration, Sclerocystic --- Ovarian Syndrome, Polycystic --- Ovary Syndrome, Polycystic --- Ovary, Sclerocystic --- Sclerocystic Ovary --- Stein Leventhal Syndrome --- Syndrome, Polycystic Ovary --- Syndrome, Stein-Leventhal --- abnormalities --- agonists --- 46, XX DSD --- 46,XX DSD --- 46,XX Disorders of Sex Development --- Female Pseudohermaphroditism --- Female Pseudohermaphroditisms --- Pseudohermaphroditism, Female --- Pseudohermaphroditisms, Female --- Adrenogenital Syndromes --- Syndrome, Adrenogenital --- Syndromes, Adrenogenital --- Medicine. --- Endocrinology. --- Medicine & Public Health. --- Internal medicine --- Endocrinology . --- Polycystic ovary syndrome. --- Diseases. --- Metabolism. --- Physiological effect.
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