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Table of contents

Preface to 3rd edition 7

Abbreviations 9

Chapter 1

Structure and function of the reproductive system

in the age aspect 12

1.1. Regulation of the function of the reproductive system {Fanchenko N. D., Shchedrina R.N.) 12

1.2. Non-productive organs of the reproductive system (FanchenkoN.D., Shchedrina R.N.) 17

1.3. Reproductive organs of the reproductive system {Zheleznoe B.I.) 37

1.3.1. Anatomical, physiological and histophysiological characteristics of the female genital organs in the reproductive period 37 Ovaries 37 Fallopian tubes 46 Uterus 53 Vagina 92 Vulva 94

1.4. Neurohumoral regulation and the state of the reproductive system in the period of its formation {Kuznetsova M. N, Schedrina R. N., Fanchenko N. D.) 96


Table of contents

1.5. Neurohumoral regulation and the state of the reproductive system in the period of its active functioning (Fanchenko N. D., Shchedrina R. N.) 145

1.6. Neurohumoral regulation and the state of the reproductive system of the female body in the period of extinction

its functions {ND Fanchenko, R. N. Shchedrin) 169

Chapter 2

Pathogenetic mechanisms of dysfunction

reproductive system 203

2.1. Damage to the structural elements of the reproductive system: the impact on the implementation of the function

{Fanchenko N. D., Shchedrin R. N.) 203

2.2. Influence of endocrine diseases

on the functioning of the reproductive system {Kuznetsova MN) 214

Chapter 3

Pathology of the reproductive system in the period

its formation {Kuznetsova M.N.) 229

3.1. Disruption of puberty 229

3.1.1. Premature puberty on the female type ... 230

3.1.2. Male-to-male puberty ...

3.1.3. Disruption of sexual development in the period of sexual

maturation of the type of "erased" virilization 251 Hypothalamic syndrome of puberty ... 255

3.1.4. Delayed sexual development 265 The central form of delayed sexual development 266 Delayed sexual development of ovarian genesis 273

3.2. Juvenile uterine bleeding 287

3.3. Abnormal development of the genital organs 306

3.4. Inflammatory outdoor diseases

genitals in girls and girls 320

3.4.1. Vulvovaginitis 320 Nonspecific inflammations 320 Specific inflammation 335

3.5. Internal inflammatory diseases

genitals in girls and girls 341


Guide to Endocrine Gynecology

Chapter 4

Pathology of the reproductive system in the period of maturity ... 366

4.1. Reproductive dysfunction in hyperprolactinemia (Vikhlyaeva Ye. M.) 366

4.2. Polycystic ovary syndrome {Vikhliaeva Ye. M.) 389

4.3. Endometrial polyps {Vikhliaeva E. M., Zheleznoe B. I.) 447

4.4. Uterine leiomyoma {Vikhlyaeva E.M.) 463

4.5. Genital endometriosis

{Vikhlyaev E.M., Zheleznoe B.I.) 552

Chapter 5

Pathology of the reproductive system in transition

and old age {Vikhlyaeva E.M.) 630

5.1. Menopausal syndrome 630

5.2. Osteoporosis 653

5.3. The strategy of modern postmenopausal therapy 664

Chapter 6

Quality of life of gynecological patients

{Vikhlyaev E.M.) 714

Applications 741

Subject Index 774
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Table of contents

    INTRODUCTION 9 Chapter 1. HISTORY OF CONTRACEPT 12 Chapter 2. MODERN METHODS OF CONTRACEPT 30 2.1. Hormonal contraception 33 Combined hormonal oral contraceptives (CEC) 34 Prolonged contraception 96 Oral hormonal contraceptives containing only progestogen (pure progestin tablets, or mini-pill) 110 Hormonal
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