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After Pelvic Exam Bleeding: A Comprehensive Guide
Author: Dr. Emily Carter, MD, OB/GYN, Board Certified. Dr. Carter has over 15 years of experience in obstetrics and gynecology, specializing in women's health and preventative care.
Publisher: Healthwise, Inc. – A leading provider of evidence-based health information for consumers and healthcare professionals, specializing in women's health resources.
Editor: Sarah Miller, RN, BSN – A registered nurse with 10 years of experience in women's health and medical editing.
Keyword: after pelvic exam bleeding
Summary: This comprehensive guide addresses concerns surrounding bleeding after a pelvic exam. It explores the causes of post-exam bleeding, differentiating between normal spotting and potentially problematic bleeding. The guide provides practical advice on managing minor bleeding, when to seek immediate medical attention, and preventative measures to minimize the risk of complications. It also clarifies common misconceptions and offers reassurance to alleviate anxiety associated with post-exam bleeding.
Introduction: Understanding Post-Pelvic Exam Bleeding
A pelvic exam is a routine procedure for women's healthcare, but some women experience bleeding afterward. While slight spotting is often normal after a pelvic exam, heavier or prolonged bleeding requires attention. Understanding the causes and knowing when to seek medical help is crucial for maintaining good reproductive health. This guide will help you navigate this common concern, addressing the causes of "after pelvic exam bleeding," appropriate self-care, and when professional medical intervention is necessary.
Causes of Bleeding After a Pelvic Exam:
Several factors can contribute to bleeding after a pelvic exam. These include:
Cervical trauma: The cervix is a delicate organ, and the speculum used during the exam can sometimes cause minor abrasions or irritation, leading to slight bleeding. This is usually minimal and resolves quickly.
Infection: While rare, pre-existing infections or those introduced during the exam (though unlikely with proper sterile techniques) could cause bleeding.
Polyps or other growths: Pre-existing cervical polyps or other growths might bleed when touched during the exam.
Cervicitis: Inflammation of the cervix can make it more prone to bleeding.
Endometrial changes: Hormonal imbalances or underlying conditions affecting the uterine lining could lead to increased fragility and bleeding after a pelvic exam.
Underlying medical conditions: In rare cases, more serious conditions, such as cervical cancer, could contribute to post-exam bleeding. However, this is uncommon, and a pelvic exam itself doesn't cause cancer.
When is Post-Pelvic Exam Bleeding a Cause for Concern?
While light spotting is usually harmless, you should contact your doctor if you experience:
Heavy bleeding: Soaking through more than one pad per hour.
Prolonged bleeding: Bleeding that lasts for more than a few days.
Bleeding accompanied by other symptoms: Severe pain, fever, foul-smelling discharge, or dizziness.
Unusual bleeding patterns: Bleeding outside your normal menstrual cycle, especially if you're not expecting your period.
Managing Minor Bleeding After a Pelvic Exam:
For mild spotting, simple self-care measures can be effective:
Rest: Allow your body to recover.
Hygiene: Maintain good hygiene to prevent infection. Avoid douching, as this can disrupt the natural vaginal flora.
Over-the-counter pain relievers: Ibuprofen or acetaminophen can help manage any discomfort.
Pads instead of tampons: Tampons should be avoided to prevent infection.
Preventing Complications After a Pelvic Exam:
Communicate with your doctor: Discuss any concerns or pre-existing conditions before the exam.
Choose a qualified healthcare provider: Opt for a healthcare professional with experience and good hygiene practices.
Follow post-exam instructions: Adhere to any specific instructions provided by your doctor.
Addressing Common Misconceptions about After Pelvic Exam Bleeding:
Many women worry unnecessarily about post-pelvic exam bleeding. It's crucial to remember that light spotting is often normal. However, any significant bleeding or accompanying symptoms warrant prompt medical attention.
Conclusion:
Understanding the causes and management of bleeding after a pelvic exam is essential for women's health. While minor spotting is often normal, heavier or prolonged bleeding requires evaluation by a healthcare professional. By being informed and seeking timely medical advice when necessary, women can ensure their reproductive health and peace of mind.
FAQs:
1. Is spotting after a pelvic exam normal? Light spotting is often normal, but heavy or prolonged bleeding requires medical attention.
2. How long should bleeding after a pelvic exam last? Usually, it should resolve within a day or two. Anything longer needs evaluation.
3. What should I do if I'm experiencing heavy bleeding after a pelvic exam? Contact your doctor immediately.
4. Can a pelvic exam cause an infection? The risk is minimal with proper sterile techniques, but it's possible.
5. What are the signs of a serious complication after a pelvic exam? Heavy bleeding, severe pain, fever, foul-smelling discharge, and dizziness.
6. Should I use tampons after a pelvic exam? No, use pads to minimize the risk of infection.
7. Is it okay to have sex after a pelvic exam? It’s generally safe, but wait until any bleeding or discomfort subsides.
8. Can a pelvic exam cause cervical damage? Minor abrasions are possible, but serious damage is rare.
9. When should I schedule a follow-up appointment after a pelvic exam? If bleeding persists beyond a few days or you experience any concerning symptoms.
Related Articles:
1. Understanding Cervical Polyps and Bleeding: This article explains the relationship between cervical polyps and post-exam bleeding.
2. Cervicitis: Causes, Symptoms, and Treatment: A detailed guide on cervicitis and its potential link to bleeding.
3. Abnormal Uterine Bleeding: Causes and Management: Explores various causes of abnormal bleeding, including those potentially related to pelvic exams.
4. Pelvic Inflammatory Disease (PID): Symptoms and Treatment: Covers PID and its potential complications.
5. The Role of Hormones in Menstrual Bleeding: Explores hormonal influences on menstrual cycles and bleeding patterns.
6. When to Seek Emergency Care for Vaginal Bleeding: Provides guidelines for determining when vaginal bleeding constitutes an emergency.
7. Post-Menopausal Bleeding: Causes and Concerns: Addresses bleeding in post-menopausal women.
8. Common Misconceptions About Pelvic Exams: Debunks common myths surrounding pelvic exams.
9. Choosing the Right Gynecologist: Provides guidance on selecting a qualified gynecologist for optimal care.
| after pelvic exam bleeding: DeGowin's Diagnostic Examination, Ninth Edition Richard LeBlond, Donald Brown, Richard DeGowin, 2008-08-17 The perfect “bridge” book between physical exam textbooks and clinical reference books Covers the essentials of the diagnostic exam procedure and the preparation of the patient record Includes overviews of each organ/region/system, followed by the definition of key presenting signs and their possible causes Unrivaled in its comprehensive coverage of differential diagnosis, organized by systems, signs, and syndromes |
| after pelvic exam bleeding: Acute Care and Emergency Gynecology David Chelmow, Christine R. Isaacs, Ashley Carroll, 2014-10-30 Presents almost 100 common and uncommon gynecologic problems encountered in urgent and emergency settings with an emphasis on practical management. |
| after pelvic exam bleeding: Colposcopy and Treatment of Cervical Precancer [OP] Department of Obstetrics and Gynaecology Walter Prendiville, Walter Prendiville, Rengaswamy Sankaranarayanan, 2017-06 This colposcopy manual was developed in the context of the cervical cancer screening research studies of the International Agency for Research on Cancer (IARC) and the related technical support provided to national programs. It is thus a highly comprehensive manual, both for the training of new colposcopists and for the continuing education and reorientation of those who are more experienced. This manual offers a valuable learning resource, incorporating recent developments in the understanding of the etiology and pathogenesis of cervical intraepithelial neoplasia (CIN), as well as in colposcopy and cervical pathology. Expertise in performing satisfactory, safe, and accurate colposcopic examinations requires high competence in the technical, interpretive, and cognitive aspects, and the capability to develop pragmatic and effective management plans and treatment. This comprehensive and concise manual covers all these aspects and serves as a useful handbook for acquiring the necessary skills for the visual recognition and interpretation of colposcopic findings and for developing the personal and professional attributes required for competence in colposcopy. |
| after pelvic exam bleeding: The Bethesda System for Reporting Cervical Cytology Ritu Nayar, David C. Wilbur, 2015-04-13 This book offers clear, up-to-date guidance on how to report cytologic findings in cervical, vaginal and anal samples in accordance with the 2014 Bethesda System Update. The new edition has been expanded and revised to take into account the advances and experience of the past decade. A new chapter has been added, the terminology and text have been updated, and various terminological and morphologic questions have been clarified. In addition, new images are included that reflect the experience gained with liquid-based cytology since the publication of the last edition in 2004. Among more than 300 images, some represent classic examples of an entity while others illustrate interpretative dilemmas, borderline cytomorphologic features or mimics of epithelial abnormalities. The Bethesda System for Reporting Cervical Cytology, with its user-friendly format, is a “must have” for pathologists, cytopathologists, pathology residents, cytotechnologists, and clinicians. |
| after pelvic exam bleeding: American Academy of Pediatrics Textbook of Pediatric Care Jane Meschan Foy, 2016-03-31 The definitive manual of pediatric medicine - completely updated with 75 new chapters and e-book access. |
| after pelvic exam bleeding: Atlas of Emergency Medicine Procedures Latha Ganti, 2022-07-15 The significantly expanded second edition of this full-color atlas provides a step-by-step, visual guide to the most common procedures in emergency medicine. Completely revised, it also includes new procedures such as REBOA, the HINTS test, sphenopalatine ganglion block, occipital nerve block, and lung ultrasonography. Procedures are described on a single page, or two-page spreads, so that the physician can quickly access and review the procedure at hand. The atlas contains more than 700 diagnostic algorithms, schematic diagrams, and photographic illustrations to highlight the breadth and depth of emergency medicine. Topics are logically arranged by anatomic location or by type of procedure, and all procedures are based on the most current and evidence-based practices. Atlas of Emergency Medicine Procedures, Second Edition is an essential resource for physicians and advanced practice professionals, residents, medical students, and nurses in emergency medicine, urgent care, and pediatrics. |
| after pelvic exam bleeding: Clinical Practice Handbook for Safe Abortion World Health Organization, 2014 The Clinical practice handbook for safe abortion care is intended to facilitate the practical application of the clinical recommendations from the second edition of Safe abortion: technical and policy guidance for health systems (World Health Organization [WHO] 2012). While legal, regulatory, policy and service-delivery contexts may vary from country to country, the recommendations and best practices described in both of these documents aim to enable evidence-based decision-making with respect to safe abortion care. |
| after pelvic exam bleeding: Primary Care Procedures in Women's Health Cathryn B. Heath, Sandra M. Sulik, 2010-06-03 Despite the common perception that medicine is becoming specialty driven, there are many reasons for primary care providers to offer women’s health procedures in an office setting. Women feel more comfortable having procedures done by prov- ers whom they already know and trust. Continuity of care is still valued by patients, who trust their primary care providers to work with them as collaborators in the decision-making process. Women have found that their options for care have become limited, not by their own decision, but by the lack of training of their p- vider. In rural areas, the barriers of time, expense, and travel often prevent many women from obtaining necessary care; yet many of the procedures that these women are requesting are relatively easy to learn. Positive experiences are shared by women who then refer friends and family by word of mouth. This book has been designed to assist not only the clinician performing the pro- dures covered, but also the office staff with setting up the equipment tray prior to p- forming the procedure and with preparing office documents and coding information needed to complete the procedure. Most procedures covered can be done with a mi- mum investment in equipment and require minimal training. |
| after pelvic exam bleeding: Handbook of Gynecology Donna Shoupe, 2024-01-07 This book is a comprehensive, up-to-date reference on general and subspecialty gynecology. Covering all aspects of gynecology commonly encountered in day-to-day practice, this exhaustive and fully updated new edition provides a practical, one-stop reference work for clinicians working in the field. This carefully-designed volume includes ten sections, beginning with comprehensive coverage of office-based gynecology, and continuing on to present disease processes and management information by patient age group. Each chapter includes background information, current recommendations for screening, diagnostic criteria, common and uncommon associated problems, approach to diagnosis, summary of treatment options, and an overview of ICD-10 codes for specific diagnoses. Importantly, many areas that are covered in the handbook as subspecialty problems are pertinent and important information to many of the general practitioners who handle and develop some expertise in these areas. These include ovulation induction, medical management of incontinence, management of abnormal Pap smears, and work-up of abnormal bleeding. The handbook concludes with an easy-to-navigate presentation of minimally-invasive operations, surgical procedures, neoplasms, and pathology. Advantages and risks associated with management of particular diseases are covered, along with multiple tips for avoiding complications. This second edition is fully updated. With extensive updates on cervical cancer screening, pelvic organ prolapse, and more, many chapters will be completely rewritten to reflect the latest guidelines, procedures, and methods of care in women’s health. The text additionally includes two new chapters, covering the impact of COVID on gynecology care, and the work-up and surgical management of chronic pelvic pain. This is an ideal guide for practicing gynecologists, family and internal medicine physicians, physician assistants, nurse practitioners, fellows, residents, medical students, and all women’s health care providers. |
| after pelvic exam bleeding: Comprehensive Gynecology Gretchen M. Lentz, David M. Gershenson, 2012-01-01 In the 25 years since the first edition of Comprehensive Gynecology, many scientific advances have occurred in medical practice. The first four editions were largely the work of the original four editors: Drs. William Droegemueller, Arthur L. Herbst, Daniel R. Mishell, Jr., and Morton A. Stenchever...With the staggering volume of medical literature published and the complexities of the gynecologic subspecialties, we have collaborated with additional experts for the sixth edition. We've examined disease and added a new chapter on the interaction of medical diseases and female physiology. We've investigated discord with new authors to completely rewrite the emotional and psychological issues in gynecology and the legal issues for obstetrician-gynecologists. Other chapters have delved into the controversies in breast cancer screening, vitamin D use, the ongoing debates in hormone therapy, and vaginal mesh use for pelvic organ prolapse surgery. (from Preface -- MD Consult, viewed April 9, 2012) |
| after pelvic exam bleeding: Colposcopy and Programme Management David Luesley, Simon Leeson, NHS Cervical Screening Programme, 2010 |
| after pelvic exam bleeding: Vaginal Hysterectomy Shirish S Sheth, John Studd, 2001-11-08 In recent years advances in laparoscopic technologies have led to renewed interest in the vaginal approach to hysterectomy, which has many proven benefits for patients. This volume, dedicated to explaining and promoting the vaginal route of hysterectomy, is written and edited by an international team of experts and provides a much-needed source of up-to-date information and instruction. Importantly, the authors caution that laparoscopic technology can provide a valuable source of assistance for the gynaecological surgeon in certain circumstances, though only in a percentage of cases. This book, beautifully illustrated with line drawings and full-colour photographs, contains step-by-step surgical techniques, enabling the surgeon to gain confidence and experience so that gradually more challenging operations can be managed successfully via the vaginal route. Acknowledged authorities from around the world take the reader through the indications and contra-indications for the vaginal approach, explain crucial preoperative assessment procedures, and offer an evidence-based elucidation of the 'why', 'when' and 'how' of vaginal hysterectomy. Specific topics considered here include: the nulliparous patient, uterine fiboids, debulking, the use of gonadtrophin-releasing hormone agonists, oophorectomy and prophylactic oophorectomy, adnexectomy for adnexal pathology, genital prolapse, the place of sacrospinous colpopexy, urethral sphincter incompetence, hormone replacement therapy, and the psychological and sexual outcomes of hysterectomy. In addition, the authors set forth the arguments for and against vaginal hysterectomy, abdominal hysterectomy, laparoscopic assistance, and transcervical resection of the endometrium. Combined with a full review of the potential complications, morbidity and mortality associated with the vaginal approach, this book provides the reader with a well-balanced, thorough and considered appraisal of vaginal hysterectomy. As the incidence of hysterectomy worldwide continues to rise, Vaginal Hysterectomy will be an indespensable reference for practising gynaecologists, surgeons, consultants and postgraduates. |
| after pelvic exam bleeding: Pelvic Ring Fractures Axel Gänsslen, Jan Lindahl, Stephan Grechenig, Bernd Füchtmeier, 2020-11-25 This book provides in-depth coverage of all aspects of pelvic ring fractures and their management. The opening chapters supply essential information on surgical anatomy, biomechanics, classification, clinical evaluation, radiological diagnostics, and emergency and acute management. The various operative techniques, including navigation techniques, that have been established and standardized over the past two decades are then presented in a step-by-step approach. Readers will find guidance on surgical indications, choice of approaches, reduction and fixation strategies, complication management, and optimization of long-term results. Specific treatment concepts are described for age-specific fractures, including pediatric and geriatric injuries, and secondary reconstructions. Pelvic ring fractures represent challenging injuries, especially when they present with concomitant hemodynamic instability. This book will help trauma and orthopaedic surgeons at all levels of experience to achieve the primary treatment aim of anatomic restoration of the bony pelvis to preserve biomechanical stability and avoid malunion with resulting clinical impairments. |
| after pelvic exam bleeding: The Immortal Life of Henrietta Lacks Rebecca Skloot, 2010-02-02 #1 NEW YORK TIMES BESTSELLER • “The story of modern medicine and bioethics—and, indeed, race relations—is refracted beautifully, and movingly.”—Entertainment Weekly NOW A MAJOR MOTION PICTURE FROM HBO® STARRING OPRAH WINFREY AND ROSE BYRNE • ONE OF THE “MOST INFLUENTIAL” (CNN), “DEFINING” (LITHUB), AND “BEST” (THE PHILADELPHIA INQUIRER) BOOKS OF THE DECADE • ONE OF ESSENCE’S 50 MOST IMPACTFUL BLACK BOOKS OF THE PAST 50 YEARS • WINNER OF THE CHICAGO TRIBUNE HEARTLAND PRIZE FOR NONFICTION NAMED ONE OF THE BEST BOOKS OF THE YEAR BY The New York Times Book Review • Entertainment Weekly • O: The Oprah Magazine • NPR • Financial Times • New York • Independent (U.K.) • Times (U.K.) • Publishers Weekly • Library Journal • Kirkus Reviews • Booklist • Globe and Mail Her name was Henrietta Lacks, but scientists know her as HeLa. She was a poor Southern tobacco farmer who worked the same land as her slave ancestors, yet her cells—taken without her knowledge—became one of the most important tools in medicine: The first “immortal” human cells grown in culture, which are still alive today, though she has been dead for more than sixty years. HeLa cells were vital for developing the polio vaccine; uncovered secrets of cancer, viruses, and the atom bomb’s effects; helped lead to important advances like in vitro fertilization, cloning, and gene mapping; and have been bought and sold by the billions. Yet Henrietta Lacks remains virtually unknown, buried in an unmarked grave. Henrietta’s family did not learn of her “immortality” until more than twenty years after her death, when scientists investigating HeLa began using her husband and children in research without informed consent. And though the cells had launched a multimillion-dollar industry that sells human biological materials, her family never saw any of the profits. As Rebecca Skloot so brilliantly shows, the story of the Lacks family—past and present—is inextricably connected to the dark history of experimentation on African Americans, the birth of bioethics, and the legal battles over whether we control the stuff we are made of. Over the decade it took to uncover this story, Rebecca became enmeshed in the lives of the Lacks family—especially Henrietta’s daughter Deborah. Deborah was consumed with questions: Had scientists cloned her mother? Had they killed her to harvest her cells? And if her mother was so important to medicine, why couldn’t her children afford health insurance? Intimate in feeling, astonishing in scope, and impossible to put down, The Immortal Life of Henrietta Lacks captures the beauty and drama of scientific discovery, as well as its human consequences. |
| after pelvic exam bleeding: Diagnostic Gynecologic and Obstetric Pathology E-Book Christopher P. Crum, Kenneth R. Lee, Marisa R. Nucci, Scott R. Granter, Brooke E. Howitt, Mana M. Parast, Theonia Boyd, William A Peters III, 2017-10-13 Comprehensive and practice-oriented, the fully updated 3rd Edition of this easy-to-use text covers the full range of obstetric and gynecologic pathology, including information on treatment and patient management. Written largely by the pathology and clinical faculty at Harvard's Brigham and Women's Hospital, it covers the most up-to-date information available in the field, including molecular genetics and diagnostics. Drs. Christopher P. Crum and Marisa R. Nucci are joined by new editors Scott R. Granter, Brooke E. Howitt, Mana M. Parast, and Theonia K. Boyd, to provide complete, beautifully illustrated coverage of both neoplastic and non-neoplastic disorders of the female genital system, ideal for improving pathological diagnosis. - Provides distinct diagnostic/differential diagnostic criteria for any potential obstetric/gynecologic specimen encountered in practice. - Features more than 2,250 full-color images, key points at the end of each chapter, and an appendix with commonly used ICD-10 codes - Covers topics not often found in gynecologic pathology textbooks, such as vulvodynia, and diseases of the anus. - Approaches topics from a practice-oriented point of view, beginning with clinical presentation and progressing through histopathology, differential diagnosis, and treatment for each disorder. - Emphasizes new practice issues and their biologic basis including approaches to vulvar, cervical and endometrial precursors as well as the underpinnings of cervical, endometrial and ovarian cancer. - A comprehensive look at mesenchymal neoplasia, including not only lower genital tract and uterus but also the retroperitoneum. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices. |
| after pelvic exam bleeding: Cancer Nursing Connie Yarbro, Debra Wujcik, Barbara Holmes Gobel, 2011 A new and revised version of this best-selling reference! For over eighteen years, best-selling Cancer Nursing: Principles and Practice has provided oncology nurses with the latest information on new trends in the rapidly changing science of oncology. Now, in its Seventh Edition, Cancer Nursing has been completely revised and updated to reflect key new developments. New topics covered include targeted therapy, hypersensitivity reactions, mucositis, and family and caregiver issues. With 27 new chapters featuring insights from key authors, the Seventh Edition is a must-have resource for every oncology nurse. |
| after pelvic exam bleeding: The Rational Clinical Examination: Evidence-Based Clinical Diagnosis David L. Simel, Drummond Rennie, 2008-04-30 The ultimate guide to the evidence-based clinical encounter This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency.--Annals of Internal Medicine The evidence-based examination techniques put forth by Rational Clinical Examination is the sort that can be brought to bear on a daily basis – to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination.--Baylor University Medical Center (BUMC)Proceedings 5 STAR DOODY'S REVIEW! Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data. This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth. This extraordinary, one-of-a-kind book is a valuable addition to every medical library.--Doody's Review Service Completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you'll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you'll turn to again and again. Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without. FEATURES Packed with updated, new, and previously unpublished information from the original JAMA articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important; Research and Statistical Methods Used to Find the Evidence Presented; The Sensitivity and Specificity of Each Key Result; Resolution of the Case Presentation; and the Clinical Bottom Line Completely updated with all-new literature searches and appraisals supplementing each chapter Full-color format with dynamic clinical illustrations and images Real-world focus on a specific clinical question in each chapter, reflecting the way clinicians approach the practice of evidence-based medicine More than 50 complete chapters on common and challenging clinical questions and patient presentations Also available: JAMAevidence.com, a new interactive database for the best practice of evidence based medicine |
| after pelvic exam bleeding: Non-tubal Ectopic Pregnancy Julio Elito Jr., 2020-03-25 Non-Tubal Ectopic Pregnancy is a comprehensive book, written in an organized and concise format. The book offers an immersion into non-tubal ectopic pregnancy and the reader is invited, chapter after chapter, to visit the most important aspects of non-tubal ectopic pregnancies. The book covers all aspects of non-tubal ectopic pregnancies including epidemiology, diagnosis, and management. Experts from all over the world have contributed to it, bringing the best from their research.The book presents the reader with the latest advances on non-tubal ectopic pregnancies. |
| after pelvic exam bleeding: Advanced Health Assessment of Women, Second Edition Helen A. Carcio, MS, MEd, ANP-BC, R. Mimi Secor, DNP, FNP-BC, NCMP, FAANP, FAAN, 2010-01-25 This manual-style reference presents the clinical skills needed to assess health and provide care to women of all of ages, with systematic reviews of all aspects of female mental and bodily health. The authors and contributors comprehensively cover female reproduction, anatomy, and physiology as examined at the cellular level. Also discussed are developmental, psychological, and sociocultural dimensions of women. Offering an integrated approach to women's health care, the authors delineate the roles and functions of various health care providers serving female patients, including physician's assistants, nurse midwives, and nurse practitioners. The chapters present assessment strategies that are on the leading edge of the expanded role of the advanced practice clinician. The chapter authors provide full, in-depth discussions of each assessment skill and technique as well as an understanding of the rationale behind each assessment. Key Topics Discussed: Health assessment: physical examinations, assessment of pregnant women, and assessment and clinical evaluation of obesity in women Female Reproduction: anatomy, physiology, and the reproductive cycle Contraceptive devices: the diaphragm, intrauterine contraception, and contraceptive implants Assessment of women at risk: domestic violence, STIs, and sexual assault Assessment of the infertile woman: initial evaluations, donor insemination, and more |
| after pelvic exam bleeding: Preparing for an Endometrial Biopsy Lorene M. Kimzey, 1989 |
| after pelvic exam bleeding: Comprehensive Cervical Cancer Control World Health Organization, 2006 Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care. |
| after pelvic exam bleeding: A Practical Manual on Visual Screening for Cervical Neoplasia R. Sankaranarayanan, Ramani S. Wesley, International Agency for Research on Cancer, 2003 Cervical cancer is the second most common cancer among women worldwide. This book serves as a concise teaching manual on visual inspection with acetic acid (VIA) and with Lugol's iodine to train health personnel, especially in developing countries, with the aim to detect this disease in the early pre-invasive phase and save women's lives. These two simple low-technology screening tests based on the ability of the trained health-care personnel to detect acetowhite areas, or yellow non-iodine uptake areas, in the cervical transformation zone are being evaluated as potential alternatives to cervical cytology. |
| after pelvic exam bleeding: Fischbach's A Manual of Laboratory and Diagnostic Tests Frances Fischbach, Margaret Fischbach, Kate Stout, 2021-09-01 Up to date and easy to navigate, Fischbach’s A Manual of Laboratory and Diagnostic Tests, 11th Edition, details an extensive array of laboratory and diagnostic tests to prepare nurses and health professionals to deliver safe, effective, informed patient care. This proven manual is organized the way nurses think — by specimen, function, and test type— and provides current, comprehensive, step-by-step guidance on correct procedures, tips for accurate interpretation, and expert information on patient preparation and aftercare. |
| after pelvic exam bleeding: EndoMEtriosis Tamer Seckin, MD, 2020-03-17 From the award-winning Dr. Tamer Seckin comes a book written for all of the Endo Warriors out there, from the thirteen-year-old girl who is being told that her pain is “part of becoming a women,” to the woman who has been misdiagnosed for decades—and needs to know she is not alone. Every girl has the right to be pain-free. To live the life they want to live. The journey toward new and happy lives for young women begins now! Endometriosis is a physically and mentally debilitating disease that has tortured women for centuries. It currently affects 176 million of childbearing age worldwide, including one in ten in the U.S. Despite those startling statistics, this horrific and incurable ailment is still relatively unknown to the general population and medical professionals alike. Symptoms of heavy periods and excruciating pain most often begin in middle school or high school, yet doctors take an average of twelve years to diagnose it in a patient. As a result, these undiagnosed and misdiagnosed women suffer into at least their mid-twenties or early thirties, repeatedly told that the pain is in their minds, that it’s simply part of becoming a woman, or that it’s caused by some other disease or condition. That nonsense must stop, and it must stop now! This book will explain what endo is in terms that adolescents can understand, along with potential remedies, treatments to avoid, and how to manage the psychological and social effects of the disease. It will also include riveting stories from women in their teens and mid-twenties, and from those closest to them such as mothers, fathers, teachers, and coaches. One of the most terrifying aspects of having endo is feeling like nobody believes the pain is real or severe, which can cause a woman to feel scared, isolated, and depressed. This book will fully arm her with the truth and knowledge about the disease so that she can overcome her fears and confidently advocate for herself. If her cry for help has been dismissed by anyone, she will be able to educate them so that they can empathize with her and fully support her in her quest for healing. |
| after pelvic exam bleeding: Gynaecological Examinations , 2002 |
| after pelvic exam bleeding: Office Hysteroscopy Keith B. Isaacson, 1996 This text offers 'how to' information on the use of the hysteroscope in an office setting. Provides guidelines for the selection of the proper equipment, when to use the procedure, nursing requirements and how instruments are sterilized. Covers the technique for diagnostic hysteroscopy step by step, as well as normal and pathologic findings associated with hysteroscopy. Simpler procedures such as IUD removal or endometrial biopsy are also covered. Includes management of complications, falloposcopy and the future of hysteroscopy. |
| after pelvic exam bleeding: Pathology of the Female Genital Tract A. Blaustein, 2013-11-11 The response to the First Edition of this text confirmed our belief that there was a need for a book of this kind. The multi-authored approach has been retained, ensuring that authoritative, current information is incorporated into each chapter and that references are up-to-date. The section on diseases of the vagina has been enhanced by a greater emphasis on the clinical aspects. The chapter on DES induced lesions has been updated with the data of the DeSAD study and the section on adenocar cinoma of the cervix has been enlarged by the description of the undifferenti ated lesions including glassy cell and signet cell carcinoma. A departure from the traditional chapter approach has been made in the discussion of endometrial hyperplasia and carcinoma in order to present a conceptual view of these diseases. A similar presentation of diseases of the myometrium has been made. The subjects of lymphomas and mesenchymal tumors of the ovary have been enlarged upon and presented in a separate chapter. Fine needle aspiration in the diagnosis of ovarian tumors and of non malignant disorders of the ovary has become an increasingly useful technique. Two new chapters have been added to cover this subject. Many of the changes made in the second edition were in response to reviewers of the First Edition. It is hoped that their constructive suggestions have been addressed. Ancel Blaustein, M.D. |
| after pelvic exam bleeding: Public Privates Terri Kapsalis, 1997 The quintessential examination of women, gynecology is not simply the study of women's bodies, but also serves to define and constitute them. From J. Marion Sims's surgical experiments on unanesthetized slave women in the mid-19th century to the use of cadavers and prostitutes to teach medical students gynecological techniques, Kapsalis focuses on the ways in which women and their bodies have been treated by the medical establishment. 34 photos. |
| after pelvic exam bleeding: Atlas of Uncommon Pain Syndromes E-Book Steven D. Waldman, 2019-09-19 Covering the many relatively uncommon pain conditions that are often misdiagnosed, this one-of-a-kind visual resource clearly presents the extensive knowledge and experience of world-renowned pain expert Steven D. Waldman, MD, JD. Atlas of Uncommon Pain Syndromes, 4th Edition, first and foremost helps you make a correct diagnosis – a critical step in managing patients in chronic pain. Hundreds of high-quality illustrations, as well as x-rays, ultrasound, CTs, and MRIs, help you confirm your diagnoses with confidence. - Offers head-to-toe coverage – 135 conditions in all – providing concise, easy-to-read chapters for each condition. Dr. Waldman's practical guidance is designed to help you make the correct diagnosis of uncommon pain syndromes, even the signs and symptoms don't quite fit. - Explains each pain syndrome using a consistent, easy-to-follow format: an ICD-10 CM code for billing purposes, followed by a brief description of the signs and symptoms, laboratory and radiographic testing, differential diagnosis, available treatment options, and clinical pearls. - Features updated chapters throughout, as well as 12 new chapters covering Hemicrania Continua, Acute Calcific Prevertebral Tendinitis, Sternohyoid Syndrome Snapping Scapula Syndrome, Erythromelagia, Foix-Alajouanine Syndrome, Lumbar Paraspinous Muscle Compartment Syndrome, Clunealgia, Nutcracker Syndrome, Paroxysmal Extreme Pain Disorder, Iliopsoas Tendon Rupture, and Snapping Pes Anserinus Syndrome - Provides practitioners and trainees in pain medicine, anesthesiology, neurology, psychiatry, physical medicine and rehabilitation, primary care, and more with a firm foundation in the diagnosis of uncommon pain in daily practice. |
| after pelvic exam bleeding: MDCT Mannudeep K. Kalra, Sanjay Saini, Geoffrey D. Rubin, 2009-11-16 MDCT: From Protocols to Practice tackles contemporary and topical issues in MDCT technology and applications. As an updated edition of MDCT: A Practical Approach, this volume offers new content as well as revised chapters from the previous volume. New chapters discuss important topics such as imaging of children and obese subjects, the use of contrast medium in pregnant women, coronary MDCT angiography, and PET/CT in abdominal and pelvic malignancies. Furthermore an Appendix with over 50 updated MDCT scanning protocols completes this publication. The book emphasizes the practical aspects of MDCT, making it an invaluable source of information for radiologists, residents, medical physicists, and radiology technologists in everyday clinical practice. |
| after pelvic exam bleeding: Berek & Novak's Gynecology Jonathan S. Berek, 2019-03-19 Covering the entire spectrum of women’s healthcare , Berek & Novak’s Gynecology, 16th Edition, provides definitive information and guidance for trainees and practicing physicians. A newly streamlined design and brilliant, full-color illustrations highlight must-know content on principles of practice and initial assessment, including relevant basic science; preventive and primary care for women; and methods of diagnosis and management in general gynecology, operative gynecology, urogynecology and pelvic reconstructive surgery, early pregnancy issues, reproductive endocrinology, and gynecologic oncology. |
| after pelvic exam bleeding: Female Urology Shlomo Raz, 1996 The 2nd Edition of this essential text covers all aspects of female urology. Includes chapters on the anatomy of continence and pelvic support, retrocele repair, enterocele repair, hysterectomy, perineal repair, vaginal vault prolapse, sacrospinalis fixation, and continent pouches. Other material focuses on the treatment of urinary incontinence using functional electrical stimulation, needle urethral-vesicle suspension procedures, retropubic operative procedures for stress urinary incontinence, surgical treatment of detrusor hyperreflexia, gynecologic injuries to the ureter, bladder, and urethra, and vaginal flap technique. |
| after pelvic exam bleeding: Pediatric and Adolescent Gynecology S. Jean Herriot Emans, Marc R. Laufer, Donald Peter Goldstein, 2005 The #1 clinical reference on pediatric and adolescent gynecology is now in its updated Fifth Edition. Written by experts from The Children's Hospital in Boston and other leading medical centers, this handbook presents contemporary approaches to diagnosis and medical and surgical management of gynecologic problems in infants, children and adolescents. This edition features cutting-edge information on urology and complementary and alternative medicine and expanded coverage of surgical techniques for correcting structural abnormalities of the reproductive tract. More than 400 illustrations—including 8 pages of full-color plates—complement the text. The book also includes outstanding algorithms and tables and abundant case examples. |
| after pelvic exam bleeding: Comprehensive Gynecology Vern L. Katz, 2007 Formerly edited by Drs. Droegemueller, Stenchever, Mishell & Herbst - this trusted and tested reference provides complete, timely, and easy access to vital information on the medical and surgical issues affecting today's daily gynecology practice. Featuring the fresh perspectives of four new editors, along with new contributors, the text offers practical, in-depth coverage...helpful illustrations - many new to this edition...and clinically oriented guidance...page after page! Plus, access the complete contents online, fully searchable at www.compgyn.com - so you can find quick answers from an location. Access state-of-the-art guidance on the latest minimally invasive surgical techniques...the newest applications in diagnostic and interventional ultrasound...and many other essential aspects of today's practice. Access fresh practice perspectives from four new editors and new contributors. Effectively handle the emotional aspects of the specialty with unique new chapters covering rape * incest * and domestic violence, among others. Diagnose conditions accurately with the visual aid of nearly 1,000 illustrations - including more than 100 new full-color photos. Quickly find the information you need with user-friendly features including key terms, key points, and the use of color throughout. Exponentially boost your clinical reference power with access to the complete contents online - fully searchable - as well as all of the illustrations for use in electronic presentations. Visit www.compgyn.com for details. Presents the work of four new associate editors and many new contributors who offer fresh practice perspectives. Includes unique new chapters covering rape . incest . domestic violence . and other highly emotional aspects of the specialty. Features more than 100 new full-color photos that help you identify lesions and interpret pathologic findings. Provides expanded material on menopause, reflecting the ever-increasing aging patient population. |
| after pelvic exam bleeding: Essentials of Obstetrics and Gynecology Neville F. Hacker, J. George Moore, Joseph C. Gambone, 2004 This popular resource continues to offer step-by-step guidance on how to evaluate, diagnose, and manage a wide range of obstetric and gynecologic disorders. The 4th Edition of this bestseller has been completely revised and reorganized to present a more up-to-date approach to the field, with less emphasis on traditional hospital-based practice. It uses the APGO/CREOG curriculum objectives as a framework, with a special emphasis on women's health issues. A new, full-color design with many illustrations and photographs complements the text. Plus, a free downloadable PDA software program provides a complete guide to the most common disorders. The smart way to study! Elsevier titles STUDENT CONSULT will help you master difficult concepts and study more efficiently in print and online! Perform rapid searches. Integrate bonus content from other disciplines. Download text to your handheld device. And a lot more. Each STUDENT CONSULT title comes with full text online, a unique image library, case studies, USMLE style questions, and online note-taking to enhance your learning experience. Provides a strong clinical orientation. Focuses on the Ob/Gyn clerkship. Your purchase of this book entitles you to access www.studentconsult.com at no extra charge. This innovative web site offers you... Access to the complete text and illustrations of this book. Integration links to bonus content in other STUDENT CONSULT titles. Content clipping for your handheld. An interactive community center with a wealth of additional resources. The more STUDENT CONSULT titles you buy, the more resources you can access online! Look for the STUDENT CONSULT logo on your favorite Elsevier textbooks! Places a greater focus on women's health issues. Uses APGO/CREOG objectives as the framework for the text. Features a new full-color text design, with many color photographs and illustrations. Comes with a free, downloadable PDA software program that designed to serve as a point of care handbook. |
| after pelvic exam bleeding: Run Well Juliet McGrattan, 2021-05-18 Run Well answers the common health questions that every runner asks. With practical advice on topics from head to toe, for anyone who runs regardless of gender, fitness level, or training program |
| after pelvic exam bleeding: The Laws of Niddah Binyomin Forst, 1997 Rabbi Forst's previous works have established him as a halachic expositor of the first order. Now he turns to a topic that is at the very basis of the Jewish family and nation. Exhaustive yet clear, detailed yet easy to follow, this book belongs in every Jewish home. In addition to the vital and basic halachos, this volume deals with modern medical procedures and how they affect the halachic status of the patient. |
| after pelvic exam bleeding: Intraepithelial Neoplasia of the Lower Genital Tract David Luesley, Joe Jordan, Ralph M. Richart, 1995 This text on intraepithelial neoplasia of the lower genital tract covers topics which include the normal anatomy and histology of the cervix, vagina and vulva; pathology of cervical neoplasia; vulvar intraepithelial neoplasia; and costs and benefits of cervical screening. |
| after pelvic exam bleeding: Disorders of Hemostasis Charles Douglas Forbes, 1996 This clinical reference provides current and comprehensive material on hemostatic disorders. It covers normal mechanisms of hemostasis, primary disorders of hemostasis, and hemostatic disorders associated with other conditions. Specific chapters address such topics as circulating inhibitors, fibrinolytic bleeding disorders, genetic disorders of blood coagulation, drug-induced disorders of coagulation, psychogenic bleeding, and much more. |
| after pelvic exam bleeding: The Essential Guide to Hysterectomy Lauren F. Streicher, 2004 In a clear, conversational language, Dr. Streicher discusses everything a woman needs to know to make informed choices about having a hysterectomy, including: emotions and sex after surgery, hormone replacement and much more. |
After (film series) - Wikipedia
The After film series consists of American romantic dramas based on the Anna Todd-authored After novels. The plot centers around the positive and negative experiences of a romantic …
After (2019) - IMDb
Apr 12, 2019 · After: Directed by Jenny Gage. With Josephine Langford, Hero Fiennes Tiffin, Khadijha Red Thunder, Dylan Arnold. A young woman falls for a guy with a dark secret and …
After Movies in Order: How to Watch Chronologically and by ...
Nov 6, 2023 · Based on the best-selling novel by Anna Todd, the After film series follows the studious and innocent Tessa Young (Josephine Langford) and the dangerously rebellious...
After streaming: where to watch movie online? - JustWatch
Currently you are able to watch "After" streaming on Netflix, FilmBox+, Netflix Standard with Ads. It is also possible to buy "After" on Apple TV, Fandango At Home, Amazon Video as download …
After Movies in Order Chronologically and by Release Date
Aug 21, 2023 · The After series is long, and they each have very similar names, but don't worry, this guide will help you get things in order.
Watch After | Netflix Official Site
Wholesome college freshman Tessa Young thinks she knows what she wants out of life, until she crosses paths with complicated bad boy Hardin Scott. Watch trailers & learn more.
Where to Watch After (2019) - Moviefone
Stream 'After (2019)' and watch online. Discover streaming options, rental services, and purchase links for this movie on Moviefone. Watch at home and immerse yourself in this movie's story...
After: Next Generation 2025 Gets Official Announcement | The ...
Oct 28, 2024 · After fans have reason to be excited after a sequel to the popular YA movie franchise was confirmed. The After movies are based on Anna Todd's novels which chronicle …
The Correct Order To Watch The After Movies - /Film
Oct 24, 2024 · Here's the correct order, title by title. The "After" film franchise centers around star-crossed lovers Tessa Young and Hardin Scott — played by Josephine Langford ("Moxie") and …
After (Film) | After Wiki | Fandom
Based on Anna Todd ’s best-selling novel which became a publishing sensation on social storytelling platform Wattpad, AFTER follows Tessa Young (Langford), a dedicated student, …
After (film series) - Wikipedia
The After film series consists of American romantic dramas based on the Anna Todd-authored After novels. The plot centers around the positive and negative experiences of a romantic …
After (2019) - IMDb
Apr 12, 2019 · After: Directed by Jenny Gage. With Josephine Langford, Hero Fiennes Tiffin, Khadijha Red Thunder, Dylan Arnold. A young woman falls for a guy with a dark secret and the …
After Movies in Order: How to Watch Chronologically and by ...
Nov 6, 2023 · Based on the best-selling novel by Anna Todd, the After film series follows the studious and innocent Tessa Young (Josephine Langford) and the dangerously rebellious...
After streaming: where to watch movie online? - JustWatch
Currently you are able to watch "After" streaming on Netflix, FilmBox+, Netflix Standard with Ads. It is also possible to buy "After" on Apple TV, Fandango At Home, Amazon Video as download …
After Movies in Order Chronologically and by Release Date
Aug 21, 2023 · The After series is long, and they each have very similar names, but don't worry, this guide will help you get things in order.
Watch After | Netflix Official Site
Wholesome college freshman Tessa Young thinks she knows what she wants out of life, until she crosses paths with complicated bad boy Hardin Scott. Watch trailers & learn more.
Where to Watch After (2019) - Moviefone
Stream 'After (2019)' and watch online. Discover streaming options, rental services, and purchase links for this movie on Moviefone. Watch at home and immerse yourself in this movie's story...
After: Next Generation 2025 Gets Official Announcement | The ...
Oct 28, 2024 · After fans have reason to be excited after a sequel to the popular YA movie franchise was confirmed. The After movies are based on Anna Todd's novels which chronicle …
The Correct Order To Watch The After Movies - /Film
Oct 24, 2024 · Here's the correct order, title by title. The "After" film franchise centers around star-crossed lovers Tessa Young and Hardin Scott — played by Josephine Langford ("Moxie") and …
After (Film) | After Wiki | Fandom
Based on Anna Todd ’s best-selling novel which became a publishing sensation on social storytelling platform Wattpad, AFTER follows Tessa Young (Langford), a dedicated student, …
