• Detailed contents; Preface; Acknowledgements; About the authors; AbbreviationsChapter 1 Female anatomy and physiology1.1 Female anatomy1.2 Hormones1.3 Folliculogenesis1.4 The menstrual cycle1.5 Puberty1.6 Menopause1.7 Further readingChapter 2 Menstrual disorders2.1 Introduction 2.2 Normal menstruation 2.3 Heavy menstrual bleeding and other menstrual disorders2.4 Non-menstrual bleeding 2.5 How to delay a period2.6 Amenorrhoea2.7 Endometriosis and adenomyosis2.8 Fibroids 2.9 Polycystic ovary syndrome 2.10 Conclusion 2.11 Further readingChapter 3 Contraception3.1 Introduction3.2 The contraceptive consultation3.3 Progestogen choice in contraception 3.4 Combined hormonal contraception 3.5 Progestogen-only pills 3.6 Injectable contraception 3.7 Contraceptive implant 3.8 Intrauterine contraception 3.9 Barrier methods 3.10 Fertility awareness3.11 Male and female sterilisation 3.12 Emergency contraception 3.13 Further readingChapter 4 Sexual health4.1 Introduction 4.2 How to talk with patients about sex4.3 Supporting sexual wellbeing in our patients 4.4 What is sexual health?4.5 Barriers to care and intersectionality4.6 Providing trauma-informed care4.7 Vaginal discharge4.8 Vulvovaginal candidiasis 4.9 Bacterial vaginosis 4.10 Sexually transmitted infections4.11 Chlamydia4.12 Gonorrhoea4.13 Syphilis4.14 Herpes simplex virus4.15 Anogenital warts4.16 Human immunodeficiency virus4.17 Trichomoniasis4.18 Mpox4.19 Urogenital commensals4.20 Further readingChapter 5 Pregnancy and fertility5.1 Introduction 5.2 Antenatal checks5.3 Birth to the six weeks postnatal appointment 5.4 Postnatal check5.5 Miscarriage5.6 Nausea and vomiting in pregnancy 5.7 Hypertension in pregnancy and postnatal hypertension5.8 Gestational diabetes5.9 Anaemia in pregnancy5.10 Perinatal mental health 5.11 Abortion care5.12 Impact on sexual function5.13 How to take a fertility history5.14 Infertility5.15 Conclusion 5.16 Further readingChapter 6 Menopause6.1 Menopause definitions 6.2 Symptoms of perimenopause and menopause6.3 Diagnosis of perimenopause and menopause6.4 Patient assessment 6.5 Future health discussion6.6 Management options for perimenopause and menopause6.7 Genitourinary syndrome of the menopause6.8 Premature ovarian insufficiency6.9 Induced menopause6.10 Surgical menopause 6.11 Menopause after cancer 6.12 Resources 6.13 Further readingChapter 7 Hormone replacement therapy7.1 HRT summary 7.2 Types of oestrogen and progestogen used in HRT 7.3 Bioidentical HRT 7.4 Systemic HRT 7.5 Hormonal contraception and perimenopause 7.6 Tibolone 7.7 Initiating HRT7.8 Injectable weight-loss drugs, contraception and HRT 7.9 HRT products and doses7.10 Testing oestrogen levels 7.11 Contraindications to HRT 7.12 Managing patients taking HRT7.13 Stopping HRT 7.14 Side-effects of HRT 7.15 Unscheduled bleeding on HRT7.16 Benefits and risks of taking HRT 7.17 Prescribing HRT in certain groups7.18 Sexual desire and testosterone7.19 Referral to a menopause specialist 7.20 Resources for clinicians 7.21 Further readingChapter 8 Female mental health8.1 Introduction to the premenstrual disorders8.2 Perinatal mental health8.3 Hormonal contraception and mood disorders8.4 Neurodiversity in women and girls8.4.1 What is neurodiversity and who is affected?8.5 Eating disorders and body dysmorphic disorder8.6 Further readingChapter 9 Genitourinary issues9.1 Pelvic organ prolapse9.2 Urinary incontinence9.3 Faecal incontinence9.4 Recurrent UTI9.5 Bladder pain syndrome / interstitial cystitis9.6 Sexual pain / penetration disorders9.7 Persistent genital arousal disorder9.8 Further readingChapter 10 Vulval dermatology10.1 Introduction10.2 Prepubertal girls10.3 Girls and women of reproductive age10.4 Postmenopausal women10.5 Practical tips to help manage vulval dermatoses10.6 General care of the vulval skin and self-examination10.7 Red flags and when to refer10.8 Further readingChapter 11 Female cancer and screening11.1 Introduction11.2 Breast cancer and the NHS breast screening programme11.3 Endometrial cancer11.4 Cervical cancer and the NHS cervical cancer screening programme11.5 Ovarian cancer11.6 Vulval cancer11.7 Vaginal cancer 11.8 Support after cancer 11.9 Conclusion11.10 Further readingChapter 12 The breast12.1 The breast12.2 Breast symptoms12.3 Benign breast conditions12.4 Breast cancer12.5 Breast pain12.6 Nipple discharge12.7 Nipple changes12.8 Breastfeeding12.9 Breast imaging12.10 Further readingChapter 13 Legal and safeguarding13.1 Consent13.2 Understanding our safeguarding responsibilities13.3 Sexual assault13.4 Domestic violence13.5 Non-fatal strangulation13.6 Further readingIndex

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• Detailed contents; Preface; Acknowledgements; About the authors; AbbreviationsChapter 1 Female anatomy and physiology1.1 Female anatomy1.2 Hormones1.3 Folliculogenesis1.4 The menstrual cycle1.5 Puberty1.6 Menopause1.7 Further readingChapter 2 Menstrual disorders2.1 Introduction 2.2 Normal menstruation 2.3 Heavy menstrual bleeding and other menstrual disorders2.4 Non-menstrual bleeding 2.5 How to delay a period2.6 Amenorrhoea2.7 Endometriosis and adenomyosis2.8 Fibroids 2.9 Polycystic ovary syndrome 2.10 Conclusion 2.11 Further readingChapter 3 Contraception3.1 Introduction3.2 The contraceptive consultation3.3 Progestogen choice in contraception 3.4 Combined hormonal contraception 3.5 Progestogen-only pills 3.6 Injectable contraception 3.7 Contraceptive implant 3.8 Intrauterine contraception 3.9 Barrier methods 3.10 Fertility awareness3.11 Male and female sterilisation 3.12 Emergency contraception 3.13 Further readingChapter 4 Sexual health4.1 Introduction 4.2 How to talk with patients about sex4.3 Supporting sexual wellbeing in our patients 4.4 What is sexual health?4.5 Barriers to care and intersectionality4.6 Providing trauma-informed care4.7 Vaginal discharge4.8 Vulvovaginal candidiasis 4.9 Bacterial vaginosis 4.10 Sexually transmitted infections4.11 Chlamydia4.12 Gonorrhoea4.13 Syphilis4.14 Herpes simplex virus4.15 Anogenital warts4.16 Human immunodeficiency virus4.17 Trichomoniasis4.18 Mpox4.19 Urogenital commensals4.20 Further readingChapter 5 Pregnancy and fertility5.1 Introduction 5.2 Antenatal checks5.3 Birth to the six weeks postnatal appointment 5.4 Postnatal check5.5 Miscarriage5.6 Nausea and vomiting in pregnancy 5.7 Hypertension in pregnancy and postnatal hypertension5.8 Gestational diabetes5.9 Anaemia in pregnancy5.10 Perinatal mental health 5.11 Abortion care5.12 Impact on sexual function5.13 How to take a fertility history5.14 Infertility5.15 Conclusion 5.16 Further readingChapter 6 Menopause6.1 Menopause definitions 6.2 Symptoms of perimenopause and menopause6.3 Diagnosis of perimenopause and menopause6.4 Patient assessment 6.5 Future health discussion6.6 Management options for perimenopause and menopause6.7 Genitourinary syndrome of the menopause6.8 Premature ovarian insufficiency6.9 Induced menopause6.10 Surgical menopause 6.11 Menopause after cancer 6.12 Resources 6.13 Further readingChapter 7 Hormone replacement therapy7.1 HRT summary 7.2 Types of oestrogen and progestogen used in HRT 7.3 Bioidentical HRT 7.4 Systemic HRT 7.5 Hormonal contraception and perimenopause 7.6 Tibolone 7.7 Initiating HRT7.8 Injectable weight-loss drugs, contraception and HRT 7.9 HRT products and doses7.10 Testing oestrogen levels 7.11 Contraindications to HRT 7.12 Managing patients taking HRT7.13 Stopping HRT 7.14 Side-effects of HRT 7.15 Unscheduled bleeding on HRT7.16 Benefits and risks of taking HRT 7.17 Prescribing HRT in certain groups7.18 Sexual desire and testosterone7.19 Referral to a menopause specialist 7.20 Resources for clinicians 7.21 Further readingChapter 8 Female mental health8.1 Introduction to the premenstrual disorders8.2 Perinatal mental health8.3 Hormonal contraception and mood disorders8.4 Neurodiversity in women and girls8.4.1 What is neurodiversity and who is affected?8.5 Eating disorders and body dysmorphic disorder8.6 Further readingChapter 9 Genitourinary issues9.1 Pelvic organ prolapse9.2 Urinary incontinence9.3 Faecal incontinence9.4 Recurrent UTI9.5 Bladder pain syndrome / interstitial cystitis9.6 Sexual pain / penetration disorders9.7 Persistent genital arousal disorder9.8 Further readingChapter 10 Vulval dermatology10.1 Introduction10.2 Prepubertal girls10.3 Girls and women of reproductive age10.4 Postmenopausal women10.5 Practical tips to help manage vulval dermatoses10.6 General care of the vulval skin and self-examination10.7 Red flags and when to refer10.8 Further readingChapter 11 Female cancer and screening11.1 Introduction11.2 Breast cancer and the NHS breast screening programme11.3 Endometrial cancer11.4 Cervical cancer and the NHS cervical cancer screening programme11.5 Ovarian cancer11.6 Vulval cancer11.7 Vaginal cancer 11.8 Support after cancer 11.9 Conclusion11.10 Further readingChapter 12 The breast12.1 The breast12.2 Breast symptoms12.3 Benign breast conditions12.4 Breast cancer12.5 Breast pain12.6 Nipple discharge12.7 Nipple changes12.8 Breastfeeding12.9 Breast imaging12.10 Further readingChapter 13 Legal and safeguarding13.1 Consent13.2 Understanding our safeguarding responsibilities13.3 Sexual assault13.4 Domestic violence13.5 Non-fatal strangulation13.6 Further readingIndex

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• Detailed contents; Preface; Acknowledgements; About the authors; AbbreviationsChapter 1 Female anatomy and physiology1.1 Female anatomy1.2 Hormones1.3 Folliculogenesis1.4 The menstrual cycle1.5 Puberty1.6 Menopause1.7 Further readingChapter 2 Menstrual disorders2.1 Introduction 2.2 Normal menstruation 2.3 Heavy menstrual bleeding and other menstrual disorders2.4 Non-menstrual bleeding 2.5 How to delay a period2.6 Amenorrhoea2.7 Endometriosis and adenomyosis2.8 Fibroids 2.9 Polycystic ovary syndrome 2.10 Conclusion 2.11 Further readingChapter 3 Contraception3.1 Introduction3.2 The contraceptive consultation3.3 Progestogen choice in contraception 3.4 Combined hormonal contraception 3.5 Progestogen-only pills 3.6 Injectable contraception 3.7 Contraceptive implant 3.8 Intrauterine contraception 3.9 Barrier methods 3.10 Fertility awareness3.11 Male and female sterilisation 3.12 Emergency contraception 3.13 Further readingChapter 4 Sexual health4.1 Introduction 4.2 How to talk with patients about sex4.3 Supporting sexual wellbeing in our patients 4.4 What is sexual health?4.5 Barriers to care and intersectionality4.6 Providing trauma-informed care4.7 Vaginal discharge4.8 Vulvovaginal candidiasis 4.9 Bacterial vaginosis 4.10 Sexually transmitted infections4.11 Chlamydia4.12 Gonorrhoea4.13 Syphilis4.14 Herpes simplex virus4.15 Anogenital warts4.16 Human immunodeficiency virus4.17 Trichomoniasis4.18 Mpox4.19 Urogenital commensals4.20 Further readingChapter 5 Pregnancy and fertility5.1 Introduction 5.2 Antenatal checks5.3 Birth to the six weeks postnatal appointment 5.4 Postnatal check5.5 Miscarriage5.6 Nausea and vomiting in pregnancy 5.7 Hypertension in pregnancy and postnatal hypertension5.8 Gestational diabetes5.9 Anaemia in pregnancy5.10 Perinatal mental health 5.11 Abortion care5.12 Impact on sexual function5.13 How to take a fertility history5.14 Infertility5.15 Conclusion 5.16 Further readingChapter 6 Menopause6.1 Menopause definitions 6.2 Symptoms of perimenopause and menopause6.3 Diagnosis of perimenopause and menopause6.4 Patient assessment 6.5 Future health discussion6.6 Management options for perimenopause and menopause6.7 Genitourinary syndrome of the menopause6.8 Premature ovarian insufficiency6.9 Induced menopause6.10 Surgical menopause 6.11 Menopause after cancer 6.12 Resources 6.13 Further readingChapter 7 Hormone replacement therapy7.1 HRT summary 7.2 Types of oestrogen and progestogen used in HRT 7.3 Bioidentical HRT 7.4 Systemic HRT 7.5 Hormonal contraception and perimenopause 7.6 Tibolone 7.7 Initiating HRT7.8 Injectable weight-loss drugs, contraception and HRT 7.9 HRT products and doses7.10 Testing oestrogen levels 7.11 Contraindications to HRT 7.12 Managing patients taking HRT7.13 Stopping HRT 7.14 Side-effects of HRT 7.15 Unscheduled bleeding on HRT7.16 Benefits and risks of taking HRT 7.17 Prescribing HRT in certain groups7.18 Sexual desire and testosterone7.19 Referral to a menopause specialist 7.20 Resources for clinicians 7.21 Further readingChapter 8 Female mental health8.1 Introduction to the premenstrual disorders8.2 Perinatal mental health8.3 Hormonal contraception and mood disorders8.4 Neurodiversity in women and girls8.4.1 What is neurodiversity and who is affected?8.5 Eating disorders and body dysmorphic disorder8.6 Further readingChapter 9 Genitourinary issues9.1 Pelvic organ prolapse9.2 Urinary incontinence9.3 Faecal incontinence9.4 Recurrent UTI9.5 Bladder pain syndrome / interstitial cystitis9.6 Sexual pain / penetration disorders9.7 Persistent genital arousal disorder9.8 Further readingChapter 10 Vulval dermatology10.1 Introduction10.2 Prepubertal girls10.3 Girls and women of reproductive age10.4 Postmenopausal women10.5 Practical tips to help manage vulval dermatoses10.6 General care of the vulval skin and self-examination10.7 Red flags and when to refer10.8 Further readingChapter 11 Female cancer and screening11.1 Introduction11.2 Breast cancer and the NHS breast screening programme11.3 Endometrial cancer11.4 Cervical cancer and the NHS cervical cancer screening programme11.5 Ovarian cancer11.6 Vulval cancer11.7 Vaginal cancer 11.8 Support after cancer 11.9 Conclusion11.10 Further readingChapter 12 The breast12.1 The breast12.2 Breast symptoms12.3 Benign breast conditions12.4 Breast cancer12.5 Breast pain12.6 Nipple discharge12.7 Nipple changes12.8 Breastfeeding12.9 Breast imaging12.10 Further readingChapter 13 Legal and safeguarding13.1 Consent13.2 Understanding our safeguarding responsibilities13.3 Sexual assault13.4 Domestic violence13.5 Non-fatal strangulation13.6 Further readingIndex

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