Till date hardly any publication on Dysfunctional Uterine Bleeding by Indian Authors was available in India, I appreciate Dr CN Purandare's efforts to cover this topic in depth. I am sure it will be a good reference book for postgraduates and practicing gynaecologists.

Hormonal estimation is also routinely available in most places. Procedures like Sonosalpingography, hysteroscopy, office hysteroscopy have helped tremendously in clinching the diagnosis.

Great strides have been made not only in diagnosis but in treatment also. Conservative management, which a few years ago meant hormonal pills only, has been revolutionised and is here to stay. Hysterectomy is really the last resort. From NSAID, antifibrinolytic agents, IUCDs which release progesterone, there is a wide choice in medical management. Also where conservative treatment is desired, there is option available of methods to destroy the endometrium from TCRE, to balloon ablation to microwave ablation and cryodestruction.

I heartily compliment Dr CN Purandare, editors of this book, in choosing a team of experts to produce such a valuable account of this important common topic in day to day practice.

This book comprehensively covers the subject of DUB from basics to recent advances looked into with great details and in a practical way.

I am sure, it will be a good reference book for the postgraduate students, as well as every practicing Obstetrician and Gynaecologist.

Medical treatment with prostaglandins synthetase inhibitors and most importantly, the fibrinolytic inhibitor tranexamic acid have been shown to be very effective. Progestogens, oral contraceptives, danazol, GnRH analogues as well as hormone releasing intrauterine devices have been effective, if chosen and used appropriately.

The management would differ in pubertal patients, women of child bearing age and women of perimenopausal age. Endometrial resection by transcervical route, microwave ablation, thermal balloon treatment are multiple choices offered today. However, good equipment, skill of the surgeon and meticulous follow-up are necessary, as some of these patients, in the long-term may develop problems and may need hysterectomy.

The approach to hysterectomy would be most often vaginal in cases of DUB unless there are unusual associated problems of previous surgery with anticipated adhesions. Laparoscopically assisted vaginal hysterectomy can replace an abdominal hysterectomy in these cases.

I commend Dr CN Purandare for bringing out this book which is of great interest to practising gynaecologists as well as postgraduates. The contributors are gynaecologists of high caliber and have covered various aspects such as applied physiology, pathophysiology, diagnosis by hysteroscopy and imaging science. Hematological aspects have been covered and work up of cases is explained. The current status of medical management as well as endometrial ablation and minimally invasive surgery and progestogen releasing intrauterine devices are covered. The place of conventional surgery will always remain important as perimenopausal women with DUB are often candidates for vaginal hysterectomy from a long-term point of view. The update is even more complete by including a chapter on Medicolegal Implications and multiple choice questions for the postgraduates.

I am sure, this will be a very useful book of practical importance in our day to day practice.

Performed the First Intrauterine Surgery in India for Posterior Urethral valve obstruction.

Devised an Operation for Cancer Cervix known as Purandare's Modification of Radical Hysterectomy resulting in increased survival rate following Cancer Cervix Surgery.

Presently Honorary Professor and Unit Head, Grant Medical College and JJ Group of Hospitals, Mumbai. Involved actively in teaching undergraduate and postgraduate students in obstetrics and gynaecology. Examiner for MBBS and MD obstetrics and gynecology Mumbai, Pune, Gwalior and Ajmer University.

Examiner for DGO College of Physicians and Surgeons, Mumbai.

Presented over 100 papers at National and International Conferences and published over 50 papers in National and International Journals. Invited Guest speaker at many conferences in India and abroad, Invited to give the prestigious Dr Menon Oration at Obstetrics and Gynecology Society Vishakhapatnam. Editor of Three Postgraduate Obstetrics and Gynaecology Books. Written Chapters in Special subjects in Five Obstetrics and Gynaecology Postgraduate Books. President of Mumbai Obstetrics and Gynaecology Society for Year 2003-04.

Secretary General FOGSI Joint Associate Editor of Indian Obstetrics and Gynaecology Journal of FOGSI. Consultant Obstetrician and Gynaecologist at Bombay Hospital and Medical Research Centre, Mumbai and Honorary Consultant Obstetrics and Gynecology to Mumbai Police. Currently on Governing Council of Yuvak Prathisthan a mother NGO working in the field of HIV/AIDS. Awarded Rashtriya Gaurav Award for Contribution and Excellence in the field of Obstetrics and Gynaecology Year 2002.

After completing her graduation and postgraduation from Grant Medical College, Mumbai, She received training in ART in Australia. She joined the Grant Medical College as a lecturer and thereafter as an associate professor in the department of obstetrics and gynaecology. She has a total of 18 years of undergraduate and postgraduate teaching experience. She is an undergraduate and postgraduate examiner at Bombay University and Maharashtra Health University.

She has been deeply interested in academics and excelled in the field of research. Her special interests are, Infertility and Reproductive Endocrinology. She is the co- editor of the book “Progress in Reproductive Endocrinology”, a FOGSI publication. She has contributed several book chapters for FOGSI publications.

She has been appointed as Joint assistant secretary, Editorial board of Journal of obstetrics and gynecology of India. She is editor of the news letter of AMWI [Association of Medical Women of India]., Mumbai 2002. She is also a member of the editorial board of scientific journal of AMWI. She is actively involved with all the activities of the FOGSI, MOGS and AMWI.

After having elected on the managing council of MOGS, She has been the Chairperson of the MOGS committee on “Menopause” and has won the “Duru Shah Best committee award”2003. She is the active member of FOGSI committees like Reproductive Endocrinology and Safe Motherhood committee.

She has done original research in the field of Infertility, Semenology, Tuberculosis, Amniotic fluid index, and family Planning.

She has several national and international presentations and publications to her credit. She has delivered over 50 invited lectures.

She has won several awards for her excellent scientific research, to mention a few: Kumud Tamaskar Prize, 1999, MOGS Young Scientist Award 2000, C. S. Dawn FOGSI award, Johnson and Johnson MOGS Trophy-2001, Best Paper Prize at international level.

Her original work in infertility was given the best scientific paper prize at World congress on Infertility—Sept 1999. She has been the first to start an IUI lab at government medical college in Mumbai. Her work on Amniotic fluid index gave first reference range of AFI in the Indian population, accepted and published on International Forum.

She has also contributed several articles to lay press for public education. She continues to strive for creating health awareness and spreading knowledge in medical and social spheres.

The definition has undergone modifications in the last decade to encompass the etiological factors of the disease.

Newer drugs and different techniques of surgery are constantly being evolved to conservatively treat DUB patients in order to avoid hysterectomy in the early age group.

We have made a modest effort to compile information on the subject to give an update. The contributors include haematologists, gynaecologists and endocrinologists who have worked extensively in their respective fields and we hope that this book will be a reference book for consultants and students alike.