DC Dutta's Textbook of GYNECOLOGY
DC Dutta's Textbook of GYNECOLOGY
Including Contraception
ONLINE CONTENT FOR THE KERNEL
Suggested Reading
Multiple Choice Questions (MCQs)
Animated Videos
Procedural Videos
Case Presentations
High Yield Topics
DigiNerve Snippets
Ninth Edition
HIRALAL KONAR (HONS; GOLD MEDALIST) MBBS (CAL), MD (PGI), DNB MNAMS, FACS (USA), FRCOG (LONDON)
Professor, Obstetrics and Gynecology Senior Consultant, Ramakrishna Sarada Mission Matri Bhavan, Kolkata, India
Former Professor and Head, Department of Obstetrics and Gynecology Agartala Government Medical College, Tripura; Midnapore Medical College and KPC Medical College and Hospitals West Bengal University of Health Sciences, Kolkata, India
Rotation Registrar in Obstetrics, Gynecology and Oncology Northern and Yorkshire Region, Newcastle-upon-Tyne, UK
Examiner: National-MBBS, DGO, MD and PhD of different Indian Universities National Board of Examinations, New Delhi, India
International-Membership of the Royal College of Obstetricians and Gynecologists, London (MRCOG) and Royal College of Physicians of Ireland (MRCPI)
Chairman, Indian College of Obstetricians and Gynecologists (ICOG–2013)
Vice-President: FOGSI; Indian Society of Perinatology and Reproductive Biology (ISOPARB)
Recipient, “Pride of FOGSI Award” and “FOGSI Achiever Award”, for exemplary works towards upliftment of Women's Health in India
FOGSI Representative to Asia Oceania Federation of Obstetricians and Gynecologists (AOFOG)
Member: Medical Education Committee, South Asian Federation of Obstetricians and Gynecologists (SAFOG)
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© 2024, Copyright reserved by Mrs Madhusri Konar
The views and opinions expressed in this book are solely those of the original contributor(s)/author(s) and do not necessarily represent those of editor(s) and publisher of the book.
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DC Dutta's Textbook of Gynecology
Seventh Edition: 2016
Eighth Edition: 2020
Reprint: 2023
Ninth Edition: 2024
9789356968554
Printed at
The students of gynecology—past and present
Dutta's Textbook of Gynecology has stepped in its ninth edition through its journey over the last 35 years. Concurrent to the progress of science, technology and imaging, Dutta's Gynecology has been accepted as the classic textbook both nationally and internationally. The ninth edition has come out with incorporation of all the advances in the subspecialty of reproductive endocrinology, infertility, urogynecology, oncology, endoscopy, and general gynecology. Consistency and uniformity with updated information in all the chapters are the special features of this book. The doubling time of medical knowledge was estimated to 50 years in 1950, 7 years in 1980, and 3.5 years in 2010. In 2020, it is projected to be 0.2 years (73 days). We strive sincerely to keep it updated with interim revisions.
Dutta's Gynecology stands out for its comprehensive and user-friendly approach, with its easy-to-read format. We have incorporated video content to provide the readers with more visual experience. The presentation of this book with its quality of graphics, design, profuse illustrations (451), high quality photographs (371) and imaging studies (55) are the special attraction. Numerous tables, boxes, flowcharts, and algorithms are there, for ease of study and reproducibility. The key points are at the end of each chapter to provide an outline synopsis of the entire chapter. This is of value for quick and easy revision. The state-of-the-art in the book lies in the presentation which is simple, lucid, clear and concise. Above all, it provides a balanced distillation of evidence-based information upon which a student, trainee resident, a practitioner and a nurse can fully depend.
All the chapters have been exhaustively revised, updated and many of these thoroughly rewritten. Practical gynecology (Chapter 38), contains a total of 112 high quality photographs and plates of imaging studies. Few hundreds of viva questions along with answers and explanations are presented to enable the students to face the clinical and viva-voce part of examination. The total information given in Chapter 38 amounts to a “mini-textbook-cum color atlas” of gynecology.
Considering the vast amount of scientific information and the research, it is practically impossible to limit the subject matter within the few pages of the book. Arrangements have been made through electronic media for the readers who wish to know more. Information regarding the examination situation (theory, viva-voce, multiple choice questions and answers, operation video clips) have been provided through the electronic resources (www.dcdutta.com/www.hiralalkonar.com). Regarding the online content and video section, interested readers keen to know more could reach out at: drroshnip24@gmail.com.
My aim in this book has always been to help the students, residents and clinicians to remain updated with the knowledge that has passed the test of clinical relevance. I do hope this comprehensive textbook will continue to be an immense educational source to readers as ever. The readers will enjoy this edition and learn as much as they can in this ever-evolving field, in order to provide a quality care to women.
According to the author's desire, the book is dedicated “to the students of gynecology: past and present”.
Hiralal Konar
P-13, New CIT Road
Kolkata–700014
Preface to the First Edition
Since my publication of Textbook of Obstetrics about 5 years back, I have been pressed hard by my esteemed colleagues and the students all over the country and abroad to write a Textbook on Gynecology of similar style to fill up the deficit. Initially, I was hesitant to proceed with the stupendous task but considering the fact that a compact, comprehensive and practical-oriented fundamental book in gynecology is not available to the undergraduates, I have decided to comply with their request.
The book has been written in a lucid language in author's own style. Extensive diagrams, photographs, and flowcharts (schemes) have been depicted throughout the text to give clarity of the subject. Due attention has been paid to project the fundamental principles and practice of gynecology. As such, more emphasis has been given on medical gynecology. But for that, indications, limitations, and principles of techniques of operations have received adequate consideration. The book is thus made invaluable not only to the medical students but also the practising physicians and students of nursing.
The author wishes to acknowledge gratitude to his esteemed colleague Dr N Chowdhury, MBBS, DGO, MO (Cal), for his contribution to the topic “Hormone Therapy in Gynecological practice”. Dr Santosh Kr Paul, MBBS, DGO, MO(Cal), Prof, Dept of Obst and Gyne, NRS Medical College, Calcutta, deserves full appreciation for his contribution in a lucid way to the topic “Radiotherapy and Chemotherapy in Gynecology”. The author has much pleasure in expressing grateful thanks to Dr BN Chakravorty, MBBS, DGO, MO (Cal), FRCOG (Eng), and Dr KM Gun, MBBS, DGO, MO (Cal), FRCOG (Eng), FRCS (Edin), FACS (USA), for their valued suggestions as and when required and their contribution of photographs to enrich the text. I gratefully record my thanks to Dr Subir Kumar Dutta, MBBS, DCP, MD (Path & Bact), Prof, Dept of Pathology and Bacteriology, University College of Medicine, Calcutta, for the microphotographs depicted throughout the text. The author records his thanks to Dr SM Dali Prof, Obst and Gyne; Dr Bhola Rijal, Associate Prof, Obst and Gyne of Teaching Hospital, and Dr (Mrs) Dibya S Malia, Director, Maternity Hospital, Kathmandu, Nepal, for their contribution of few outstanding photographs to enrich the text.
The author expresses much pleasure all the time to the House Surgeons, Internees and students of Nilratan Sircar Medical College, Calcutta, for the help they have rendered in preparation of the final drafts of the manuscripts, check up of the proofs and compiling the index. Their help is invaluable and unforgettable and without which the book could never have been published.
The author wishes to thank Mr Biren Das for his exhaustive number of drawings and flowcharts which enrich the lucidity of the book. The author also thanks Mr Ranjit Sen for preparation of photographs (black and white) depicted throughout the text. The author has much pleasure in expressing his appreciation to Mr Bimal Bhattacharya, MSc, LLB (Cal), DSW, DHE, Lecturer, Health Education and Family Welfare, Postpartum Unit, NRS Medical College, Calcutta for the patience shown in dealing with correction of manuscripts and proofs.
In preparing the textbook, the author has utilized the knowledge of number of stalwarts in his profession and consulted many books and publications. The author wishes to express his appreciation and gratitude to all of them including the related authors and publishers.
The author still confesses that as a teacher, he has learnt a lot from the students and more so while writing this book and as such he could not think to dedicate the book to anyone else than the students of gynecology—past and present.
A textbook of this standard could never be completed without the help and advice of many. The author thanks many distinguished persons for their support in updating the book. I have consulted many outstanding teachers in the profession, multitude of eminent authors and many current evidence-based studies. The legacy is gratefully acknowledged. I express my sincere thanks to many of my esteemed colleagues throughout the country and abroad for their valued suggestions and criticisms. I sincerely acknowledge the support of all the students (undergraduates and postgraduates) of different medical institutions in the country for their opinions and criticisms that have helped to enrich this book. As before, I welcome the views of students and teachers who regularly write to me, offering their suggestions and ideas on email: h.kondr@gmail.com.
I sincerely acknowledge the following teachers across the country and abroad for their valuable feedback for Dutta's books. Their comments and suggestions have helped to shape this new edition. I hope I have listed all those who have contributed and apologize if any name has been accidentally omitted.
My sincere thanks are due to Sir Professor Sabaratnam Arulkumaran, Emeritus Professor, St George's University of London, President FIGO (Past); Professor Ranee Thakar, President RCOG; Mr Michael O'Connel, Royal College of Physicians, Dublin; Professor Picklu Chaudhuri, Rampurhat, GMCH, West Bengal; Professor Debdatta Ghosh, RG Kar MCH, Kolkata; Professor Pradip Kr Bannerjee, Shantiniketan Medical College; Professor Amit Dutta, Shantiniketan Medical College; Professor Anup Pradhan, SMIMS, Gangtok; Professor Robin Medhi, FAAMC, Barpeta, Assam; Professor Jhantu Kumar Saha, BMCH, Bardhaman; Professor Malay Sarkar, BMCH, Bardhaman; Professor Dr Begum Hosne Ara, Dhaka MCH, Dhaka; Professor Dr Rafat Nawaz, BMC, Dhaka; Professor Ferdousi Islam Lipi and Professor Kohinoor Begum, PMCH, Dhaka; Professor DMCS Jayasundara, University of Colombo, Sri Lanka; Professor DLW Dassanayake, University of Ruhana, Sri Lanka; Professor Udayan Sarkar, Kishanganj MCH, Bihar; Professor Rajsekhar, Murshidabad Medical College; Professor Anindya Kumar Das, BSMC, Bankura; Professor Panchanan Das, MCH, Guwahati; Professor Paresh Shyam, AMCH, Dibrugarh, Professor Subrat Panda, AIIMS, Kalyani; Professor Hem Kanta Sarma, Jorhat MCH, Assam; Professor Kirtirekha Mohapatra, SCB MCH, Cuttack; Professor Seal Bhaskarananda, Murshidabad MCH, West Bengal; Professor Md. Alauddin, Midnapore MCH; Professor Kavita Mandrelle Bhatti, CMC, Ludhiana; Professor Padam Raj, Teaching Hospital, Kathmandu, Nepal; Professor Farhana Dewan, Shaheed Suhrawardy, MCH, Bangladesh; Professor Manpreet Kaur Tehalia, Al-Ameen MCH, Vijayapura; Professor Asha D Neravi, SDM IMS, Dharwad; Professor MM Umadi, BIMS, Belagavi; Professor Anita Dalal, JN MCH, Belagavi; Professor Dharmavijaya MN, MVJ MCH, Bengaluru; Professor Sudesh Agarwal, SPMC, Bikaner; Professor SP Jaiswar, KGMC, Lucknow; Professor M Rameswar Singh, RIMS, Imphal; Professor A Santa Singh, NEGRIMS, Shillong; Professor Kavita Singh, NSCBMC, Jabalpur; Professor Ava Rani, Muzaffarpur, Bihar; Professor Hemali Heidi Sinha, AIIMS, Patna; Professor Neena Gupta, GSVM MCH, Kanpur; Professor Tulika Jha, Dinajpur Medical College; Professor Hemant Deshpande, Dr DY Patil MCH, Pune; Professor Goutam Mukherjee, NBMCH, Siliguri; Professor Sandip Sengupta, NBMCH, Darjeeling; Professor Apurba Mondal, MMCH, Malda; Professor Narayan Jana, IPGMER, Kolkata; Professor Narayan Bhaumik, TMCH, Tripura; Professor Geeta Sinha, PMCH, Patna; Professor Ashma Taneja, DMC, Ludhiana; Professor Shripad Hebbar, KMC, Manipal; Professor Sumitra Yadav, MGMC, Indore; Professor Renu Sharma, AIIMS, Jammu and Kashmir; Professor Ruchira, HIMS, Dehradun; Professor Anitha Thomas, CMC, Vellore; Professor Neena Malhotra, AIIMS, New Delhi; Professor Harwinder Kaur Cheema, PIMS, Jalandhar; Professor Rizwana Habib, GMCH, Srinagar; Professor Vanita Suri, PGIMER, Chandigarh; Professor Yashodhra Gaur, GRMC, Gwalior; Professor Prativa, AIIMS, Jodhpur; Professor Zehra Mohsin, AMU, Aligarh; Professor Sadhna Mathur, NIMS, Jaipur; Professor Mary Daniel, PIMS, Puducherry; Professor Jayasree M, SMVMCH, Puducherry; PGI, Rohtak; Professor Archana Mehta, SMC, Greater Noida; Professor Smriti Gupta, SMC, Meerut; Professor Manisha Gupta, SMC, Ghaziabad; Professor Suniti Rawal, Tribhuvan University Teaching Hospital, Kathmandu; Professor Manpreet Kaur, TMU, Moradabad; Professor Chellamma VK, KMCTMCH, Kozhikode; Professor C Nirmala, GMCH, Thiruvananthapuram; Professor CV Chandrika, GMCH, Palakkad; Professor Reena, LHMC, Delhi; Professor YM Mala, Maulana Azad MCH, Delhi; Professor Usha Vishwanath, SRMC, Chennai; Professor Jaya Chaturvedi, AIIMS, Rishikesh; Professor Jyoti Jaiswal, Pt. JNMCH, Raipur; Professor Sanghamitra Mahapatra, MKCG, Berhampur; Professor Amrit Pal Kaur, GMC, Amritsar; Professor Surinder Kumar, GMCH, Jammu; Professor Alka Sehgal, GMCH, Chandigarh; Professor Arun H Nayak, LTMG MCH, Mumbai; Professor Ashok Anand, Grant MCH, Mumbai; Professor A Suneetha, Osmania MCH, Hyderabad; Professor Anuragamayi, Rangaraya MCH, Hyderabad; Professor JK Deshmukh, GMC, Nagpur; Professor Sangeeta Rai, BHU, Banaras; Professor Geeta Jain, GMC, Haldwani; Professor Mamatha S, JSS MCH, Mysuru; Professor Shukla S Shetty, JJM MCH, Davangere; Professor Vijay Kumar CR, BR Ambedkar MCH, Bengaluru; Professor Sujani, MS Ramaiah MCH, Bengaluru; Professor Indira H, Sri Siddartha MCH, Tumakuru; Professor Srinivas K Jois, Bangalore MCH and Research Institute, Bengaluru; Professor Sujata, Vydehi Institute of Medical Sciences, Bengaluru; Professor Sangeeta Ramteke, IGGMC, Nagpur; Professor Sarita Agrawal, AIIMS, Raipur; Professor K Pushpalata, AIIMS, Bhopal; Professor Gurpreet Kaur, Peoples MCH, Bhopal; Professor Rekha Badhwani, GMC, Bhopal; Professor Saubhagya Kumar Jena, AIIMS, Bhubaneswar; Professor Sreelatha S, ESI MCH, Joka, Kolkata; Professor Gitanjali Deka, Tezpur MCH, Barpeta; Professor Paresh Shyam, AMCH, Assam; Professor Gowri Dorairajan, AIIMS, Madurai; Professor Lajya Devi Goyal, AIIMS, Bhatinda; Professor Suchita Mundle, AIIMS, Nagpur; Professor Poojan Dogra Marwaha, AIIMS, Bilaspur; Professor Shikha Seth, AIIMS, Gorakhpur; Professor Vaibhav Kanti, AIIMS, Raebareli; Professor Sharmila V, AIIMS, Mangalagiri and Professor Subhas Chandra Biswas, IPGMER, Kolkata.
I would like to extend my thanks to the readers, including the residents and students, who have contacted me with suggestions and seeking clarifications through e-mails. Their inputs have been invaluable and much appreciated. I wish I could mention their names individually.
I am grateful to many colleagues, who have generously provided few of the illustrations and photographs. They are duly acknowledged.
I express profound gratitude to Mrs Madhusri Konar, MA, BEd for her invaluable contributions in providing exemplary secretarial support throughout the ninth edition of the book. Her insightful and diligent efforts have greatly enhanced the overall quality and professionalism of the project. I extend my heartfelt gratitude to Dr Chandrachur Konar, Dr (Mrs) Roshini P, and Dr Lisley Konar for their unwavering dedication and tireless efforts in providing comprehensive support for the realization of the ninth edition of this book. Their exceptional contributions have been instrumental in ensuring the success and excellence of this endeavor.
I gratefully acknowledge the help of especially Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director), Mr MS Mani (Group President), and Ms Pooja Bhandari [Director—Production (Books and Journals)] of Jaypee Brothers Medical Publishers (P) Ltd, New Delhi for their all-round support as and when needed.
Dr Aditya Tayal (Team Lead–UG Publishing) and Dr Madhu Choudhary (Director–Educational Publishing) needs special appreciation for their endless support and expertise in shaping and collation to bring out this enlarged and ninth edition.
Lastly, I am grateful to all who have taught me, most of all the patients and my beloved students.
I do hope this new comprehensive edition of Dutta's Textbook of Gynecology will continue to be an essential educational resource to the readers as ever.
Hiralal Konar
The Kernel
Prof DC DUTTA
MBBS, DGO, MO (CAL)
Professor and Head, Department of Obstetrics and Gynecology
Nilratan Sircar Medical College and Hospital, Kolkata, India
Professor DC Dutta was an Obstetrician, Gynecologist, a teacher par excellence and above all a noble human being. He came out with his first book entitled, Textbook of Obstetrics in 1983, while he was the Professor in Obstetrics and Gynecology at Sir Nil Ratan Sircar Medical College and Hospital, Kolkata, India. He was the first author in Obstetrics and Gynecology to remove the complexity of management with a most simple approach of the text information and the management flowchart, based on science and available resources. Textbook of Obstetrics soon became very popular Nationally and Internationally for which he received many accolades. DCD, as he was known to all his colleagues and students, was the doyen in Obstetrics and Gynecology in his era. His ‘Textbook of Gynecology’ was published in 1989 from the same institute and department while he was the Professor and Head. This book also fetched more name and fame.
His deep interest in emergency obstetric care, is reflected by his several publications in the national journals. Presently, the best publication award, under the Federation of Obstetric and Gynecological Societies of India (FOGSI), every year, goes by his name. He is well-known for his fast surgical skill. He retired from the same institution in 1993, after a long and distinguished career. He died on 29th December 1995. His charming personality and the profound knowledge, made him very popular to the generations of students, professionals, practitioners and the patients. His legacy continues. He is remembered with great affection and professional respect by all, who knew him.
Video Contributor
Roshini P MBBS MS DNB
Assistant Professor
Department of Obstetrics and Gynecology
ESIC and PGIMSR
Bengaluru, Karnataka, India
Competency-based NMC Curriculum
Number | COMPETENCY The student should be able to: | Core (Y/N) | Suggested Teaching Learning method | Suggested Assessment method | Chapter | Page Number |
|---|---|---|---|---|---|---|
OG2.1 | Describe and discuss the development and anatomy of the female reproductive tract, relationship to other pelvic organs, applied anatomy as related to obstetrics and gynecology | Y | Lecture, small group discussion | Theory/skill station | 1 | 1 |
OG21.1 | Describe and discuss the temporary and permanent methods of contraception, indications, technique and complications; selection of patients, side effects and failure rate including OCs, male contraception, emergency contraception and IUCD | Y | Lecture, small group discussion, bedside clinics | Written/viva voce/skill assessment | 30 | 448 |
OG22.1 | Describe the clinical characteristics of physiological vaginal discharge | Y | Lecture | Theory | 11 | 120 |
OG22.2 | Describe and discuss the etiology (with special emphasis on Candida, T. vaginalis, bacterial vaginosis), characteristics, clinical diagnosis, investigations, genital hygiene, management of common causes and the syndromic management | Y | Lecture, bedside clinics | Written/viva voce/skill assessment | 11 | 120 |
OG23.1 | Describe and discuss the physiology of puberty, features of abnormal puberty, common problems and their management | Y | Lecture, small group discussion, bedside clinics | Written/viva voce | 5 | 46 |
OG23.2 | Enumerate the causes of delayed puberty. Describe the investigation and management of common causes | Y | Lecture, small group discussion | Written/viva voce | 5 | 50 |
OG23.3 | Enumerate the causes of precocious puberty | N | Lecture, small group discussion | Written/viva voce | 5 | 48 |
OG24.1 | Define, classify and discuss abnormal uterine bleeding, its etiology, clinical features, investigations, diagnosis and management | Y | Lecture, small group discussion | Written/viva voce | 15 | 173 |
OG25.1 | Describe and discuss the causes of primary and secondary amenorrhea, its investigation and the principles of management | Y | Lecture, small group discussion | Written/viva voce | 29 | 423 |
OG26.1 | Describe and discuss the etiopathogenesis, clinical features; investigation and implications on health and fertility and management of endometriosis and adenomyosis | Y | Lecture, small group discussion | Written/viva voce | 22 | 284 |
OG26.2 | Describe the causes, prevention, clinical features, principles of management of genital injuries and fistulae | N | Lecture, small group discussion | Written/viva voce | 26 | 394 |
OG27.1 | Describe and discuss the etiology, pathology, clinical features, differential diagnosis, investigations, management and long-term implications of sexually transmitted infections | Y | Lecture, small group discussion | Written/viva voce | 12 | 137 |
OG27.2 | Describe and discuss the etiology, pathology, clinical features, differential diagnosis, investigations, management and long-term implications of genital tuberculosis | Y | Lecture, small group discussion | Written/viva voce | 11 | 129 |
OG27.3 | Describe and discuss the etiology, pathology, clinical features, differential diagnosis, investigations, management and long-term implications of HIV | Y | Lecture, small group discussion | Written/viva voce | 12 | 144 |
OG27.4 | Describe and discuss the etiology, pathology, clinical features, differential diagnosis, investigations, management and long-term implications of pelvic inflammatory disease | Y | Lecture, small group discussion | Written/viva voce | 11, 13 | 120, 149 |
OG28.1 | Describe and discuss the common causes, pathogenesis, clinical features, differential diagnosis; investigations; principles of management of infertility—methods of tubal patency, ovulation induction, assisted reproductive techniques | Y | Lecture, seminars, bedside clinics | Written/viva voce | 17 | 212 |
OG28.2 | Enumerate the assessment and restoration of tubal latency | N | Lecture, seminars, bedside clinics | Written/viva voce | 17 | 220 |
OG28.3 | Describe the principles of ovulation induction | Y | Lecture, seminars, bedside clinics | Written/viva voce | 17 | 225 |
OG28.4 | Enumerate the various assisted reproduction techniques | N | Lecture, seminars, bedside clinics | Written/viva voce | 17 | 232 |
OG29.1 | Describe and discuss the etiology; pathology; clinical features; differential diagnosis; investigations; principles of management, complications of fibroid uterus | Y | Lecture, bedside clinics | Theory/OSCE/clinical assessment/viva voce | 20 | 253 |
OG30.1 | Describe and discuss the etiopathogenesis; clinical features; differential diagnosis; investigations; management, complications of PCOS | Y | Lecture | Theory/OSCE/clinical assessment/viva voce | 29 | 432 |
OG30.2 | Enumerate the causes and describe the investigations and management of hyperandrogenism | N | Lecture | Theory/OSCE/clinical assessment/viva voce | 34 | 538 |
OG31.1 | Describe and discuss the etiology, classification, clinical features, diagnosis, investigations, principles of management and preventive aspects of prolapse of uterus | Y | Lecture, small group discussion, bedside clinics | Written/viva voce/skill assessment | 16 | 186 |
OG32.1 | Describe and discuss the physiology of menopause, symptoms, prevention, management and the role of hormone replacement therapy | Y | Lecture, small group discussion, bedside clinics | Written/viva voce/skill assessment | 6, 32 | 54, 501 |
OG32.2 | Enumerate the causes of postmenopausal bleeding and describe its management | Y | Lecture, small group discussion bedside clinics | Written/viva voce | 34 | 526 |
OG33.1 | Classify, describe and discuss the etiology, pathology, clinical features, differential diagnosis, investigations and staging of cervical cancer | Y | Lecture, small group discussion, bedside clinics | Written/viva voce/skill assessment | 24 | 322 |
OG33.2 | Describe the principles of management including surgery and radiotherapy of benign, premalignant (CIN) and malignant lesions of the cervix | Y | Lecture, small group discussion, bedside clinics | Written/viva voce/skill assessment | 19, 23 | 248, 302 |
OG33.3 | Describe and demonstrate the screening for cervical cancer in a simulated environment | Y | DOAP session | Skill assessment | 24 | 326 |
OG33.4 | Enumerate the methods to prevent cancer of cervix including visual inspection with acetic acid (VIA), visual inspection of cervix with Lugol's iodine (VILI), Pap smear and colposcopy | Y | Lecture, small group discussion, bedside clinics | Viva voce/written | 9 | 93 |
OG34.1 | Describe and discuss etiology, pathology, staging clinical features, differential diagnosis, investigations, staging laparotomy and principles of management of endometrial cancer | Y | Lecture, bedside clinics | Viva voce/written/skill assessment | 24 | 334 |
OG34.2 | Describe and discuss the etiology, pathology, classification, staging of ovarian cancer, clinical features, differential diagnosis, investigations, principal of management including staging laparotomy | Y | Lecture | Theory/OSCE/clinical assessment/ viva voce | 24 | 350 |
OG34.3 | Describe and discuss the etiology, pathology, classification, staging, clinical features, differential diagnosis, investigations and management of gestational trophoblastic disease | Y | Lecture | Theory/OSCE/clinical assessment/ | 24 | 343 |
OG34.4 | Operative gynecology: Understand and describe the technique and complications: dilatation and curettage (D&C); EA-ECC; cervical biopsy; abdominal hysterectomy; myomectomy; surgery for ovarian tumors; staging laparotomy; vaginal hysterectomy including pelvic floor repair; Fothergill's operation, laparoscopy; hysteroscopy; management of postoperative complications | Y | Videos, on manikins, observe procedures and surgeries in OR | Viva voce | 16, 35 | 202, 547 |
American College of Obstetricians and Gynecologists
ACOR
American College of Radiology
ACTH
Adrenocorticotropic Hormone
ADD
Androstenedione
AFP
Alpha-fetoprotein
AFS
American Fertility Society
AGC
Atypical Glandular Cells
AH
Assisted Hatching
AI
Anal Incontinence
AID
Artificial Insemination Donor
AIDS
Acquired Immunodeficiency Syndrome
AIS
Adenocarcinoma In Situ
AMH
Anti-Müllerian Hormone
ANA
Antinuclear Antibody
ARDS
Acute Respiratory Distress Syndrome
ART
Assisted Reproductive Technology
ASC-US
Atypical Squamous Cells of Undetermined Significance
ASRM
American Society of Reproductive Medicine
ATP
Adenosine Triphosphate
AUB
Abnormal Uterine Bleeding
BMD
Bone Mineral Density
BMI
Body Mass Index
BOC
Breast Ovarian Cancer
BSE
Breast Self-examination
BUN
Blood Urea Nitrogen
BV
Bacterial Vaginosis
CAD
Coronary Artery Disease
CAM
Complementary and Alternative Medicine
CBE
Clinical Breast Examination
CBG
Corticosteroid-binding Globulin
CC
Clomiphene Citrate
CCF
Congestive Cardiac Failure
CCNS
Cell Cycle Nonspecific Agents
CDC
Centers for Disease Control
CEA
Carcinoma Embryonic Antigen
CECT
Contrast Enhanced Computed Tomography
CEE
Conjugated Equine Estrogen
CGIN
Cervical Glandular Intraepithelial Neoplasia
CIN
Cervical Intraepithelial Neoplasia
CIS
Carcinoma In Situ
CMV
Cytomegalovirus
CNB
Core Needle Biopsy
CO
Cardiac Output
COCs
Combined Oral Contraceptives
COS
Controlled Ovarian Stimulation
COX
Cyclo-oxygenase
CPT
Complete Perineal Tear
CRH
Corticotropin-releasing Hormone
CRP
C-reactive Protein
CS
Cesarean Section
CT
Computed Tomography
CTU
Computed Tomography Urogram
CUSA
Cavitational Ultrascan and Surgical Aspiration
CXR
Chest X-ray
D&C
Dilatation and Curettage
D&E
Dilatation and Evacuation
DBP
Diastolic Blood Pressure
DES
Diethylstilbestrol
DEXA
Dual-energy X-ray Absorptiometry
DHEA
Dehydroepiandrosterone
DHEAS
Dehydroepiandrosterone Sulfate
DHT
Dihydrotestosterone
DIC
Disseminated Intravascular Coagulopathy
DMPA
Depot Medroxyprogesterone Acetate
DO
Detrusor Overactivity
DSD
Disorders of Sexual Development
DUB
Dysfunctional Uterine Bleeding
DVT
Deep Vein Thrombosis
EACA
Epsilon Aminocaproic Acid
EAS
External Anal Sphincter
EB
Endometrial Biopsy
EBRT
External Beam Radiation Therapy
ECC
Endocervical Curettage
ECG
Electrocardiography
EIN
Endometrial Intraepithelial Neoplasia
EMI
Endometrial-myometrial Interface
ENG
Etonogestrel
ESR
Erythrocyte Sedimentation Rate
EUA
Examination under Anesthesia
FDA
Food and Drug Administration
FDG
18F-fluoro-2 Deoxyglucose
FDP
Fibrin Degradation Products
FFA
Free Fatty Acid
FIGO
International Federation of Gynecology and Obstetrics
FNAC
Fine-needle Aspiration Cytology
FOGSI
Federation of Obstetrics and Gynaecological Societies of India
FRAX
Fracture Risk Assessment Tool
FSH
Follicle-stimulating Hormone
GABA
g-aminobutyric Acid
GDM
Gestational Diabetes Mellitus
GHRH
Growth Hormone-releasing Hormone
GIFT
Gamete Intrafallopian Transfer
GnRH
Gonadotropin-releasing Hormone
GSI
Genuine Stress Incontinence
GTD
Gestational Trophoblastic Disease
GTN
Gestational Trophoblastic Neoplasia
GTT
Glucose Tolerance Test
HAART
Highly Active Antiretroviral Therapy
HAIR-AN
Hyperandrogenism Insulin Resistance-Acanthosis Nigricans
Hb
Hemoglobin
hCG
Human Chorionic Gonadotropin
HDL
High-density Lipoprotein
HGSOC
High Grade Serous Ovarian Carcinoma
HIV
Human Immunodeficiency Virus
HMB
Heavy Menstrual Bleeding
hMG
Human Menopausal Gonadotropins
HNPCC
Hereditary Nonpolyposis Colorectal Cancer
HPO
Hypothalamic-pituitary-ovarian
HPV
Human Papillomavirus
HR
Heart Rate
HRT
Hormone Replacement Therapy
HSDD
Hypoactive Sexual Desire Disorder
HSG
Hysterosalpingography
HSIL
High-grade Squamous Intraepithelial Lesion
HSV
Herpes Simplex Virus
HT
Hormone Therapy
HYS-COSY
Hysterosalpingo-contrast Sonography
IAS
Internal Anal Sphincter
ICSI
Intracytoplasmic Sperm Injection
ICS
International Continence Society
IGF-1
Insulin Growth Factor-1
IGF-BP
Insulin-like Growth Factor-binding Protein
IgG
Immunoglobulin G
IMRT
Intensity Modulated Radiation Therapy
IR
Insulin Resistance
ISSVD
International Society for the Study of Vulvovaginal Diseases
IUCD
Intrauterine Contraceptive Device
IUD
Intrauterine Device
IUGR
Intrauterine Growth Restriction
IUI
Intrauterine Insemination
IVC
Inferior Vena Cava
IVD
Intravenous Drug Abuser
IVF-ET
In Vitro Fertilization and Embryo Transfer
IVH
Intraventricular Hemorrhage
IVM
In Vitro Maturation
IVP
Intravenous Pyelogram
IVU
Intravenous Urography
JZ
Junctional Zone
LAM
Lactational Amenorrhea
LAM
Lymphangioleiomyomatosis
LARC
Long-acting Reversible Contraception
LAVH
Laparoscopically Assisted Vaginal Hysterectomy
LBC
Liquid-based Cytology
LDH
Lactic Dehydrogenase
LDL
Low-density Lipoprotein
LH
Luteinizing Hormone
LHRH
Luteinizing Hormone Releasing Hormone
LMP
Last Menstrual Period
LMS
Leiomyosarcoma
LMWH
Low Molecular Weight Heparin
LNG-IUS
Levonorgestrel-Intrauterine System
LOCAH
Late Onset Congenital Adrenal Hyperplasia
LOD
Laparoscopic Ovarian Drilling
LPD
Luteal Phase Defect
LRHPV
Low-risk Human Papillomavirus
LSIL
Low-grade Squamous Intraepithelial Lesion
LUF
Luteinized Unruptured Follicle
LUNA
Laparoscopic Uterine Nerve Ablation
MAS
Minimally Access Surgery
MCA
Middle Cerebral Artery
MCP-1
Monocyte Chemotactic Protein-1
MDCT
Multidetector Computed Tomography
MESA
Microsurgical Epididymal Sperm Aspiration
MGY
Mammography
MI
Maturation Index
MIS
Minimally Invasive Surgery
MMMT
Malignant Mixed Müllerian Tumors
MRA
Magnetic Resonance Angiography
MRgFUS
Magnetic Resonance Guided Focused Ultrasound
MRI
Magnetic Resonance Imaging
MRKH
Mayer-Rokitansky-Küster-Hauser
MRSA
Methicillin-resistant Staphylococcus aureus
MSH
Melanocyte Stimulating Hormone
NAAT
Nucleic Acid Amplication Testing
NACT
Neoadjuvant Chemotherapy
NEC
Necrotizing Enterocolitis
NICE
National Institute of Clinical Excellence
NNRTI
Non-nucleoside Reverse Transcriptase Inhibitors
NRTI
Nucleoside Reverse Transcriptase Inhibitors
NSAIDS
Nonsteroidal Anti-inflammatory Drugs
NSV
No-scalpel Vasectomy
OAB
Overactive Bladder
OC
Oral Contraceptive
OER
Oxygen Enhancement Ratio
OGN
Oestrogen
OHSS
Ovarian Hyperstimulation Syndrome
OMI
Oocyte Maturation Inhibition
PAF
Platelet Activating Factor
PALM
Polyps, Adenomyosis, Leiomyoma, Malignancy; COEIN: Coagulopathy, Ovulatory Disorders, Endometrial Causes, Iatrogenic, Not Classified
PBS
Painful Bladder Syndrome
PCA
Patient-controlled Analgesia
PCOS
Polycystic Ovarian Syndrome
PCR
Polymerase Chain Reaction
PCT
Postcoital Test
PDGF
Platelet Derived Growth Factor
PDT
Photodynamic Therapy
PE
Pulmonary Embolism
PESA
Percutaneous Epididymal Sperm Aspiration
PET
Positron Emission Tomography
PGD
Preimplantation Genetic Diagnosis
PGN
Progesterone
PG
Phosphatidylglycerol
PGs
Prostaglandins
PID
Pelvic Inflammatory Disease
PI
Pulsatility Index
PMDD
Premenstrual Dysphoric Disorder
PMS
Premenstrual Syndrome
POD
Pouch of Douglas
POP-Q
Pelvic Organ Prolapse-Quantification
PO
Per Oral
POP
Pelvic Organ Prolapse
POST
Peritoneal Oocyte and Sperm Transfer
PPIUCD
Postpartum Intrauterine Contraceptive Device
PRL
Prolactin
PSI
Prostaglandin Synthetase Inhibitors
PTH
Parathyroid Hormone
PT
Prothrombin Time
RAAS
Renin-Angiotensin-Aldosterone System
RAIR
Rectoanal Inhibitory Reflex
RANZCOG
Royal Australian and New Zealand College of Obstetricians and Gynecologists
RBC
Red Blood Cells
RCOG
Royal College of Obstetricians and Gynaecologists
RDS
Respiratory Distress Syndrome
RNTCP
Revised National Tuberculosis Control Programme
ROS
Reactive Oxygen Species
RR
Respiratory Rate
RU
486 Mifepristone
RVF
Rectovaginal Fistula
RVS
Rectovaginal Septum
SBP
Systolic Blood Pressure
SC
Subcutaneous route
SCCA
Squamous Cell Carcinoma Antigen
SCJ
Squamocolumnar Junction
SCMCT
Sperm Cervical Mucus Contact Test
SDs
Standard Deviations
SERMs
Selective Estrogen Receptor Modulators
SHBG
Sex Hormone Binding Globulin
SIS
Saline Infusion Sonography
SLE
Systemic Lupus Erythematosus
SLN
Sentinel Lymph Node
SSI
Surgical Site Infections
SSRI
Selective Serotonin Reuptake Inhibitors
STD
Sexually Transmitted Disease
STIC
Serous Tubal Intraepithelial Carcinoma
SUI
Stress Urinary Incontinence
SUZI
Subzonal Insemination
TAS
Transabdominal Sonography
TC
Transcervical
TDF
Testicular Determining Factor
TENS
Transcutaneous Electrical Nerve Stimulation
TESE
Testicular Sperm Extraction
TGFβ
Transforming Growth Factor-β
TNFα
Tumor Necrosis Factor-α
TO
Mass Tubo-ovarian Mass
TOT
Trans Obturator Tape
TPHA
Treponema Pallidum Hemagglutination
TPI
Treponema Pallidum Immobilization
TPJ
Tubal Peritoneal Junction
TSH
Thyroid-stimulating Hormone
TV-CDS
Transvaginal Color Doppler Sonography
TVS
Transvaginal Sonography
TVT
Tension-free Vaginal Tape
TZ
Transformation Zone
UAE
Uterine Artery Embolization
UE
Unconjugated Estriol
USG
Ultrasonography
UTI
Urinary Tract Infection
VAIN
Vaginal Intraepithelial Neoplasia
VCU
Videocystourethrography
VEGF
Vascular Endothelial Growth Factor
VIN
Vulvar Intraepithelial Neoplasia
VVF
Vesicovaginal Fistula
WHO
World Health Organization
ZIFT
Zygote Intrafallopian Transfer
Atlas: 3D Models of Female Pelvic Floor Anatomy
