Listening to Gynaecological Patients’ Problems

1. Front Matter

   Pages i-vii

   PDF

2. Communication Between Patient and Doctor

   • David Jenkins

   Pages 1-5

3. How to Proceed

   • David Jenkins

   Pages 7-7

4. What Type of Problem Is It? Classification by Symptoms

   • David Jenkins

   Pages 9-10

5. Background History

   • David Jenkins

   Pages 11-12

6. Consideration in More Detail of the Presenting Problem

   • David Jenkins

   Pages 13-14

7. Menstrual Problems and Abnormal Bleeding

   • David Jenkins

   Pages 15-42

8. Urinary Problems

   • David Jenkins

   Pages 43-48

9. Uterovaginal Prolapse

   • David Jenkins

   Pages 49-51

10. Abdominal Pain

    • David Jenkins

    Pages 53-56

11. Abdominal Distension or Mass

    • David Jenkins

    Pages 57-60

12. Vaginal Problems

    • David Jenkins

    Pages 61-70

13. Difficulty with Intercourse

    • David Jenkins

    Pages 71-74

14. Fertility Problems

    • David Jenkins

    Pages 75-82

15. Family Planning Problems

    • David Jenkins

    Pages 83-86

16. Psychosexual Problems

    • David Jenkins

    Pages 87-92

17. Hirsutism

    • David Jenkins

    Pages 93-96

18. Menopausal Problems

    • David Jenkins

    Pages 97-99

19. Epilogue

    • David Jenkins

    Pages 100-100

20. Back Matter

    Pages 101-104

    PDF

Gynaecological textbooks generally are divided into sections according to pathological diagnoses, not according to symptoms or symptom complexes. Students of gynaecology, because they ini­ tially acquire information from textbooks, are conditioned by the organisation of these texts to think of gynaecology in terms of pathological entities rather than symptom complexes. Gynaecolog­ ical patients, however, do not present complaining of endomet­ riosis or endometrial malignancy or hypophyseal-ovarian dys­ function; rather they present with symptoms like 'pain low down in the tummy', 'bleeding from the front passage' or 'irregular periods'. This book attempts to help students of gynaecology (including everyone from students learning the subject for the first time, through family doctors, to hospital doctors of all grades) to approach their patients as people, as distinct from possible pathological entities, to listen to them, and to communicate with them. In order to help achieve this, the text is divided according to symptoms or related groups of symptoms. Within each division, pertinent questions are listed in the words that might be used in addressing a patient, followed by a key explaining the significance of the questions and a brief discussion of the problems of the con­ dition under consideration. It is hoped that this approach will facilitate the taking and interpretation of case histories, thus aiding differential diagnosis and clinical management, and will initiate the process of self-teaching. The book tries to emphasise that, especially in gynaecology, the same symptom (e. g.

• communication
• diagnosis
• differential diagnosis
• fertility
• gynecology
• hospital
• management
• pain
• patients

• Erinville Hospital, Cork, Eire

  David Jenkins

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