Preface

Chapter 7 **From the Ovary to the Fallopian Tube: A History of Ovarian**

Chapter 8 **Past, Present and Future Perspectives on the Management of Endometrial Cancer— A Comprehensive Review 157**

Chapter 9 **Endometrial Cancer Prevention with Levonorgestrel-Releasing**

Dirk Wildemeersch, Maciej Jóźwik and Marcin Jóźwik

Chapter 10 **Monochorionic Twin Pregnancy— Potential Risks and Perinatal**

Julio Elito Júnior, Eduardo Félix Martins Santana and Gustavo

Ahmed Abu-Zaid and Ismail A. Al-Badawi

G. Chene, G. Lamblin, K. Le Bail-Carval, P. Chabert, J.D. Tigaud and

**Carcinogenesis 143**

**Intrauterine System 183**

G. Mellier

**VI** Contents

**Section 5 Twins Pregnancy 201**

**Outcomes 203**

Nardini Cecchino

Gynecology is a dynamic medical specialty. Thanks to the implication of assisted reproduc‐ tion and minimally access therapy, all gynecologic subspecialties showed marvelous devel‐ opment in recent years. The field of infertility is expanding due to the implication of sophisticated diagnostic aids. In modern practice, it seems illogic that we consider a case as unexplained infertility without endoscopic evaluation. In this book, you will read many fer‐ tility-related gynecologic abnormalities detected by laparoscopy or hysteroscopy.

Gynecologists are accused to be calmer and less energetic than obstetricians. In this book, your will find many gynecologic situations that necessities emergency diagnostic work up and crash intervention in the same way like crash cesarean section. Detection of early mark‐ ers for diagnosis of ectopic pregnancy as well as step-by- step approach for all gynecologic emergencies are present in two chapters of this book.

Some gynecologic endocrinal problems continue to be a real challenge for gynecologists. The most famous syndrome is polycystic ovarian syndrome commonly encountered among infertile women and those with abnormal menstrual patterns. Congenital adrenal hyperpla‐ sia is an important issue in this context. Both abnormalities are discussed in two separate chapters in this book.

Prevention, screening as well as early management of gynecologic malignancies should be in the core of any gynecologist's job. Gynecologic examination is the best chance for detec‐ tion of any pre-malignant lesion of the genital tract. The gynecologist has no excuse to miss any of them or to underestimate female genital tract screening for malignant or pre-malig‐ nant lesion. Four chapters of this book will tackle this topic in details.

Thanks to liberal use of drugs for induction of superovulation and the wide spread of IVF/ ICSI, gynecologists commonly encounter a lot of cases of multiple pregnancy that require prompt early management starting from prevention, fetal reduction and subsequent antena‐ tal management. More details are demonstrated on the last chapter on monchorionic twin pregnancy.

In short, I am sure that you will enjoy refreshing your knowledge and adding some new information on many gynecologic subspecialties if you go through this book.

> **Dr. Atef Darwish** Department of Obstetrics and Gynecology, Woman's Health University Hospital Assiut, Egypt

**Section 1**
