Chapter 8
Gynaecology and other reproductive healthcare
Gynaecology refers to the field of medicine addressing the female reproductive system, while andrology addresses the male reproductive system. Intersex, transgender, and transsexual people may have a combination of female and male reproductive organs and sexual characteristics, whether by birth or due to one or more medical or surgical interventions. Reproductive health refers to the health of an individual’s reproductive system, processes, and functions, at all stages of their life. Good reproductive health implies that an individual has the ability “to have a responsible, satisfying and safe sex life” and “the capability to reproduce and the freedom to decide if, when and how often to do so”. This chapter describes the essentials of reproductive health assessment (screening, investigations, diagnosis) and management (treatment and/or referral) and covers common gynaecological and andrological conditions, cancers of the reproductive tract, and infertility. For information regarding initial assessment of the client, see Chapter 2: Facility requirements and client history/ examination.
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