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More articles by Dr. Soucasaux: Anatomical drawings - Anovulatory cycles - Archetypal aspects of the female genitals - The breasts: some morphological aspects - Colposcopy - Comments on the corpus luteum and related aspects - Comments on some anatomical and symbolic aspects of the female pelvis - The curious relations between androgens and estrogens in women - Drospirenone Oral Contraceptives - Due to prohibition, Brazilian women don't have access to modern medicinal abortion - Endocrinology of menstruation - The Fallopian tubes - Female sexual response - The Gräfenberg Spot (G-Spot) - The Gynecologic Palpation (descendant of "The Touch") - Gynecological assistance: the three basic areas - Gynecology and Gynecologic Surgery - Gynecologist versus obstetrician: what lies behind the combination? - "Gyneco-obstetric-surgical" stubborness and the perpetuation of one of the greatest mistakes of women's medicine - Hypermenorrhea and/or Menorrhagia (Prolonged and/or Excessive Menstrual Bleedings) - Hypertrichosis, Hirsutism and Androgenic Manifestations in Women - Mayer-Rokitansky-Kuster-Hauser (MRKHauser) Syndrome - Menstrual toxin: An old name for a real thing? - Nature and the ovaries - On the Intimate, or Small-Scale, Mechanisms of Menstruation - On the Strange Nature of the Ovaries - Oral hormonal contraceptives (the "Pill") - The Ovaries: Some Functional and Archetypal Considerations - Peculiarities of the Female Genitals' Sensory Innervation - Physiology of menstruation - Polycystic ovaries syndrome - The Possibility of Becoming Pregnant, Its Implications for Women, and Abortion - Premenstrual congestion of the breasts - Premenstrual syndrome (PMS) - The Psychology of Gynecology part 1 (part 2) - Psychosomatic and symbolic aspects of menstruation - Psychosomatic gynecology - Some Details on the Function of the Hypothalamus-Pituitary-Ovaries Axis - Stanislav Grof's Perinatal Matrixes of the Unconscious and Women's Medicine - Symmetric Patterns in the Female Genitals - Thoughts on Female Sexual Psychology - Uninterrupted use of hormonal contraceptives for menstrual suppression: why I do not recommend it - The uterine cervix - Uterine contractility - The Uterus and the Female "Passive-Active" - Women's corporeal consciousness and experience - Women's Experience of the Breasts - Women's Undesired Pregnancies and Women's Right to Abortion and see his Art of Menstruation


Gynecological Assistance: The Three Basic Areas

Dr. Nelson Soucasaux , Brazilian gynecologist

As I have explained in my book "Novas Perspectivas em Ginecologia" ("New Perspectives in Gynecology"), the ideal gynecologic assistance must include, in an integrated way, three fundamental areas:

1st) The basic clinical routine of gynecology - Here, use must be made of the habitual medical technical-scientific methodology, and of all of its propaedeutic and therapeutic means at our disposal. A careful anamnesis [history] must be done, paying attention to both somatic and psychological aspects, followed by a complete, meticulous gynecological examination.The necessary complementary examinations and tests must also be performed and, if indicated, medicinal and/or hormonal therapy adequate to the case must be prescribed. These items include the practice of the entire clinical part of gynecology. Special emphasis on the preventive aspects of the speciality is fundamental, and we must orient the patients about the importance of periodic examinations, which must be done every six or even three months, according to each case. Such examinations must be done even in the absence of any symptom.

2nd) Orientation concerning the basic aspects of the female physiology - This also includes an analysis of those situations in which we have to interfere in the woman's physiology, as in the use of hormonal contraceptives. We must provide the patients with information concerning aspects related to puberty, the menstrual cycle, the main effects of the ovarian hormones, the occurrence or not of ovulation, sexuality, contraceptive methods, pregnancy, menopause, etc. The basic anatomy of the female genital apparatus must also be presented. These topics can be talked about as the opportunities arise. Consultations must always be utilized for orientation about the need for the use of reliable contraceptive methods, and the basic information concerning the various contraceptives available must be given.

3rd) Orientation concerning the main aspects of the woman's psychophysical constitution ­ This also refers to all of the problems related to the features of female nature which directly apply to the mind-body interaction. In this manner, the patients will become more conscious about their psychophysical constitution, as well as gaining a basic notion concerning the somatopsychic and psychosomatic processes in women. This is essential to help them understand some of the basis of their emotional problems, and how they are projected into the body. It is here that the methodology of the psychological sciences becomes integrated with gynecology and makes us, as gynecologists, also able to provide some psychological assistance to women. The psychosomatic approach in gynecology begins from this point on. It is obvious that the introduction of these subjects to the patients must be adequate in each case, and be done at the most appropriate moments.

Here are some examples of the aforementioned aspects of the woman's mind-body relationship and psycho-physical constitution: 1) the very special and intense ways through which women experience their own bodies; 2) the fundamentally corporal and even "self-erotic" feature of female nature; 3) the effects of the hormonal oscillations of the ovarian cycle and of the phenomena that characterize the menstrual cycle upon the woman's somatopsychic wholeness; 4) the very particular features of female sexuality, both at the psychological and physiological levels; 5) the especially complex and problematic implications which the possibility of getting pregnant have in women's nature and lives; 6) the woman's constitutional "split" between their aphrodisiac and maternal sides; 7) the several paradoxical and even ambiguous situations that characterize both the female physiology and psychology. For a detailed study of these aspects, see my already mentioned book "Novas Perspectivas em Ginecologia" ("New Perspectives in Gynecology").

For more information on "Novas Perspectivas em Ginecologia", see page http://www.nelsonginecologia.med.br/novas.htm , from my website www.nelsonginecologia.med.br .

Copyright Nelson Soucasaux 1990, 2001
___________________________________________________

Nelson Soucasaux is a gynecologist especially dedicated to clinical, preventive and psychosomatic gynecology. Graduated in 1974 by Faculdade de Medicina da Universidade Federal do Rio de Janeiro, Brazil, he is the author of several articles published in medical journals and of the books "Novas Perspectivas em Ginecologia" ("New Perspectives in Gynecology") and "Os Órgãos Sexuais Femininos: Forma, Função, Símbolo e Arquétipo" ("The Female Sexual Organs: Shape, Function, Symbol and Archetype"), published by Imago Editora, Rio de Janeiro, 1990, 1993.

Web site (Portuguese-English)

Email: nelsons@nelsonginecologia.med.br

NEWS | homepage | LIST OF ALL TOPICS | MUM address & What does MUM mean? | e-mail the museum | privacy on this site | who runs this museum?? |
Amazing women! | the art of menstruation | artists (non-menstrual) | asbestos | belts | bidets | founder bio | Bly, Nellie | MUM board | books: menstruation and menopause (and reviews) | cats | company booklets directory | contraception and religion | costumes | menstrual cups | cup usage | dispensers | douches, pain, sprays | essay directory | extraction | famous women in menstrual hygiene ads | FAQ | founder/director biography | gynecological topics by Dr. Soucasaux | humor | huts | links | masturbation | media coverage of MUM | miscellaneous | museum future | Norwegian menstruation exhibit | odor (olor)| pad directory | patent medicine | poetry directory | products, current | religion | your remedies for menstrual discomfort | menstrual products safety | science | shame | slapping, menstrual | sponges | synchrony | tampon directory | early tampons | teen ads directory | tour of the former museum (video) | underpants directory | videos, films directory | Words and expressions about menstruation | Would you stop menstruating if you could? | What did women do about menstruation in the past? | washable pads
More articles by Dr. Soucasaux: Anatomical drawings - Anovulatory cycles - Archetypal aspects of the female genitals - The breasts: some morphological aspects - Colposcopy - Comments on the corpus luteum and related aspects - Comments on some anatomical and symbolic aspects of the female pelvis - The curious relations between androgens and estrogens in women - Drospirenone Oral Contraceptives - Due to prohibition, Brazilian women don't have access to modern medicinal abortion - Endocrinology of menstruation - The Fallopian tubes - Female sexual response - The Gräfenberg Spot (G-Spot) - The Gynecologic Palpation (descendant of "The Touch") - Gynecological assistance: the three basic areas - Gynecology and Gynecologic Surgery - Gynecologist versus obstetrician: what lies behind the combination? - "Gyneco-obstetric-surgical" stubborness and the perpetuation of one of the greatest mistakes of women's medicine - Hypermenorrhea and/or Menorrhagia (Prolonged and/or Excessive Menstrual Bleedings) - Hypertrichosis, Hirsutism and Androgenic Manifestations in Women - Mayer-Rokitansky-Kuster-Hauser (MRKHauser) Syndrome - Menstrual toxin: An old name for a real thing? - Nature and the ovaries - On the Intimate, or Small-Scale, Mechanisms of Menstruation - On the Strange Nature of the Ovaries - Oral hormonal contraceptives (the "Pill") - The Ovaries: Some Functional and Archetypal Considerations - Peculiarities of the Female Genitals' Sensory Innervation - Physiology of menstruation - Polycystic ovaries syndrome - The Possibility of Becoming Pregnant, Its Implications for Women, and Abortion - Premenstrual congestion of the breasts - Premenstrual syndrome (PMS) - The Psychology of Gynecology part 1 (part 2) - Psychosomatic and symbolic aspects of menstruation - Psychosomatic gynecology - Some Details on the Function of the Hypothalamus-Pituitary-Ovaries Axis - Stanislav Grof's Perinatal Matrixes of the Unconscious and Women's Medicine - Symmetric Patterns in the Female Genitals - Thoughts on Female Sexual Psychology - Uninterrupted use of hormonal contraceptives for menstrual suppression: why I do not recommend it - The uterine cervix - Uterine contractility - The Uterus and the Female "Passive-Active" - Women's corporeal consciousness and experience - Women's Experience of the Breasts - Women's Undesired Pregnancies and Women's Right to Abortion and see his Art of Menstruation

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