This document contains flow charts and diagrams summarizing the diagnosis and management of various gynecological conditions. It includes flow charts for abnormal uterine bleeding, infertility workup, sexual dysfunction, abnormal sexual development, chronic pelvic pain, cervical cancer screening and interpretation, endometrial cancer management, and ovarian cancer treatment. The charts provide an overview of the evaluation and treatment pathways for different gynecological issues.

1. FLOW CHARTS FOR
GYNAECOLOGICAL CONDITIONS--
-DIAGNOSIS & MANAGEMENT
Prof. M.C. Bansal.
MBBS. MS . MICOG. FICOG.
Founder Principal & Controller ;
Jhalwar Medical College And Hospital Jhalawar.
Ex . Principal & Controller ;
Mahatma Gandhi Medical College And Hospital , Sitapura; Jaipur.

5. Pain full Vulva--1

6. Pain Full Vulva

8. Oogenesis /spermatogenesis From stem cells e.g,
primary germ cell present in primordial Gonads

9. Normal work up Plan For Infertile
couple

10. INVESTIGATION Plan For Infertile
Couple

11. Investigation For
Anovulation

12. Treatment Plan For infertile
couple

13. Sexual Motivation

14. Sexuual Arousal disorders

15. Sexual Asualt—Case Management
Plan

16. Steroidogenesis----Flow
Chart

17. Pathway of
Testosterone
synthesis

18. Androgen Production In Adrenals
&ovary

19. Flow Chart For Management Ambeguous sex of
child

20. Investigation plan for
sexual development

21. Investigation Plan For
girl with No
Development of
secondary sex
characters

22. Flow chart of cloting

23. DUB: Classification, Pathophysiology And Endometrial
Changes
OVULATORY
Idiopathic
Ovulatory
Menorrhagia
Corpus Luteum
insufficiency
Normal
Progesterone
Altered PG E : PG F
Menorrhagia
Secretory
Endometrium
Reduced
Progesterone
Reduced PG F2
Premenstrual
Spotting
(Polymenorrhoea)
Irregular ripening
ANOVULATORY
Metropathica
Haemorrhagica
Prolonged Oestrogen
No Progesterone
Reduced PG F2
Amenorrhoea
followed by bleeding
Hyperplastic
Endometrium
Threshold
Bleeding
Low Oestrogen
No Progesterone
Reduced PG F2
Polymenorrhoea/
Polymenorrhagia
Proliferative
Endometrium

24. Management of Abnormal Uterine Bleeding of
Endometrial cause

25. Management of Abnormal Uterine
Bleeding of Endometrial cause---2

26. DUB management in Reproductive Age Group
Abnormal bleeding
Clinical Evaluation
Normal Abnormal
Medical Rx USG
Response No Response Rx Accordingly
Cont. For USG
3-6 months/ Polyp Normal
LNG –IUS
Response No Response
Hysterectomy
hysteroscopic
polypoidectomy
Endo . Ablation
LNG -IUS= Levonorgstrel intra
uterine system

27. DUB Management in Perimenopausal age
group
Abnormal Uterine Bleeding
clinical Evaluation
Risk Factors for Hyperplasia , carcinoma , irregular acyclic Bleeding
NO Yes
Low Dose
OCS
USG, Fractional Curretage, endometrial HP
examination
Atypical Hyperplasia Simple Hyperplasia
Hysterectomy
Low Dose Ocs / cyclical
Progesterone

28. Pathogenesis Of PMS
Changes in Ovarian steroids
Alteration In Neurotransmiters ( adrenergic,
steroidogenic opoids , GABAergic)
Genetic Socio
Predisposition PMS/PMDD culturalFactor

29. PreMenstrual
Syndrome

30. Treatment Of Chronic Pelvic
Pain

31. Treatment Of Chronic Pelvic
Pain --2

38. Interpretation of Cervcal
Cytology -1

39. Interpretation Of Cervical Cytology --2

41. Management Of Recurrence of Ca
Cervix

43. Flow chart for Management of High
Risk Case of Endometrial Cancer--
2

44. Differentiation Pathway of Germ Cell
Tumors

46. Treatment Plan For Ca Ovary

47. Symptoms Of suspecious of

48. Management of Hyper prolactnemia