Division of General Obstetrics and Gynecology Vanderbilt University Medical Center

Nashville, Tennessee

Tamara Keown, MSN, WHNP-BC

Assistant Professor
Department of Obstetrics and Gynecology
Division of Midwifery and Advanced Practice Nursing Vanderbilt University Medical
Center
Nashville, Tennessee

Dineo Khabele, MD, FACOG, FACS

Director, Division of Gynecologic Oncology The University of Kansas Cancer Center

Professor, Obstetrics and Gynecology
The University of Kansas School of Medicine Kansas City, Kansas

Lucy Koroma, MSN, WHNP-BC

Assistant Professor
Department of Gynecology and Obstetrics Division of Minimally Invasive Gynecology
Johns Hopkins University School of Medicine Baltimore, Maryland

Erica E. Marsh, MD, MSCI

Associate Professor and Chief Division Director Department of Obstetrics and

Gynecology
Division of Reproductive Endocrinology and Infertility University of Michigan Medical
School

Ann Arbor, Michigan

Christina Megli, MD, PhD

Fellow, Maternal-Fetal Medicine Department of Obstetrics and Gynecology University of

Pittsburgh Medical Center Pittsburgh, Pennsylvania

Melinda New, MD

Associate Professor and Vice Chair of Education Department of Obstetrics and

Gynecology Division of Gynecologic Specialties
Vanderbilt University Medical Center

Nashville, Tennessee
Rachel Pilliod, MD

Fellow, Maternal-Fetal Medicine Department of Obstetrics and Gynecology Oregon

Health & Science University Portland, Oregon

Jessica Pippen, MD

Fellow, Maternal-Fetal Medicine Department of Obstetrics and Gynecology Ohio State

University College of Medicine Columbus Ohio

Erica Robinson, MD, FRCSC

Assistant Professor
Department of Obstetrics and Gynecology Division of Gynecology
Wake Forest School of Medicine Winston-Salem, North Carolina

Bethany Sabol, MD

Fellow, Maternal-Fetal Medicine Department of Obstetrics and Gynecology Washington

University
St. Louis, Missouri

Stacey Scheib, MD, FACOG

Assistant Professor
Director, Multidisciplinary Fibroid Center Department of Gynecology and Obstetrics
Division of Minimally Invasive Gynecology Johns Hopkins University School of
Medicine Baltimore, Maryland

Katherine A. Smith, MD

Fellow, Minimally Invasive Gynecologic Surgery Department of Obstetrics and

Gynecology
Mayo Clinic
Jacksonville, Florida

May Thomassee, MD

Assistant Professor
Department of Obstetrics and Gynecology Division of Gynecology
University Hospitals and Clinics of Lafayette

Louisiana State University School of Medicine Lafayette, Louisiana

Laurie Tompkins, WHNP

Assistant Professor
Department of Obstetrics and Gynecology
Division of Midwifery and Advanced Practice Nursing Vanderbilt University Medical
Center
Nashville, Tennessee

Ashley M. Van Wormer, MD

Resident
Department of Obstetrics and Gynecology Louisiana State University School of Medicine
New Orleans, Louisiana

Jessica L. Young, MD

Assistant Professor
Department of Obstetrics and Gynecology Division of General Obstetrics and
Gynecology Vanderbilt University Medical Center Nashville, Tennessee

Contributing Editors from Previous Editions

Marisa Adelman, MD

Assistant Professor
Department of Obstetrics and Gynecology Division of General Obstetrics and
Gynecology University of Utah
Salt Lake City, Utah

Jeff Andrews, MD, FRCSC

Executive Editor-in-Chief, Journal of Lower Genital Tract Disease Worldwide Medical

Director of Women’s Health & Cancer
BD Life Sciences
BD Diagnostic Systems

Sparks, Maryland

Lisa Bayer, MD
Assistant Professor, Family Planning Department of Obstetrics and Gynecology Oregon
Health & Science University Portland, Oregon

Stephanie Beall, MD, PhD

Department of Obstetrics and Gynecology

Division of Reproductive Endocrinology and Infertility Shady Grove Fertility
Columbia, Maryland

Daniel H. Biller, MD, MMHC

Associate Professor
Department of Obstetrics and Gynecology
Division of Urogynecology and Female Pelvic Medicine Vanderbilt University Medical
Center
Nashville, Tennessee

Lynne Black

Research Coordinator
Department of Obstetrics and Gynecology

Vanderbilt University Medical Center Nashville, Tennessee

Nicole S. Carroll, MD

Department of Obstetrics and Gynecology Wilmington Health

Wilmington, North Carolina

Annette Chen, MD

Department of Obstetrics and Gynecology Division of Gynecologic Oncology Kaiser

Permanente
Oakland, California

Yvonne W. Cheng, MD, PhD

Director
Maternal-Fetal Medicine California Pacific Medical Center San Francisco, California

Bruce B. Feinberg, MD
Assistant Professor
Department of Obstetrics and Gynecology Division of Maternal-Fetal Medicine
Columbia University Medical Center New York, New York

Karen P. Gold, MD, MSCI

Interim Chair and Residency Program Director

Department of Obstetrics and Gynecology
Division of Urogynecology-Female Pelvic Medicine and Reconstructive Surgery
University of Oklahoma-Tulsa
Tulsa, Oklahoma

Linda J. Heffner, MD, PhD

Professor
Department of Obstetrics and Gynecology Division of Maternal-Fetal Medicine Boston
University School of Medicine Boston, Massachusetts

Celeste O. Hemingway, MD, MHPE

Assistant Professor and Residency Director Department of Obstetrics and Gynecology

Division of General Obstetrics and Gynecology Vanderbilt University Medical Center

Nashville, Tennessee

Nariman Heshmati, MD

Department of Obstetrics and Gynecology The Everett Clinic

Everett, Washington

Beth Colvin Huff, MSN, NP

Editorial Board, Journal of Lower Genital Tract Disease Previous Board of Directors
American Society for Colposcopy and Cervical Pathology

Sarah E. Little, MD, MPH

Assistant Professor
Maternal-Fetal Medicine
Department of Obstetrics and Gynecology Brigham and Women’s Hospital
Boston, Massachusetts

Sara Newmann, MD, MPH

Associate Clinical Professor
Department of Obstetrics, Gynecology and Reproductive Sciences University of
California San Francisco
San Francisco General Hospital
San Francisco, California

Erin Rebele, MD

Assistant Professor
Department of Obstetrics and Gynecology Division of General Obstetrics and
Gynecology Vanderbilt University Medical Center Nashville, Tennessee

Brian L. Shaffer, MD

Director
Department of Obstetrics and Gynecology Fetal Diagnosis & Treatment Center Associate
Professor
Oregon Health & Science University Portland, Oregon

Christopher M. Sizemore, DO

Assistant Professor
Department of Obstetrics and Gynecology Division of General Obstetrics and
Gynecology Vanderbilt University Medical Center Nashville, Tennessee

Merielle M. Stephens, MD

Assistant Professor
Department of Obstetrics and Gynecology Tufts University School of Medicine Boston,
Massachusetts

Susan H. Tran, MD

Associate Professor, Maternal-Fetal Medicine Department of Obstetrics and Gynecology

Oregon Health & Science University Portland, Oregon

Jing Wang Chiang, MD

Chief
Division of Gynecologic Oncology Department of Obstetrics and Gynecology Santa
Clara Valley Medical Center
Santa Clara, California

Keenan Yanit, MD
Assistant Professor
Department of Obstetrics and Gynecology Oregon Health & Science University Portland,
Oregon

Amanda Yunker, DO

Associate Professor
Department of Obstetrics and Gynecology Division of Minimally Invasive Gynecology
Vanderbilt University Medical Center Nashville, Tennessee

Preface

I n 1997, the first five books in the Blueprints series were published as

board review for medical students, interns, and residents who wanted high-
yield, accurate clinical content for USMLE Steps 2 and 3. Twenty years later,
we are proud to report that the original books and the entire Blueprints brand
of review materials have far exceeded our expectations.

The feedback we have received from our readers has been tremendously
helpful and pivotal in deciding what direction the seventh edition of the core
books would take. To ensure that the seventh edition of the series continues
to provide the content and approach that made the original Blueprints a
success, we have expanded the text to include the most up-to-date topics and
evidence-based research and therapies. Information is provided on the latest
changes in the management of cervical dysplasia and cervical cancer
screening, abnormal uterine bleeding, hypertension in pregnancy, cervical
insufficiency, prenatal diagnosis, and preterm labor. The newest and future
techniques in contraception and sterilization and menopausal hormone
therapies are covered, as are contem