The Medical journal of Australia

Anxiety disorders are the most prevalent mental illness in Australia and are more common in women relative to men, as well as transgender and gender diverse people relative to cisgender people. Sex and gender differences in anxiety prevalen…

OBJECTIVE: To examine the presentation, investigation, and clinical management of women diagnosed with endometriosis in Australian general practices during 2011-2021. STUDY DESIGN: Open cohort study; analysis of MedicineInsight data. SETT…

OBJECTIVES: To estimate the prevalence of heavy menstrual bleeding among Australian women from young adulthood to midlife (22-48 years) and investigate the characteristics of women who experience this condition; to investigate the relations…

OBJECTIVES: To determine the proportion of Australian adolescent girls who experience menstrual pain (dysmenorrhea); to assess associations of dysmenorrhea and period pain severity with adolescents missing regular activities because of thei…

In addition to providing safe and effective contraception, both the combined oral contraceptive pill (COCP) and selected long-acting progestogen-only contraceptives have significant health benefits. The COCP may reduce menstrual blood loss,…

There is evidence from well designed randomised controlled trials that modern medical and conservative surgical therapies (including endometrial ablation) are effective treatments for heavy menstrual bleeding for many women. Submucous fibro…

Endometriosis is a relatively common condition usually found in the pelvis. However, lesions do occur outside the pelvis and, more rarely, in the upper abdomen. In the case reported here, the patient presented with chronic right shoulder ti…

OBJECTIVE: To review the characteristics and experience of Australian women treated with depot medroxyprogesterone acetate (DMPA) in one gynaecological practice in Melbourne since 1973. DESIGN: A detailed retrospective review of clinical d…

OBJECTIVE: To determine the safety, accuracy and usefulness of percutaneous ultrasound guided uterine needle biopsy. SETTING: Transabdominal uterine biopsy was performed with an ultrasound directed biopsy gun. The biopsy was performed as a…

OBJECTIVE: To demonstrate that endometrial resection may be used to control abnormal uterine bleeding in a wide variety of clinical conditions. DESIGN/SETTING: Sixty-one patients were referred to a private gynaecological practice with abnor…

OBJECTIVE: To determine the feasibility and effectiveness of laparoscopically assisted hysterectomy. DESIGN: A prospective study of the planned surgical procedure was carried out by two teams, each with two gynaecologists, who were experie…

OBJECTIVE: To describe the causes of infertility among couples presenting to a fertility clinic over a period of 14 years. Changes in treatment methods over the same period are described. DESIGN: A retrospective analysis of records of patie…

Conception is a matter of chance. A couple's monthly probability of conceiving naturally is known as their fecundability. The average "normal" fecundability (as a proportion) is approximately 0.2. This means that most young couples can expe…

Masculinization of a female fetus occurred during a pregnancy in which the mother received danazol for infertility due to endometriosis. The biochemical theories and the necessary treatment are outlined. Conception may occur before or durin…

A retrospective comparison was made of the findings at laparoscopy and hysterosalpingography in 115 infertile women. In 41 of the 92 women whose hysterosalpingograms were reported as being normal, laparoscopy revealed additional pelvic abno…