The Journal of reproductive medicine

Seventy cases of colovaginal fistula complicating diverticular disease are documented in the literature. Predisposing factors are advanced age and previous hysterectomy. We diagnosed a case early on with careful colposcopic observation of t…

We compared pregnancy rates between a danazol-treated and an untreated group of infertile women with minimal endometriosis. After completion of a basic infertility workup and laparoscopy, women with minimal endometriosis were entered into t…

A patient developed hypertension from unilateral hydronephrosis produced by endometriosis. Her blood pressure fell promptly after decompression of the involved kidney.

Palpable endometriotic nodules deep in the cul-de-sac and vagina represent the extension of intraperitoneal disease. Although such nodules used to be excised with vaginal colpotomy and by tracing the endometriosis to the peritoneum, the dis…

In utero exposure to diethylstilbestrol (DES) has an adverse effect on reproductive performance and may be associated with infertility. Gamete intrafallopian transfer (GIFT) is a new reproductive technique that has been advocated as an alte…

The epidemic of sexually transmitted diseases has placed young, sexually active women at risk of infertility from tubal and pelvic factors. Salvaging reproductive function in women desiring fertility depends upon an accurate diagnosis and e…

The pathologic findings on 100 women undergoing laparotomy for a pelvic mass between August 1983 and September 1986 were analyzed. The most frequent diagnoses by age group were: cancer in 56% of women greater than or equal to 50 years of ag…

Adenomyosis and its localized, tumorlike variant, the adenomyoma, usually afflict multiparous, perimenopausal women and are not considered to cause infertility. Three cases of adenomyoma occurred in young, infertile women. The adenomyoma wa…

A series of 273 consecutive patients with the primary complaint of pelvic pain were laparoscopically diagnosed as having endometriosis. Peritoneal and/or ovarian biopsy was performed at the endometriosis site or sites in 115 patients. Histo…

A survey of reproductive system problems was conducted in a large group of lesbians (n = 1,921) and bisexual women (n = 424) in a nonclinical setting. Demographically the groups were similar: the majority of respondents were white, urban an…

In a prospective study the author measured the "before" and "after" effects of in vitro washing and capacitation on sperm characteristics in 25 normospermic men using a microcomputerized system for semen analysis. Each fresh semen sample wa…

Laparoscopic excisional techniques, used for endometriosis on 319 of 495 patients during the years 1982-1986 at Baptist Memorial Hospital, Memphis, significantly increased the percentage of confirmation per patient. That percentage for all …

We examined the cell-mediated immune response in women with pelvic endometriosis by quantitating their T and B lymphocytes. The study was conducted on heparinized peripheral blood and peritoneal fluid. The results were compared with those i…

Women with mild to moderate premenstrual syndrome (PMS) should have their symptoms controlled with conservative therapy, including diet, exercise, education and nutritional supplementation. Those patients with moderate to severe PMS whose c…

Sixty-seven women with extensive pelvic adhesions, including hydrosalpinx, underwent a laparoscopic surgical procedure over the past eight years. Only cases in which ovum pickup was greatly impaired by adhesions were included. Cases of exte…

Both hyperprolactinemia and endometriosis are associated with infertility. A study was performed to ascertain whether sleep-related prolactin (PRL) hypersecretion was present in endometriosis. Fifty-five consecutive infertile women with reg…

Subacute focal endometritis (SFE) has been associated with cervical Ureaplasma urealyticum colonization and is considered a significant indicator of pelvic adhesions or endometriosis. A retrospective analysis was performed comparing cervica…

With approximately 25% of dysmenorrheic patients reporting no improvement with nonsteroidal anti-inflammatory drugs, a study was devised to evaluate the effectiveness of a laparoscopic technique for the interruption of the uterosacral nerve…

Chronic pelvic pain remains a difficult management problem that is often refractory to traditional medical or surgical therapy. The pain management center approach used successfully for the treatment of cancer pain and headache can be adapt…

Adenomyosis of the gravid uterus has been considered a rare condition, associated with a high incidence of obstetric and/or surgical complications. In addition, various studies have claimed that the adenomyotic implants hormonally respond o…

Medical, surgical and combined therapy have been used in the treatment of infertility associated with endometriosis. The CO2 laser offers the advantage of precise excisional surgery at the initial laparoscopy and potentially avoids further …

Danazol therapy for proximal tubal obstruction and associated endometriosis has been suggested to be highly effective. Of 12 women treated with danazol for two to nine months, 5 had resolution of their proximal tubal obstruction after three…

Gamete intrafallopian transfer (GIFT) was performed in 19 cycles on 15 couples whose infertility had proven resistant to other treatments. Indications included infertility associated with immunologic factors, seminal deficiencies, endometri…

Fertility factors were examined in 50 women with primary infertility and presumed in utero diethylstilbestrol (DES) exposure and in 50 age-matched controls. Uterine deformities and endometriosis were more frequent in the DES-exposed women t…

The major advantage of the argon laser in laparoscopic reproductive pelvic surgery is the ability to transmit the laser beam along a flexible fiber that can easily be directed at a lesion. Its use has been specifically described for the tre…