The Journal of reproductive medicine

Severe ectopic decidual reaction of the peritoneal surface as the etiology of unexpected intraabdominal hemorrhage is rare. Such a situation occurred in one of our patients after an uneventful vaginal delivery. The bleeding was discovered d…

Pelvic inflammatory disease (PID) is defined as the clinical syndrome attributed to the ascending spread of microorganisms unrelated to pregnancy and surgery from the vagina and cervix to the endometrium fallopian tube and/or contiguous str…

Most clinicians currently agree that stage I and II pelvic endometriosis, as determined by the American Fertility Society classification, is best treated with danazol when there are no significant peritubal or periovarian adhesions. This th…

To evaluate the reproductive consequences of prenatal diethylstilbestrol (DES) exposure, 33 infertile couples were studied in whom the female had been exposed to DES in utero. Infertility was attributed to uterotubal junction obstruction in…

The CO2 laser produces a highly directional and collimated light beam that may be precisely focused to a fine point. Because the laser beam physically removes tissue by vaporization, causes little damage to neighboring cells and seals small…

Early diagnosis of pelvic inflammatory disease (PID) and treatment with appropriate doses and types of antibiotics that take into account the polymicrobial etiology of this condition are essential to prevent future infertility. That PID fre…

One hundred thirty-seven premenopausal women with premenstrual tension underwent laparoscopy for bleeding, pain and/or infertility. Endometriosis was the associated gynecologic disease observed most frequently (66 patients). Other associate…

Two hundred sixty-three patients with a diagnosis of endometriosis or adenomyosis were studied in a retrospective fashion. The association between endometriosis resulted in a spontaneous abortion rate of 44.3%, Patients with adenomyosis spo…

At the time of laparoscopic examination performed for the evaluation of infertility, 55 patients with hydrosalpinges were identified. Perihepatic "violin-string" adhesions suggestive of a prior episode of Fitz-Hugh-Curtis syndrome were seen…

Three years after a heart transplant, a woman presented with an adnexal mass that proved to be endometriosis. Her management and its results are presented.

Pelvic pain associated with the menses may be a result of physiologic problems, premenstrual tension syndrome, primary dysmenorrhea or secondary dysmenorrhea. All of these conditions may be caused by both physiologic and psychologic factors…

Gray-scale ultrasonograms in 26 patients with pathologically and/or surgically proven endometriosis were evaluated. We found a complex pattern (18) more often than previously reported among the 38 lesions studied. In four patients, fluid/fl…

2 case reports, thought to be the first of their kind, describe an uncommon complication of hysterectomy, prolapsed fallopian tubes, and an even more unusual surgical remedy for the condition, laparoscopy. Case 1 was a 26-year-old female, g…

After ovulation, peritoneal fluid contains concentrations of progesterone and of 17 beta-estradiol that are 5 to 20 times higher than plasma concentrations in women with ovulatory cycles but not in women with unruptured luteinized follicles…

Vaginal agenesis in association with an intact and functioning or partially functioning uterus is not a well-described problem. The literature advocates attempting to preserve the uterus and surgically create a neovagina. Two patients are p…

Thirty-three dysmenorrheic patients were given ibuprofen, aspirin and a placebo in a double-blind crossover study, with each drug taken during one of three successive menstrual cycles in random sequence. Paired drug comparisons demonstrated…

One of the most significant factors necessitating IUD removal is pelvic pain, which includes insertional pain, intermenstrual cramps, often associated with spotting and bleeding, and increased dysmenorrhea. The larger and stiffer devices an…

One hundred thirty-five women with benign breast disease (BBD) were treated with danazol, an impeded androgen. Their ages ranged from 19 to 60 years (mean age, 30). The dose varied from 100 to 800 mg per day for 90 to 180 days, depending up…

Endometriosis retards the process of conception, but conception does not retard the progression of this disease. When a series of patients with endometriosis after pregnancy were examined, sites of endometriotic involvement and presenting s…