Obstetrics & Gynecology

Fifteen pelvic exenteration patients from 2 institutions participated in semistructured interviews and objective assessment to examine postoperative psychologic, social, and sexual functioning. Analyses of variance indicated significant dif…

In human corpus luteum (CL) microsomes, danazol inhibited 3 beta-hydroxysteroid dehydrogenase, 17,20-lyase, 17 alpha-hydroxylase, and 17 beta-hydroxysteroid dehydrogenase enzymes. Danazol did not inhibit aromatase. The observation that dana…

Sixty-nine patients with a convincing history of menorrhagia completed a 4-cycle double-blind randomized placebo-controlled crossover trial of mefenamic acid taken during menstruation. Only 30 of these patients demonstrated objective menorr…

This report, the first ultrastructural study of endometriotic implants, compares the ectopic endometrium in 14 patients with that found in the uterus. The ultrastructural features of most of the glands of the ectopic endometrium resemble th…

The histologic pattern of the endometrium was studied in 38 patients, 19 to 44 years old, with primary hypoestrogenic amenorrhea treated by estrogen replacement therapy. At the time of endometrial biopsy 3 patients were receiving estrogens …

Painful menses, one of the most frequent gynecologic complaints, is incapacitating for many women. It has recently been proposed that increased endometrial prostaglandin production and prostaglandin-induced myometrial contractility may be r…

It is now widely accepted that debulking operative resections can provide effective palliation for some patients with advanced pelvic malignancy, particularly with those malignancies originating in the ovary. Some of these radical operation…

A case of massive exudative hemorrhagic ascites occurring as a serious complication of chronic pelvic inflammatory disease (PID) is presented. The clinical manifestations, simulating diffuse carcinomatosis in a young female patient, are des…

The effects of the calcium antagonist Nifedipine were investigated on isolated human myometrium and on uterine activity in healthy women during their first menstrual days. Nifedipine (0.01-1.0 microgram/ml) had a concentration-related inhib…

This is a report of a retrospective study of 89 patients who had undergone hysterectomy and oophorectomy. The aims of this study were to identify factors associated with sexual deterioration attributed to the operation. In the sample interv…

Fourteen women with amenorrhea-galactorrhea were treated with bromo-ergocryptine. Serum prolactin hPRL, hLH, hFSH, estradiol 17-beta (E2), and progesterone values were determined before and during treatment. No consistent pretreatment hormo…

Pelvic tuberculosis (TBC) was diagnosed in 20 patients studied during the years 1971 to 1975. Fourteen patients were born outside the United States. The most frequent presenting complaints were infertility (14 patients), pelvic pain (6), an…

A group of 60 patients between the ages of 30 and 45 were randomly selected to have either a suction curettage or dilatation and curettage. The criteria used for patient selection was that they had dysfunctional uterine bleeding, a normal g…

A study was undertaken to document the clinical characteristics of p atients with chronic endometritis and to determine whether these charact eristics are similar in patients from 2 different geographic areas. The groups of pateints consist…

At Beth Israel Hospital in Boston a complication occurred in cryosurgery of the endometrium. The patient a 45-year-old multipara at first underwent cryosurgery rather than hysterectomy because of her prolonged history of episodic cardiac fa…

Obstetric, Gynecologic and Breast Pathology Branch, Armed Forces Institute of Pathology, Washington, D.C.

Comparison of Electrocauterization and Cryosurgery for the Treatment of Benign Disease of the Uterine Cervix: PDF Only

Among women who undergo surgical sterilization tubal ligation has better long-term psychologic consequences than does hysterectomy. This was a significant relationship (P = .03). The same statistical significance was established between pre…