The injected latex method was used to study the anatomy of the intramural segment in ten uteri. Another ten uteri were used for its histological evaluation. The intramural segment had an S-shaped course with double curves. Its length ranged between 0.9 and 1.7 cm. The lining epithelium showed variations at different levels with increase in cell density and number of cilia as the isthmus was approached. At the uterotubal junction, there were mucosal folds of endosalpinx directed towards the tubal lumen.
The morphological changes in the ovaries of 20 normal and 20 post pill amenorrhea cases were studied via laparoscopy. Ovarian biopsies were taken in some of them to study the histopathological changes. Again endometrial biopsies were taken to study the endometrial picture in cases of post pill amenorrhea and to determine the stage of the menstrual cycle in the normal controls. The ovaries were morphologically active in 13 normal control cases encountered during the late proliferative and the secretory phase. The ovaries in all cases of post pill amenorrhea, on the other hand, were resting and inactive. Ovarian biopsies confirmed the morphological findings. Regarding the endometrial biopsies, histological patterns coincided with the ovarian morphological findings in the normal controls. While the endometrium was resting in 14 and atrophic in 6 cases of post pill amenorrhea. The significance of these results were discussed.
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