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sYNoPsis By the use of the thrombocyte consumption test (T.C.T.) autoantibodies reacting with heart muscle tissue have been demonstrated in 63-3 % of the cases of coronary heart disease accompanied by different grades of insufficiency of the blood supply to the heart muscle. These autoantibodies could be detected two to three weeks after the onset in most patients experiencing a coronary attack for the first time, and persisted for about three to eight weeks following single attacks, whereas following recurrence in patients affected for several months or years the autoantibodies appeared in the serum most frequently within one week, and when the painful attacks were repeated, the T.C.T. remained positive for months, with only short interruptions.In cases of acute myocardial infarction the finding of a positive T.C.T. and its duration did not depend on the severity of the clinical symptoms nor on the measure of the laboratory changes but positive results were obtained more frequently in patients with acute coronary insufficiency (intermediate coronary syndrome) or angina pectoris with intense pain and frequent attacks than in patients in whom the attacks were infrequent producing slight symptoms.There was no evidence that these autoantibodies had any damaging effect.According to the investigations by workers in

S.Kav-Venaki and L. Zakham 4 RICHARDS DH: Depression after hysterectomy. Lancet 5 RICHARDS DH: A post hysterectomy syndrome. Lancet 6 MILLS WG: Depression after hysterectomy. Lancet ~R O E~K E NCA: Hysterectomy and the quality of a woman's life. Arch Intern Med 139 (2):146, 19% GRAY M: The normal women. New York, Charles Scribner's Sons, 1967 g MOORE JT, TOLLEY DH: Depression following hysterectomy. Psychosomatics 17 (2):86, 1976 10 WILLIAMS MA: Cultural patterning of the feminine role; a factor in the response to hysterectomy. Nurs Forum 12:378, 1973 2:430, I973 2:983, I974 2572, 1973 11 BEM SL: The measurement of psychological androgyny. J Consult Clin Psychol 42:155, 1974 12 ITZCHAK v: Charhiva yetziratit ve ' peilut yetziratit kphynkzja she1 hizdahut minit etzel yeladim mechunanim. Unpublished (Hebrew) MA Thesis Department of Psychology, Tel Aviv University, 1976 13 LOMRANZ J, LUBIN B, EYAL N, MEDINI G: A Hebrew version of the depressive adjective check list. J Pers Assess 45:380, 1981 I~B E M SL: Sex role adaptability: one consequence of psychological androgyny. J Pers SOC Psychol 31:634, I975 15 VAN KEEP PA, KELLEHALS JM: The impact of socio-cultural factors on symptom formation; some results of a study on aging women in Switserland. Psychother Psychosom 23 (I-6):251, 1974A Pelvic Pain Clinic was established to provide diagnostic and therapeutic services to women with severe, chronic pelvic pain of obscure origin. Sixty such women were studied. Their histories revealed a complex pattern of complaints. Conventional clinical investigations usually failed to reveal organic pathology responsible for the symptoms. Twenty-eight patients consented to undergo surgery. Two patients were found to have gynaecological pathology causing prolonged pain. Seventeen patients had normal internal genitalia. Nine patients had minor gynaecological pathology, frequently observed in asymptomatic patients. Twenty-two patients underwent psychological evaluation. The interviews produced evidence of psychiatric syndromes in twenty-one. Patients improved with surgery if organic disease was found. The response to reassurance based on negative laparoscopic findings was also good. The majority of patients were distrustful of explanations involving psychosomatic concepts and were not amenable to group psychotherapy. Patients and methodsPatients were referred to the Pelvic Pain Clinic

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