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Myelinating organ cultures of rat cerebellum were maintained in vitro for up to 130 days. Extensive myelination took place between 7 DIV (days in vitro) and 28 DIV. Centrifugation of a crude culture myelin fraction on a discontinuous gradient yielded three layers termed light myelin, heavy myelin and membrane fraction, which exhibited an ultrastructure virtually identical to that of comparable layers prepared from surviving littermates. However, culture myelin layers showed a gross deficiency of galactolipids with a relative increase in phospholipids. The 2,3′‐cyclic nucleoside‐monophosphate phosphodiesterase (CNP) activity was decreased in the culture myelin layers, but not to an extent comparable to the cerebroside deficiency. A form of “slow myelin maturation” takes place in vitro with both myelin cerebrosides and sulphatides increasing in cultures older than 60 DIV. The results indicate that CNS myelination comprises at least two phases, and that the second phase involving galactolipid enrichment of myelin can, under experimental conditions, be partly uncoupled from the first phase without affecting the morphology or ultrastructure of the sheaths.

Summary The effect of the intrauterine contraceptive device (IUCD) on uterine haemostasis was studied at various stages of the menstrual cycle in a series of 46 patients by light‐ and electron‐microscopy and by following the distribution of an infusion of 51Cr‐labelled autologous platelets. The endometrium in contact with the IUCD in the majority of cases showed grooving with atrophy and mild chronic inflammation in the surrounding tissues. The adjacent stroma also showed increased vascularity and occasional foci of haemorrhage but the increased blood loss associated with the presence of the IUCD could not be attributed to mechanical erosion or disruption of stromal blood vessels by the device. During menstruation the presence of an IUCD does not appear to inhibit the formation of fibrin/platelet thrombi although both in control and IUCD patients there was a striking paucity of platelet/fibrin thrombi in circumstances where their formation should be enhanced. In contrast to other workers we have not observed that gaps or breaks in the endothelial lining of endometrial blood vessels occur with any greater frequency in patients fitted with an IUCD. The principal mechanism by which uterine haemostasis is achieved remains to be established.

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