Pain Associated With Endometriosis

Place of Culdocentesis in the Diagnosis of Ectopic Pregnancy

“…As in other series (Riva et al, 1962;Schiffer, 1963;Fielding et al, 1965) this is the most common finding. Cervical excitation pain was a frequent sign; however, the same degree of tenderness may be obtained in other conditions such as salpingitis.…”

“…Clinically the presentation was "acute") in 36%, "acute-on-chronic" in 34%, and "chronic" in 30%. These figures are at variance with those of Riva et al (1962), who reported only 15.9% acute and 84.1% chronic ectopics, and with those of Douglas (1963), who reported 41% and 32% respectively. The high incidence of acute and acute-on-chronic cases is striking.…”

“…Severe shock was present in 32% of our cases compared with 15.9% reported by Riva et al (1962). Clinically the presentation was "acute") in 36%, "acute-on-chronic" in 34%, and "chronic" in 30%.…”

“…In developing countries the high incidence of anaemia and pelvic infection greatly adds to the difficulty in diagnosis. Even if catastrophe is avoided, delay in making the diagnosis increases the chances of significant morbidity and incapacity of the patient (Riva et al, 1962). Continued observation in doubtful cases may lead to prolonged hospital stay, which a developing country or any other can ill afford with the present shortage of hospital beds generally.…”

Oral Contraceptives and Thromboembolic Disease

“…11 Of the 97 cases of thromboembolic disease, 16 (16.5%) occurred in females found to have been taking oral contraceptives and 81 (83.5%) occurred in patients not using oral contraceptives. The au¬ thors selected two sets of "control" patients: (1) 97 females matched by marital status, parity, and within five years of age, and (2) 97 females with similar characteristics who suffered diseases such as wax in the ears, common cold and influenza-like illness, febrile sore throat, including tonsillitis and other conditions.…”