[Classic methods of contraception].
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Biomedical subjects
Publications and source records attributed to G A Hauser.
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We report on a patient who retained a low-carat gold IUD in her uterus for 44 years. The IUD, which may have been hand-made, has one long and one short arm. The long arm lays within the uterine cavity and the short arm protruded from the cervical canal. The intrauterine device was inserted prior to the second World War. Since she tolerated it well, the patient did not seek regular medical check-ups. At 80 years of age, she complained of lower abdominal pain and the IUD was removed. The patient is suspected to have an ovarian tumor.
A 23-year-old primigravida admitted to the labor room one week prior to term because of bleeding was known to have a congenital asymmetry, but a heart defect, which decisively affected the course of delivery, had been undiagnosed up to that time. Secondary caesarean section was necessary for fetal and maternal indications. In women with congenital hemihypertrophy or hemihypotrophy (Silver-Russel syndrome), any associated malformations should be ruled out prior to pregnancy.
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Placental extract injections were used with success in case of loss of hair in women during the period following confinement and outside this period. The overall rate of improvement was 74%; total recovery occurred in 43% of cases. In postpartum cases the rate of improvement was 91%, recovery 64%. The results obtained in 65 cases are reported. A double-blind study is planned.
Experience obtained by the authors from the use of ultrasonography in the diagnosis of the polycystic ovary syndrome is reported in this paper, with particular reference being made to examination of 32 probands. The ultrasonic findings are described, and a more general assessment is made of the accuracy which can be achieved by the use of the method for diagnosis of polycystic ovaries. These findings were compared, for all probands, with results obtained from pneumopelviography and with surgical as well as with histological findings recorded from seven cases. The potential role of diagnostic ultrasonography for routine examination of probands for polycystic ovaries is discussed in somewhat greater detail.
A report is presented on a young woman who survived two episodes of thrombotic thrombocytopenic purpura, 5 years apart, in the 31st week of a twin and a singleton pregnancy respectively. The rare clinical picture of Moschcowitz syndrome during pregnancy is described with reference to this unique case report, and the diagnosis, etiology, therapy and clinical course are discussed.
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Today, hysterectomy internationally is nearly as frequent as appendectomy. In approx. 1% of all hysterectomies (vaginal or abdominal) where one or both ovaries are left, the residual ovary syndrome is found after an average period of slightly over five years. Predominant symptoms are diffused abdominal pain and palpable tumour of the adnexae. More rarely, only one symptom alone is found. Up to today, treatment of choice has been an operation which, due to the always present adhesions, is a severe one. The results described in this paper suggest the probatory treatment with high-dosage dept-gestagens (Depo-Provera). In 71% of the cases the tumour disappeared completely under this treatment and in 39% the pain. In further 21% a diminution of the tumour could be seen and in 41% an improvement of the pain. Only in 8% did the tumour and in 20% the pain not respond. There was no case where there was a deterioration. The proposed therapy is cheaper and less dangerous than the usual surgical treatment and therefore should always be performed probatorily before an operation.
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