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Abstract. A patient with repeated abortions and a finding of endometrial ossification is reported. The etiology and pathogenesis of endometrial ossification are discussed.

During the period January 1976--December 1982 laparoscopy was performed on 186 women complaining of pelvic pain of at least 6 months' duration. In all these cases, the routine pelvic examination and other medical and laboratory tests were negative. Laparoscopy revealed pelvic pathology in only 8.2%: in the vast majority (91.8%) entirely normal pelvic organs were seen. Evidence from the literature is compiling as to the psychogenic origin of most cases of chronic pelvic pain. Recently, it has been shown that laparoscopically negative pelvic pain can be relieved or abolished by psychological intervention. Since pathological findings on laparoscopy are of very low percentage and since the pain is psychogenic in most cases, the value of routine laparoscopy in chronic pelvic pain is very low. We propose that all women with chronic pelvic pain and normal pelvic examination should undergo psychological assessment and treatment if necessary. Laparoscopy should then be reserved for only those cases who show no amelioration on psychological intervention. Our estimation is that this approach would reduce the rate of laparoscopies performed for chronic pelvic pain by about 90%.

A consecutive series of 50 women undergoing postcoital tests (PCT) as part of their infertility investigation agreed to answer questions concerning their sexual functioning and their relationship with their partner during the intercourse they had had for the PCT.It was found that sexual functioning decreased with regard to foreplay and orgasm, especially when the intercourse took place only a few hours before the PCT ('same morning PCT').A positive correlation was found between the woman's feeling of closeness to her partner and the PCT score.Based on the results of our study, recommendations are given regarding timing and performance of PCTs. 0167-482X/84/$03.00 0 1984 Elsevier Science Publishers B.V. J Psychosom Obstet Gynaecol Downloaded from informahealthcare.com by Flinders University of South Australia on 02/04/15 For personal use only.

Within a 1-year period, two cases of primary ovarian pregnancy associated with an intrauterine device (IUD) occurred in our institution. The clinical signs and symptoms were similar to those in any other ectopic pregnancy. Both cases satisfied the criteria of Spiegelberg. The final diagnosis was based on the histopathological findings. A review of the literature is presented summarizing the 53 cases reported until now. The association between IUD, ectopic pregnancy in general, and ovarian pregnancy in particular is discussed.