'Abstract'Sperm DNA was isolated from vaginal fluid and/or endocervical mucoid plugs at various postcoital intervals. Samples were obtained from 25 volunteer couples. DNA was also prepared from the blood and semen of the couples. The DNA was amplified by polymerase chain reaction (PCR) with DlS8O primers. The Fragment length polymorphism of the amplified products (AMP-FLP) was analysed by acryl...

Cervical cancer is among the common gynecologic malignancies effective and well developed cytologic screening programs are not available in developing countries. This study is to compare screening and diagnostic culposcopy. In a prospective cross-sectional study 2235 screening and 2318 diagnostic colposcopies were compared. Diagnostic colposcopy indications included chronic vaginal discharge, a...

Emergency contraception is an underused therapeutic option for women in the event of unprotected sexual intercourse. Available postcoital contraceptives include emergency contraceptive pills (ECPs) both with and without estrogen, and copper-bearing intrauterine devices. Each method has its individual efficacy, safety, and side effect profile. Most patients will experience prevention of pregnanc...

Primary signet ring cell carcinoma of the cervix is extremely rare. A 47-year-old woman visited for postcoital vaginal bleeding during the last six months. Gynecologic examination revealed mild cervical erosion and touch bleeding. Colposcopic punch biopsy revealed a signet ring cell type of mucinous adenocarcinoma. The patient underwent radical hysterectomy with bilateral salpingooophorectomy, ...

The work-up for secondary infertility—the inability to conceive after 1 year of regular unprotected intercourse for a couple who have previously had a child1—should include a history and physical exam for both patients, plus evaluation of ovulation, semen analysis, and imaging of the uterus and fallopian tubes (strength of recommendation [sor]: B, based on cohort studies). Check the male partne...

OBJECTIVES To investigate sexual practices and risk factors for prevalent HIV infection among young men in Kisumu, Kenya. GOAL The goal of this study was to identify behaviors associated with HIV in Kisumu to maximize the effectiveness of future prevention programs. STUDY DESIGN Lifetime sexual histories were collected from a nested sample of 1337 uncircumcised participants within the conte...

Cervical carcinoma is mostly seen in women of child bearing age. Although rare in pregnancy it can occasionally present as a complication. Oncology referral centres may see one to two cases per year. Incidence of invasive disease varies in different centres from 1 in 1250 to 1 in 3000 pregnancies. By definition a tumour diagnosed during pregnancy and within one year postpartum is considered as ...

1970s, ‘The Morning After’ was the title of the daily newspaper of the Sixtieth Annual Conference of the Planned Parenthood Federation of America held in New York.1 Attending the conference during transatlantic study leave, the Honorary Secretary of the National Association of Family Planning Doctors was impressed during the reception at the ‘Windows on the World’ restaurant atop the World Trad...