OBJECTIVE This study examined the prevalence of gonorrhea in girls <12 years of age who presented with vaginitis and in whom sexual abuse was not suspected. DESIGN A prospective, consecutive patient series was performed in a pediatric emergency department with 90 000 visits per year and in 2 affiliated pediatric continuity clinics. All girls (Tanner I or II) between the ages of 12 months and ...

background: inversion of the uterus is very uncommon. patients may present with pelvic pain, vaginal discharge, or hemodynamic shock. case: we report a case of 35 years old women (virgin) who was admitted with profuse vaginal bleeding and cramps of uterus. in the vaginal examination at litothomy position a mass of 58 cm in size was protruded from the vagina. at first myomectomy was performed a...

OBJECTIVE To assess sexually active adolescents' attitudes toward 3 screening collection techniques for detection of Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis using first-void urine (FVU), self-collected vaginal swab specimens, and pelvic examination with clinician-collected endocervical swab specimens. DESIGN Participants completed a preexamination health survey...

M. S. M., a Burmese female, aged 38, an eighth para in the eighth month of her pregnancy, suddenly started discharging blood at about 2-30 a.m. on the morning of 6th April, 1935. She had gone to bed the previous evening in a perfectly good state of health, and woke up suddenly at about 2-30 a.m. with a desire to micturate. On standing up blood commenced to flow from the vagina and getting alarm...

Foreign objects in the female genital tract neglected for a long period of time may lead to many clinical problems including recurrent vaginal discharge and infertility. We present a case of 3-year long infertility, and 11-year long recurrent vaginal discharge in a 24-year-old female. She was treated empirically with several courses of antibiotics, which did not resolve her symptoms. Before her...

Background: To compare the value of physical examination, transvaginal sonography (TVS), rectal endoscopic sonography (RES), and magnetic resonance imaging (MRI) for the assessment of different locations of deep infiltrating endometriosis (DIE). Materials and Methods: Ninety-two consecutive patients with clinical evidence of pelvic endometriosis. Physical examination, TVS, RES, and MRI, perform...

OBJECTIVE To estimate the efficacy of lubricating gel compared with using water for pain during vaginal speculum insertion. METHODS This study was a randomized trial of nonpregnant women aged 18-50 years who required a vaginal speculum examination between February and July 2011. Patients blinded to study assignment underwent vaginal speculum examination using a standardized technique with a m...

Introduction: The progress of active labor by transvaginal examination is a subjective evaluation of the obstetrician with many limitations. The current trend in obstetrics is to avoid vaginal deliveries. There are many scientific proposals to monitor the progress of the active labor using ultrasound in laboring patients. Aim: To clinically assess the active labor and compare with ultrasound to...

A 59-year-old patient complaining of vaginal bleeding and puruloid discharge was admitted to our gynecology department. Speculum examination showed a vaginal fungating necrotic ulcerated mass. There was no palpable lymphadenopathy or hepato-splenomegaly on physical examination. Transvaginal ultrasound and abdominopelvic computed tomography demonstrated a bulky vaginal mass approximately 5x4x3 c...