British journal of obstetrics and gynaecology
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Br J Obstet Gynaecol · Aug 1991
Outcomes of referrals to gynaecology outpatient clinics for menstrual problems: an audit of general practice records.
To determine referral rates and intermediate and long-term outcomes for patients consulting for menstrual disorders and referred by their general practitioner to gynaecology outpatient clinics. ⋯ Guidelines are needed to assist referral decision-making. If audit is to be used to promote good practice these guidelines should consider the patients' anxieties and preferences, as well as the most appropriate use of investigations and treatments.
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Br J Obstet Gynaecol · Jul 1991
Is GIFT (gamete intrafallopian transfer) the best treatment for unexplained infertility?
To compare the cumulative pregnancy rates after gamete intrafallopian transfer (GIFT) with the cumulative spontaneous pregnancy rates in couples with unexplained infertility. ⋯ The chance of having a baby after one cycle of GIFT is significantly greater than the chance in a spontaneous cycle. However, considering the cumulative pregnancy rates, we suggest that if GIFT is to be a realistic treatment option, it should be offered for more than one cycle.
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To investigate menstrual symptoms in relation to pelvic pathology. ⋯ Menstrual symptoms, while raising a high index of suspicion for endometriosis, are not entirely reliable as indicators of disease. Dysmenorrhoea is the most common reported symptom in endometriosis sufferers. Diagnostic laparoscopy should be considered before institution of treatment in women complaining of pelvic pain and menstrual symptoms.