[Hysteroscopic correction of uterine malformations by small diameter hysteroscope with flexible needle]. / Korekcja wad rozwojowych macicy przy uzyciu histeroskopu o malej srednicy.

The series of 14 hysteroscopic surgery procedures in case of septum uteri were analyzed. All women enrolled into the study were infertile. The malformations were diagnosed by hysterosalpingography and intravaginal ultrasound. The laparoscopic examination of intrauterine serosal surface and operative hysteroscopy were performed in the same time. The 8 mm diameter hysteroscopy with flexible needle was used. The uterine cavity solution was distended by sorbitol and mannitol. The patients left the hospital on the second postoperative day. There was one complication in this study: intravasation of distended fluid. After one month from surgery the pelvis was controlled by HSG. In 12 cases the uterine cavity was restored to a normal shape, in 2 cases the residual uterine septum of less than one centimeter was determined. We concluded that correcting the septum uteri by the small diameter hysteroscope (8 mm) with flexible needle is an effective and safety method for the uterine septum treatment.

[Correlation of pituitary hormones in serum of male patients with fertility problems]. / Wzajemne zaleznosci stezen hormonów przysadkowych w surowicy krwi mezczyzn z zaburzeniami plodnosci.

UNLABELLED: FSH, LH and prolactin serum levels estimations are the part of the most diagnostic procedures in andrology but there is their prediction value under discussion all the time. AIM: To judge the sensitivity of pituitary hormones serum levels estimation as the diagnostic method in male subfertility and to investigate the correlation between FSH, LH and PRL depending on their physiological or pathological ranges. MATERIAL AND METHODS: FSH, LH and PRL serum levels were estimated in 36 males with azoospermia or severe oligozoospermia (density below 5 mln sperm per milliliter) by EIA. The percentage of pathologic values for every hormones was counted. The statistic analyzes (for p. < 0.05) of correlation factor between every couple of hormones were performed in full investigated group and in subgroups which were formed in following way: A-12 men with pathologic FSH serum levels, B-9 men with pathologic LH serum levels and C-24 men with both physiologic gonadotropins serum levels. RESULTS: The percentage of FSH, LH and PRL pathologic values was in all subfertile men: 33%, 25% and 19.4% respectively. The correlation factor for FSH and LH was high in whole group (0.9484), it was the highest in both groups with FSH and LH pathologic levels (almost 1.0). In the group with physiological FSH and LH serum levels this positive correlation was significantly weak but also present (0.4107). The prolactin is completely independent without the correlation with any gonadotropins in any groups. CONCLUSIONS: 1. The sensitivity of the investigations of pituitary hormones during the diagnostic procedures of male fertility disturbances is poor. 2. Gonadotropins and prolactin infertile male serum levels are completely independent. 3. Positive correlation between FSH and LH increases in the pathological range of their values.

[Endometrial changes in the ovaries during full-term pregnancy: a case report]. / Zmiany endometrialne jajników towarzyszace donoszonej ciazy--opis przypadku.

The authors described case of 27 years old female patient treated due to infertility of unknown etiology. The female was pregnant after series of intrauterine insemination. During caesarean section due to pelvic longitudinal lie the chocolate cyst and endometriosis of the ovary were found. The authors did not find any information in the literature about coincidence of endometriosis of female reproductive organs and full-term pregnancy.

[Seasonal changes in results of semen analysis from male members of an infertile married couple]. / Sezonowe zachowanie sie badanego nasienia mezczyzn z nieplodnych par malzenskich.

Analysis of 200 semen samples of men from childless couples was performed in order to evaluate the sperm characteristics during the year. Estimated were following features: semen volume, sperm density, motility and percentage of pathological forms. The sperm estimation data obtained from 4 seasons of the year was statistically evaluated. Statistically significant changes were found only in the percentage of pathological sperm forms. During the spring period the observed values were significantly higher than during summer and winter. From the correlation tables it appears that together with the increase of sperm density the percentage of pathological forms decreases. Whereas increase in density is correlated with the increase of sperm motility. It was also revealed that together with the increase of the percentage of pathological forms the motility decreases. Analogical results were obtained in all seasons of the year which indicates that there is a clear regularity existing. The least apparent dependencies were found in winter period.