Vaginal aplasia associated with anatomically and functionally normal uterus.

Maldevelopment of the vagina is usually combined with aplasia/hypoplasia of the uterus. Complete vaginal aplasia with a normally developed uterus and cervix is an extremely rare form of developmental failure. The accepted treatment for this kind of maldevelopment is hysterectomy plus creation of a neovagina.

[Ovulation induction using clomiphene and human gonadotropins in combined therapy].

Stimulation of ovulation combined with the clomiphene therapy and human gonadotropins is presented. Follicular maturation was followed by changes of the cervical score and ultrasonic folliculometry from the tenth day of the stimulating cycle. Ovulation was proved by the change of quality of the cervical mucus, the increase of the BBT, the increase of the progesterone concentration in serum, then by ultrasonically proved changes inside the follicle and in endometry, and finally by pregnancy.

[Our approach to the diagnosis and treatment of the causes of infertility].

The authors put forward their own scheme of investigating possible causes of infertility. In everyday clinical routine the results of such investigations are limited. Most useful data are obtained by a detailed anamnesis, hysterosalpingography, bacteriological analysis, and cytogenetics.

[A case of bilateral gonadoblastoma].

A case of a patient with bilateral ovarian tumours is described. She was operated on and hysterectomy with bilateral adnexectomy was applied. Histological diagnosis of both tumours was gonadoblastoma.