Vaginal discharge is the most common symptom for which women consult a gynecologist. It can occur as the only discomfort or be accompanied by other symptoms in the genitals. 75% of these patients are carriers of vaginal infections caused by Candida and / or Trichomonas, which are puriginosas, colibacillosis produced by burning, dyspareunia and odor, or Gardnerellas (Hemopbilus vaginalis) that only bad odors. The other flows are caused by the cervicitis ectropion without pathogens of importance, or by changing the ecology normally present in the vagina. The definitive diagnosis of the cause of vaginal discharge is: a. With the examination of the vagina with the speculum. b. The bacteriological study of the agents responsible. c. Determine the pH of the vaginal environment. Only then it can manage specific therapeutic and restore normal biological environment. Not all vaginal fluids indica...

After a review of the literature on congenital anomalies of the vagina compared with our cases a percentage similarity was found. Agenesis, hypoplasia, transverse and longitudinal septa, hymen, imperforate, mesonefróticos resagos described and consider the cases of adenosis as iatrogenic anomaly. The symptoms of our cases are mentioned and described therapeutic methods do, with an analytical review of our results.

The oviduct allows not only the transport of gametes, but is also the area of fertilization and zygote development. It is frustrating to know that the apparent anatomical restoration, not necessarily restore fertility. The deficit of tubal function may persist after anatomic restitution.

72 cases of patients who underwent recanalization after tubal sterilization, which analyzed the results are studied. Postpartum 9.2%, 37.5% during caesarean section and 33.3% by minilaparotomy. All were subjected to the technique of Pomeroy. A new engagement or the loss of children, were the main causes of reconstruction. Only 54 cases were followed 45 pregnancies that occurred between 8 and 28 months after surgery. The most important problem tubal ectopic pregnancies were 9.2%. The best results were in tubes longer than 7 centimeters and those of ítsmica itsmico anastomosis. It must be preserved during the surgical sterilization horn as much as possible, avoid sterilization cautery and remember what is probably the last chance to restore fertility.

The effective treatment of vaginal candidiasis has become a social and therapeutic problem, because it is a very annoying disease but not life, committed the happiness of married life. The use of conazoles in any form in the present, is a solution. But the problem of recurrences severely frustrate the results, so it is necessary to control, treat prefisponentes factors for failure or recurrence. Keep in mind that the sexual factor in the couple is involved, it must be considered in parallel therapeutic, and all care to prevent infestation. With the advance of anti fungal pharmacology, while we consider how to create defense against Candida vagina is not achieved, it will continue invading. Therefore, good technique is used prophylactically local treatment, preferably, or in the future, the single oral dose to prevent reinfection.

Estrogen replacement in climacteric already reaches 55 years of use last decade speaks risk of endometrial cancer, which some researchers believe to be due to overdose or that patients were already carrying injuries undiagnosed before receiving estrogen. The use of progesterone as risk protection was introduced. While it is true that counteract the endometrial receptors, increases the risk of women by blocking the cardio protective action to alter the metabolism of high density cholesterol and carbohydrates, as well as bone decalcification. It is totally unnecessary in the hysterectomy. And not protect breast tissue. Given this controversy, an international committee of experts met in the field of menopause and concluded that progestins are not necessary for combination therapy in menopause and can cause major problems not manage them. Each physician must use estrogen or progestin simple...

There is a saying: "breast is best" and is achieving international acceptance to encourage breastfeeding worldwide, so much so that commercial milk producers agree that breast milk is better than artificial.

Any woman who fluctuates between 35 and 45 years in which the rate and amount of menstrual flow is altered, it must be tested with a diagnosis of certainty it is not caused by a benign or malignant neoplasia, to be classified as a case of hemorrhage dysfunctional uterine: HUD premenopausal. A woman is in the menopausal stage, when being in that age does not rule over 6-12 consecutive months without pregnancy or other pathological cause.

In order to improve menopausal symptoms, since 1960 began to manage 6 -7.5 mg of estrogen, with consequent bleeding. Some curettage showed cystic endometrial hyperplasia. Then endometrial studies, were performed prior to treatment of the candidates. For 20 years, 2814 women were selected. They were separated from the study those with cervical, endometrial or breast disease; They were administered synthetic estradiol and / or conjugated estrogens: 0.265 to 1.25 mg as interdiaria. Although published in favor of exogenous estrogen replacement would be associated with endometrial cancer in this study prospective and retrospective prolonged clinical and epidemiological studies show that there is no relationship. This risk has been pointed out in an exaggerated manner, because these studies included cases of atypical endometrial hyperplasia, in cases of endometrial cancer carrier. Many forms o...

Cases operated by microsurgical technique in pathology of the fallopian tubes are analyzed. It was noted that few cases operated by surgeons using the same techniques did not respond in the hands of others. Therefore it is recommended to use the classification of tubal pathology in relation to the extent of the injuries that were adopted at the World Congress of Fertility in 1975 where the evaluation committee of the techniques and results in which Peru is a member represented by the author of this work, this classification must be used in order to evaluate the results on equal terms. Analysis and results in the series with realism in the techniques used is presented.

Estrogen replacement in climacteric already reaches 55 years of use last decade speaks risk of endometrial cancer, which some researchers believe to be due to overdose or that patients were already carrying injuries undiagnosed before receiving estrogen. The use of progesterone as risk protection was introduced. While it is true that counteract the endometrial receptors, increases the risk of women by blocking the cardio protective action to alter the metabolism of high density cholesterol and carbohydrates, as well as bone decalcification. It is totally unnecessary in the hysterectomy. And not protect breast tissue. Given this controversy, an international committee of experts met in the field of menopause and concluded that progestins are not necessary for combination therapy in menopause and can cause major problems not manage them. Each physician must use estrogen or progestin simple...

After a review of the literature on congenital anomalies of the vagina compared with our cases a percentage similarity was found. Agenesis, hypoplasia, transverse and longitudinal septa, hymen, imperforate, mesonefróticos resagos described and consider the cases of adenosis as iatrogenic anomaly. The symptoms of our cases are mentioned and described therapeutic methods do, with an analytical review of our results.

72 cases of patients who underwent recanalization after tubal sterilization, which analyzed the results are studied. Postpartum 9.2%, 37.5% during caesarean section and 33.3% by minilaparotomy. All were subjected to the technique of Pomeroy. A new engagement or the loss of children, were the main causes of reconstruction. Only 54 cases were followed 45 pregnancies that occurred between 8 and 28 months after surgery. The most important problem tubal ectopic pregnancies were 9.2%. The best results were in tubes longer than 7 centimeters and those of ítsmica itsmico anastomosis. It must be preserved during the surgical sterilization horn as much as possible, avoid sterilization cautery and remember what is probably the last chance to restore fertility.

Vaginal discharge is the most common symptom for which women consult a gynecologist. It can occur as the only discomfort or be accompanied by other symptoms in the genitals. 75% of these patients are carriers of vaginal infections caused by Candida and / or Trichomonas, which are puriginosas, colibacillosis produced by burning, dyspareunia and odor, or Gardnerellas (Hemopbilus vaginalis) that only bad odors. The other flows are caused by the cervicitis ectropion without pathogens of importance, or by changing the ecology normally present in the vagina. The definitive diagnosis of the cause of vaginal discharge is: a. With the examination of the vagina with the speculum. b. The bacteriological study of the agents responsible. c. Determine the pH of the vaginal environment. Only then it can manage specific therapeutic and restore normal biological environment. Not all vaginal fluids indica...

In order to improve menopausal symptoms, since 1960 began to manage 6 -7.5 mg of estrogen, with consequent bleeding. Some curettage showed cystic endometrial hyperplasia. Then endometrial studies, were performed prior to treatment of the candidates. For 20 years, 2814 women were selected. They were separated from the study those with cervical, endometrial or breast disease; They were administered synthetic estradiol and / or conjugated estrogens: 0.265 to 1.25 mg as interdiaria. Although published in favor of exogenous estrogen replacement would be associated with endometrial cancer in this study prospective and retrospective prolonged clinical and epidemiological studies show that there is no relationship. This risk has been pointed out in an exaggerated manner, because these studies included cases of atypical endometrial hyperplasia, in cases of endometrial cancer carrier. Many forms o...

There is a saying: "breast is best" and is achieving international acceptance to encourage breastfeeding worldwide, so much so that commercial milk producers agree that breast milk is better than artificial.

The effective treatment of vaginal candidiasis has become a social and therapeutic problem, because it is a very annoying disease but not life, committed the happiness of married life. The use of conazoles in any form in the present, is a solution. But the problem of recurrences severely frustrate the results, so it is necessary to control, treat prefisponentes factors for failure or recurrence. Keep in mind that the sexual factor in the couple is involved, it must be considered in parallel therapeutic, and all care to prevent infestation. With the advance of anti fungal pharmacology, while we consider how to create defense against Candida vagina is not achieved, it will continue invading. Therefore, good technique is used prophylactically local treatment, preferably, or in the future, the single oral dose to prevent reinfection.

Cases operated by microsurgical technique in pathology of the fallopian tubes are analyzed. It was noted that few cases operated by surgeons using the same techniques did not respond in the hands of others. Therefore it is recommended to use the classification of tubal pathology in relation to the extent of the injuries that were adopted at the World Congress of Fertility in 1975 where the evaluation committee of the techniques and results in which Peru is a member represented by the author of this work, this classification must be used in order to evaluate the results on equal terms. Analysis and results in the series with realism in the techniques used is presented.

This work is based on the study of 562 medical records of patients admitted with metrorragia the Central Military Hospital, which underwent curettage Uterine and where appreciation between clinical diagnosis of admission and histological diagnosis post-operative ago.

This work is based on the study of 562 medical records of patients admitted with metrorragia the Central Military Hospital, which underwent curettage Uterine and where appreciation between clinical diagnosis of admission and histological diagnosis post-operative ago.