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Fifty-six cases of sexual abuse on Nigerian female children have been analysed. Cases of sexual abuse represent 0.8% of all cases referred to the consultant gynaecological/Paediatric out-patient clinics. Cases of sexual abuse on Nigerian children may be much more than we have reported since most parents and guardians do not like to report such cases to doctors or the law enforcement agents. Various forms of sexual abuses have been defined.

The often publicised claims of traditional medicine practitioners and prayer houses of success in the treatment of infertility have recently been investigated. Seventeen out of the seventy-five women managed in our unit for infertility in the last ten years, admitted having been to traditional medicine practitioners or prayer houses and were closely and confidentially interviewed. All seventeen of them freely volunteered information that gave great cause for concern. They admitted having been made to commit adultery, either with the Chief Priest of the traditional medical practice, the prayer house prophet or his assistants. Two of the women admitted that their previous pregnancies occured through the process of adultery. Furthermore, all the native medical concoctions given to them were anlysed and found to contain no fertility enhancing properties. Some of the husbands of these women were found to have azoospermia or severe oligospermia. Twelve of these women became pregnant and delivered live babies, when the cause of their infertility was identified and treated. Therapeutic insemination of donor semen was very successful, using ultrasound to monitor ovarian follicular growth.

Four hundred and twenty two female patients presenting with infertility at the University of Nigeria Teaching Hospital, Enugu, and Harriett Patterson Medical Clinic Enugu, were studied. All the patients had hysterosalipingogram done. This was followed by ultragonography and later by laparoscopy. One hundred and seven patients were found to have normal uterus and tubes, with peritoned spilage. This was confirmed at laparosocopy in 100 patients, ie 93.04 agreement. The findings of loculated spill at hysterosalpingogram could not be confirmed at lapatoscopy. Bilateral tubal block was found at hysterosalpingogram in 51 cases and confirmed at laparoscopy in 40 cases ie 80 persent agreement. Asherman's syndrome for obvious reason was not found at laparoscopy. Uterine fibroids and ovarian cysts were mostly discovered at laparoscopy and ultrasonography. Forty patients were found to have endometriosos, and severe pelvic adhesion were found in 35 patients at laparoscopy. Asherman's syndrome was discovered by hysterosalpingogram in 30 patients. The study shows that these three methods of investigation are complimentary to one another.

Ten patients complaining of Dyfunctional Uterine bleeding were given Duphaston tablets from day 16 to 25 of the menstrual cycle. In eight of the patients, the menstural cycle became regular after 3-6 cycle of treatment. The other two patients were re-evaluated with ultrasound, and found to have endometrial polyps. There were no adverse side effects. Duphaston tablets can be used to correct dyfunctional uterine bleeding.