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One hundred male sexual partners of women with anaerobic vaginosis (AV) were screened for the presence of sexually transmitted diseases (STD). Thirty male partners had evidence of non-gonococcal urethritis (NGU), compared to 5 in the control group (P less than 0.05). Chlamydia trachomatis was isolated from 14 male partners, compared to 3 in the control group. Forty-five male partners required treatment for STDs, compared to 11 in the control group (P less than 0.02). Nine (40%) male partners with chlamydia-negative NGU were successfully treated with metronidazole alone while 10 required Deteclo in addition. There was no significant association between Bacteroides ureolyticus and chlamydia-negative NGU. Screening of male partners resulted in the treatment of STDs in 62 additional patients who would have otherwise not received treatment. The results suggest that examination of male partners of women with AV results in an increased yield of STD diagnoses.

The syndrome of transsexualism is now regarded as a dinstinct entity separate from transvestism and homosexuality (Benjamin, 1966; Green and Money, 1969). It refers to those patients who since childhood have been convinced of their wrong sex assignment and who wish to attain the sexual characteristics of the opposite sex and to live as a member of that sex. The present report is an initial one referring to the first group of transsexual patients studied at a postgraduate teaching hospital by a multidisciplinary team. Their study has three aims: first, to compare this group of patients with other series; second, to evolve a surgical technique of sex reassignment; and, finally, to assess the success of such surgery in allowing the patients to attain a satisfactory adjustment in their new gender role.