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A group of 1,023 randomly selected female patients were screened for asymptomatic Neisseria gonorrhoeaeinfection by rectal and cervical cultures plated on Transgrow media and by a new serologic slide test for a gonorrheal antibody. The incidence of culture-proved asymptomatic gonorrhea was 0.1 per cent. The serologic test was reactive in 1.6 per cent of patients and, if used as the only screening procedure, would have eliminated over 98 per cent of the cultures without missing an infection, thus demonstrating its usefulness as a rapid and specific screening procedure for gonorrhea.

To evaluate the adequacy of cytology alone for diagnosis of grade of cervical intraepithelial neoplasia (CIN) and to study performance of cytology, human papillomavirus (HPV) testing, and colposcopy in the evaluation of cytologic findings suggesting low-grade squamous intraepithelial lesions (SIL), or atypical squamous (ASCUS) or atypical glandular (AGCUS) cells of undetermined significance.

1. The results of 444 consecutive cases of culdoscopic examinations are presented.2. Patient preparation, preoperative and operative techniques are described, and anesthesias specified.3. The culdoscope has proved to be a very worthwhile part of the gynecologists's diagnostic armamentarium.4. It is of greatest benefit to patients who complain of chronic pelvic pain, and has helped considerably in the investigation of patients suspected of having endometriosis, pelvic inflammatory disease, ectopic pregnancy, and infertility problems.5. Culdoscopy is considered a safe procedure and there was only a 6 per cent rate of minor complications which occurred in this series.6. Culdoscopy reduces diagnostic errors, prevents unnecessary exploratory laparotomies, and shortens periods of hospitalization.7. Twenty-eight failures (6 per cent) were due mainly to obliteration of the cul-de-sac, to failure of the instrument itself, and to unfavorable reactions to the preoperative intravenous medications.