凝血及纤溶系统在腹腔镜子宫全切手术后的变化

目的:比较分析妇科腹腔镜子宫全切术与开腹子宫全切术对凝血及纤溶系统功能的影响。方法:选择75例接受子宫全切除术的患者,随机分为腹腔镜组38例和开腹组37例,分别于术前24h、术后24h及术后48h采用凝固法检测血浆凝血酶原时间(PT),活化部分凝血活酶时间(APTT),凝血酶时间(TT),纤维蛋白原(FIB)水平,采用酶联免疫吸附双抗体夹心法(ELISA)测定血浆D-二聚体(D-D)的含量。自动血细胞技术分析仪测定血小板(PLT)。结果:①腹腔镜组与开腹组术前24h及术后48h血浆PT、APTT、TT、FIB、PLT、D-D水平相比差异无统计学意义(P>0.05)。②两组病人术后24h血浆PT、APTT均缩短,组间相比差异无统计学意义(P>0.05),但与术前24h相比差异有统计学意义(P<0.05)。③TT及PLT在术前24h及术后24h水平相比差异无统计学意义(P>0.05)。④FIB、D-D两组术后24h均升高,与术前相比差异有统计学意义(P<0.05),组间比较差异无统计学意义(P>0.05)。结论:腹腔镜子宫全切除术特殊的二氧化碳气腹的建立,头低臀高的膀胱截石位,气管插管的全麻协同作用,使患者的血流动力学发生改变,血流速度减慢,同开腹手术一样,均可使患者术后血液呈现不同程度高凝状态,从而均可增加术后下肢静脉血栓形成的危险。因此,对有高危因素的患者应加强围手术期的管理,防止血栓性疾病的发生。     

The female reproductive cycle is an important variable in the response to trauma-hemorrhage

Although immune functions in proestrus females are maintained after hemorrhage as opposed to decreased responses in males, it remains unknown whether such a sexual dimorphism also exists with regard to cardiovascular and hepatocellular functions under those conditions. To study this, male and female (estrus and proestrus) rats underwent a 5-cm midline laparotomy and were bled to and maintained at a mean blood pressure of 40 mmHg until 40% of the maximal bleed-out volume was returned in the form of Ringer lactate (RL). Rats were then resuscitated with four times the shed blood volume with RL. At 24 h thereafter, cardiac index; heart performance; hepatocellular function; and plasma estradiol, testosterone, and prolactin levels were measured. Cardiovascular and hepatocellular functions were depressed in males and estrus females (P < 0.05) but were not depressed in proestrus females after resuscitation. Plasma estradiol and prolactin levels were highest in proestrus females (P < 0.05), whereas males had high testosterone and the lowest estradiol levels (P < 0.05). Thus the female reproductive cycle is an important variable in the response to hemorrhage. Because low testosterone and high estradiol and prolactin levels appear to be beneficial for organ functions after trauma-hemorrhage, antagonism of testosterone receptors and/or increases in estradiol and prolactin levels in males and estrus females, respectively, may be novel approaches for improving organ functions under such conditions.     

Ketone-body metabolism after surgical stress or partial hepatectomy. Evidence for decreased ketogenesis and a site of control distal to carnitine palmitoyltransferase I.

Rats were subjected to laparotomy, or laparotomy and partial hepatectomy, at 0-48 h before administration of water or medium-chain-length triacylglycerol, having been starved post-operatively. Functional hepatectomies were performed at intervals after the intragastric load. Blood ketone-body concentrations after medium-chain triacylglycerol administration and/or functional hepatectomy of these rats were compared with values obtained in starved control rats. Decreased ketonaemia in response to medium-chain triacylglycerol was observed for up to 48 h after partial hepatectomy and at 1 and 2 h after laparotomy, but not at 24 or 48 h after laparotomy. Rates of ketone-body clearance after functional hepatectomy were unaffected by prior laparotomy or partial hepatectomy. Ketonaemia after medium-chain-triacylglycerol administration was only partially blocked by inhibition of CPT I (carnitine palmitoyltransferase I). The results demonstrate sustained effects of partial hepatectomy and short-term effects of surgical stress to decrease ketonaemia via inhibition of ketogenesis at site(s) distal to CPT I.     

Immunomodulatory effects of dehydroepiandrosterone in proestrus female mice after trauma-hemorrhage.

Studies indicate that administration of the adrenal steroid dehydroepiandrosterone (DHEA) after trauma-hemorrhage in male mice improved cellular immune functions and reduced mortality rates from subsequent sepsis. There is evidence, however, that DHEA is converted to estrogens in males and that estrogens are immunoprotective after trauma-hemorrhage (TH). In contrast, DHEA in females can be converted to testosterone that has deleterious effects on immune functions. The aim of our study, therefore, was to determine whether administration of DHEA in proestrus females after TH would deteriorate immune responses. Proestrus female C3H/HeN mice (age 7-8 wk) were subjected to laparotomy (i.e., soft tissue trauma induced) and hemorrhagic shock (35 +/- 5 mmHg for 90 min) or sham operation. The mice then received DHEA (100 micro/25 g body wt) or vehicle subcutaneously followed by fluid resuscitation (4x the shed blood volume). Plasma IL-6, splenocyte proliferation, splenocyte IL-2, IL-3, IFN-gamma, IL-10 release, and splenic Mphi IL-1beta, IL-6, IL-10, and IL-12 release were determined 24 h after TH. Plasma IL-6 levels were significantly increased in vehicle-treated females, and DHEA administration markedly attenuated this response. In vehicle-treated females, splenocyte proliferation, IL-2, IL-3, and IFN-gamma release, and splenic Mphi IL-1 beta, IL-6, and IL-12 release were maintained or slightly enhanced after TH. In DHEA-treated females, however, these immune functional parameters were either unaltered compared with vehicle-treated animals or even further enhanced, but surprisingly were not depressed. Moreover, DHEA reduced splenocyte and splenic M phi anti-inflammatory cytokine (i.e., IL-10) production after TH compared with vehicle-treated females. Because DHEA further enhances the immune responsiveness in proestrus females after TH, this hormone might be a useful adjunct even in females for further enhancing immune responses and decreasing the mortality rate after trauma and severe blood loss.     

Developmental capacity of rat embryos produced by in vivo or in vitro fertilization

This work compares the ability of rat zygotes fertilized in vitro or in vivo to develop into viable embryos. All oocytes were from adult cyclic females. After the first cleavage, the zygotes were transferred to oviducts of pseudopregnant recipients. Their fate was examined on day 13 at laparotomy and again on day 20. Ninety-five of 146 in vivo fertilized zygotes developed into normal sized 13-day fetuses and 72 (55%) to apparently normal near-term fetuses. Forty-six of 135 in vitro fertilized zygotes developed up to day 13, and 30 (24%) developed to term. It appears that the probability that in vitro fertilized rat zygotes will develop into viable embryos is about half the chance of in vivo fertilized zygotes. Since the two types of zygotes were morphologically identical, the morphological appearance of the two-cell stage is not an adequate criterion for judging developmental potential.     

Impaired hepatic regeneration in metallothionein-I/II knockout mice after partial hepatectomy

Although the translocation of metallothionein (MT) from cytoplasm to nucleus has been demonstrated in liver during times of high requirement for zinc (fetal development and the neonatal period), the role of MT in cellular growth is not well understood. In this study, a potential role of MT in liver regeneration was investigated in wild type (WT) and MT-I and MT-II gene knockout (MT-null) mice after 35% partial hepatectomy (PH) or sham laparotomy. Hepatic MT levels and proliferation index were measured at 0, 5, 15, 24, 36, 48, and 60 hrs after PH and 48 hrs after sham laparotomy (control). MT levels were increased in WT mice (peak at 24 hrs after PH) and declined to normal levels by 60 hrs after PH. Immunohistochemical staining for MT in WT mice indicated the presence of MT in both nucleus and cytoplasm of hepatocytes at 24 hrs after PH, whereas MT was present mainly in the cytoplasm at 36-60 hrs after PH and 48 hrs after sham laparotomy. Hepatic proliferation index in both WT and MT-null mice, as determined by argyrophilic nucleolar organizing region staining and proliferating cell nuclear antigen immunohistochemical staining, reached a peak at 48 hrs and declined by 60 hrs after PH. Cell proliferation was significantly less in MT-null mice as compared to WT mice during liver regeneration after PH. These results suggest that MT may play a positive role in hepatic regeneration after PH.     

Gonadotrophin determination in 24-h-urine by sensitive LH and FSH radioimmunoassays.

Urinary Lutropin (LH) and Follitropin (FSH) were precipitated with acetone and measured by specific radioimmunoassays. Recovery experiments with special regard to urinary pH values were done by adding 125I-labelled LH and FSH to unprocessed urine. At pH 4.5 68.6% of LH and 66.1% of FSH were recovered. Increasing pH values up to 6.0 resulted in a significant recovery loss of 125-I-LH, but not of 125I-FSH. Immunoreactive FSH concentrations decreased significantly 6 and 48 hours after storage began at room temperature. In healthy males and females we found mean LH and FSH concentrations in 24-h-urine which were similar to those reported by others: LH: males: 22.6 IU/24-h; cycling females: 17.8 IU/24-h; postmenopausal females: 49.1 IU/24-h; FSH: males 6.0 IU/24-h: cycling females: 15.0 IU/24-h; postmenopausal females: 48.5 IU/24-h. Because of their high sensitivity and practicability, we believe that these radioimmunoassays are clinically useful approaches in assessment of pituitary and gonadal disorders in human subjects.     

Impact of sex and age on bone marrow immune responses in a murine model of trauma-hemorrhage.

Although studies have demonstrated that trauma markedly alters the bone marrow immune responses, sex and age are crucial determinants under such conditions and have not been extensively examined. To study this, 21- to 27-day-old (premature), 6- to 8-wk-old (mature), and 20- to 24-mo-old (aged) male and female (proestrus) C3H/HeN mice were sham operated or subjected to trauma (i.e., midline laparotomy) and hemorrhagic shock (30 +/- 5 mmHg for 90 min) followed by fluid resuscitation. Twenty-four hours after resuscitation, bone marrow cells were harvested. Trauma-hemorrhage induced an increased number of the early pluripotent stem cell-associated bone marrow cell subsets (Sca1(+)CD34(-)CD117(+/-)lin(+/-)) in young mice. The CD117(+) proportion of these cell subsets increased in mature proestrus females, but not in males. Aged males displayed significant lower numbers of Sca1(+)CD34(-)CD117(+/-)lin(+/-) cells compared with young male mice. Trauma-hemorrhage also increased development of granulocyte/macrophage progenitor cells (CD11b(+)Gr-1(+)). Proliferative responses to granulocyte macrophage colony-stimulating factor were maintained in mature and aged proestrus females, but decreased in young mice and mature males. Augmented differentiation into monocyte/macrophage lineage in mature and aged proestrus females was observed and associated with the maintained release of TNF-alpha and IL-6. Conversely, increased IL-10 and PGE(2) production was observed in the male trauma-hemorrhage groups. Thus, sex- and age-specific effects in bone marrow differentiation and immune responses after trauma-hemorrhage occur, which are likely to contribute to the sex- and age-related differences in the systemic immune responses under such conditions.     

Immunoprotection in proestrus females following trauma-hemorrhage: the pivotal role of estrogen receptors

Immune responses in proestrus females are not altered after trauma-hemorrhage, whereas they are markedly depressed in males. Elevated levels of female sex steroids appear to be responsible for maintaining immune responses but it remains unknown, whether estrogen per se is responsible. To study this, proestrus female C3H/HeN mice were subjected to laparotomy (i.e., soft tissue trauma) and hemorrhagic shock (35+/-5 mmHg for 90 min, then resuscitated) or sham operation and received the estrogen receptor antagonist EM-800 or vehicle during resuscitation. Two hours following trauma-hemorrhage, splenocyte proliferation, IL-2, IL-3, IFN-gamma release, and splenic macrophage IL-6 release was maintained in vehicle-treated females. In EM-800-treated females, however, these immune parameters were significantly depressed. Following trauma-hemorrhage, Kupffer cell TNF-alpha release and circulating TNF-alpha were increased only in EM-800-treated females. These findings indicate that the ability of proestrus females to maintain immune function following trauma-hemorrhage is estrogen-dependent and mediated via estrogen receptors.     

Noninvasive monitoring of follicle development,ovulation, and corpus luteum formation in the marmoset monkey (Callithrix jacchus) by ultrasonography

This is the first paper to describe ovarian changes associated with follicular growth, ovulation, and corpus luteum (CL) formation as monitored by ultrasonography in a multiovular primate, the marmoset monkey (Callithrix jacchus). Examinations were carried out transabdominally on unsedated females using a 10 MHz probe. Cycles were monitored by plasma progesterone and controlled by administration of prostaglandin F2α (PGF). The reliability of ultrasound was validated by comparing findings with direct observation of the ovaries at laparotomy. In eight females, 25 follicles were counted, of which 92% were depicted correctly by ultrasound. Of 14 CLs in five females, number and position were confirmed at laparotomy for 78%. Ultrasound examinations of ovaries throughout the follicular and luteal phase were performed in eight cycles and related to plasma profiles of luteinizing hormone (LH) and progesterone. One of these cycles was anovulatory. In the remaining seven cycles, 19 follicles were considered ovulatory follicles since they were seen on consecutive days and found again as CLs. Growth of individual follicles was monitored by measurements of follicle diameter from day 7 onward. Disappearance of follicles or changes in echogenicity were noted between days 9 and 11, preventing further measurements. Mean follicle size increased from 2.1 mm (range 1.6 mm–2.7 mm) on day 7 to 3.2 mm (range 2.7 mm–4.0 mm) on the day last seen. With one exception, the day follicles were last seen by ultrasound was consistent with the day of the preovulatory LH surge (day 9–11). The postovulatory rise in progesterone occurred 1–2 days later (day 11–13). These findings suggest that the day of ovulation as observed by ultrasound was characterized by either disappearance of follicles or increased follicular echogenicity. In conclusion, ultrasonography provides a reliable, noninvasive method for examinations of the ovarian cycle in the marmoset monkey. © 1996 Wiley-Liss, Inc.     

Importance of multiple mating to female reproductive output in Diaphorina citri

Abstract The importance of multiple mating to female reproductive output in Diaphorina citri Kuwayama (Hemiptera: Psyllidae) is evaluated by grouping individual females with one or three males for 24 h (short duration) or 2 weeks (long duration) and examining oviposition over 18–19 days. For the short‐duration treatments, females lay more eggs per day when grouped with multiple males, whereas females in the long‐duration treatments lay more eggs when paired with one male. When held for 24 h with one or three males, females show a decline in fecundity beginning 10 and 15 days after mating, respectively. Total fecundity is relatively high for females paired with one male for 2 weeks, but fecundity is low and mortality high when females are held with three males for 2 weeks. In treatments in which females are held with males for 2 weeks, oviposition increases dramatically in the days after removal of males. For females paired with a male for 24 h and re‐paired for 24 h, 9 days later, fecundity remains high throughout the 18–19‐day observation period. Egg fertility does not differ among treatments, but varies over time in a manner that is similar among treatments. The present study demonstrates that, in D. citri, females require multiple matings over time to achieve high reproductive output, but oviposition is constrained by the presence of males.     

Sex differences in response to stress in conscious and anesthesized rats during surgical stress]

Adrenal and plasma corticosterone levels under conditions of preoperative stress (removal from animal to experimental rooms, removal from a home cage, handling, weighing and injecting with saline) were more than 2-fold higher in female rats than in male ones. Females, compared with males, showed more pronounced decrease in corticosterone responses to preoperative stress and laparotomy under nembutal anesthesia, which blocked stress-induced emotional activation. One hour after recovery from anesthesia laparotomized females but not males, demonstrated a significant (5-fold) increase in plasma corticosterone level. The absolute values of plasma corticosterone in laparotomized females, compared with males, were 2-fold lower under anesthesia but 2-fold higher after recovery from anesthesia. It is supposed that in females, compared with males, stress-induced emotional tension plays more considerable role in endocrine stress responses. This provides higher adrenocortical sensitivity to stress in conscious female rats than in male animals.     

The role of MIP-1 alpha in the development of systemic inflammatory response and organ injury following trauma hemorrhage

Although MIP-1alpha is an important chemokine in the recruitment of inflammatory cells, it remains unknown whether MIP-1alpha plays any role in the development of systemic inflammatory response following trauma-hemorrhage (T-H). C57BL/6J wild type (WT) and MIP-1alpha-deficient (KO) mice were used either as control, subjected to sham operation (cannulation or laparotomy only or cannulation plus laparotomy) or T-H (midline laparotomy, mean blood pressure 35 +/- 5 mmHg for 90 min, followed by resuscitation) and sacrificed 2 h thereafter. A marked increase in serum alpha-glutathione transferase, TNF-alpha, IL-6, IL-10, MCP-1, and MIP-1alpha and Kupffer cell cytokine production was observed in WT T-H mice compared with shams or control. In addition lung and liver tissue edema and neutrophil infiltration (myeloperoxidase (MPO) content) was also increased following T-H in WT animals. These inflammatory markers were markedly attenuated in the MIP-1alpha KO mice following T-H. Furthermore, compared with 2 h, MPO activities at 24 and 48 h after T-H declined steadily in both WT and KO mice. However, normalization of MPO activities to sham levels within 24 h was seen in KO mice but not in WT mice. Thus, MIP-1alpha plays an important role in mediating the acute inflammatory response following T-H. In the absence of MIP-1alpha, acute inflammatory responses were attenuated; rapidly recovered and less remote organ injury was noted following T-H. Thus, interventions that reduce MIP-1alpha levels following T-H should be useful in decreasing the deleterious inflammatory consequence of trauma.     

Changes of the uterine size during pregnancy in cynomolgus monkeys (Macaca fascicularis) (author's transl)]

This paper describes changes in the uterine size during the normal course of pregnancy in cynomolgus monkeys. Twenty-four females which had conceived by 3-day individual mating with a male were laparotomized 4,5,6,7,8,9,10,15 and 20 weeks after conception. The width, thickness and length of uterus were measured by a pair of callipers. Them, the uterine volume was estimated by the formula, V = 4/3 piab2 (a, b: uterine length x 1/2, uterine width x 1/2). The increase in the uterine width (y) during pregnancy could be expressed as a linear equation: y = 0.35x + 1.48 (x: weeks after conception). The thickness of pregnant uteri could be represented by a a linear equation: y = 0.36x + 1.40. From the 4th to the 20th week of pregnancy, the uterine length increased along a straight line expressed as a linear equation: y = 0.58x + 1.14. Except for nonpregnant uteri, the change in the uterine volume after pregnancy could be expressed as a linear logarithmic equation: log y = 2.319 log x -0.315. These 24 pregnant monkeys had followed the normal course of gestation until the time of laparotomy without any abnormality in their fetuses of their placentas, indicating that the values obtained throughout this study are of practical use for taking care of pregnant cynomolgus monkeys.     

Effects of delayed mating on preimplantation embryos in spontaneously ovulated mice

The effects of delayed mating on mouse preimplantation embryos (78 ± 1 hours) were studied by setting up different mating periods in relation to the estimated time of spontaneous ovulation. Copulation occurred even in the late morning and early afternoon after the night of spontaneous ovulation. However, females mated in the early afternoon had no viable embryos at the time of laparotomy. Although embryonic development was not affected in the groups mated 6 or 10 hours after estimated ovulation, the percentage of degenerated embryos was increased in these groups. These results suggest that prolonged intervals between the estimated time of ovulation and mating have some deleterious effects on preimplantation embryos.     

利用种群增长研究镜湖夏季萼花臂尾轮虫对水温的适应

运用种群增长实验方法, 在4个温度(20℃、24℃、28℃和32℃)和3个斜生栅藻Scenedesmus obliquus (Turpin) Kuetzing密度(1.0106、2.0106和4.0106 cells/mL)共12个条件组合下研究了镜湖夏季出现的萼花臂尾轮虫(Brachionus calyciflorus Pallas)的种群增长率、平均混交率、平均受精率和休眠卵产量等生殖参数。结果表明, 在各食物密度下, 轮虫种群增长率均在28℃和32℃下最高。平均混交率、平均受精率和休眠卵产量等与温度间的关系因食物密度的不同而异。温度对种群增长率、平均混交率、平均受精率和休眠卵产量均有极显著性影响(P 0.01), 食物密度对种群增长率和休眠卵产量均有极显著性影响(P 0.01), 温度和食物密度的交互作用对平均混交率、平均受精率和休眠卵产量均有极显著性影响(P 0.01)。在1.0106、2.0106和4.0106 cells/mL的斜生栅藻密度以及28℃和32℃下, 轮虫具有较高的种群增长率(1.501.95/d)表明该种群能够适应较高的水温, 水温不是导致其在夏季水体中具有极低的种群密度(远低于1个/L)的直接因素。在种群存在于镜湖水体期间(7月初至12月初), 特别是当水温降至20℃左右时, 其较高的休眠卵产量为该种群在次年的同一时段在水体中重新出现提供了保证。       

Fine needle aspiration cytology of foreign bodies presenting as cystic abdominal masses. A report of three cases

BACKGROUND: Foreign body material (gauze sponges) presented as cystic abdominal masses and were confused with malignant tumors. CASES: Two females and one male presented with abdominal masses. They had undergone laparotomy 5-12 years earlier. Clinically the masses were diagnosed as benign or malignant cystic lesions. Fine needle aspiration revealed necrotic material, hemosiderin-laden macrophages, foreign body giant cells, cholesterol crystals and many fragments of birefringent material. The possibility of malignancy was ruled out. Cut sections of the excised cystic lesions revealed gauze sponges surrounded by a thick, fibrotic wall. CONCLUSION: This report underscores the usefulness of fine needle aspiration in ruling out malignancy.     

17 beta-Estradiol normalizes immune responses in ovariectomized females after trauma-hemorrhage

Recent studies indicate that immuneresponses in proestrus females are maintained after trauma-hemorrhagebut markedly depressed in ovariectomized females under such conditions.The current study tested the hypothesis that the decreased estrogenlevels after ovariectomy are responsible for this immune depression. Tostudy this hypothesis, ovariectomized female CBA/J mice were subjected to laparotomy (i.e., soft tissue trauma) and hemorrhagic shock (35 ± 5 mmHg for 90 min, then resuscitated) or sham operation. The micereceived either 17-estradiol (E2; 100 µg/25 g body wt) or vehiclesubcutaneously during resuscitation. Immune cells were isolated 24 h thereafter. Splenocyte proliferation and interferon-, interleukin(IL)-2, and IL-3 release were significantly depressed aftertrauma-hemorrhage in vehicle-treated mice, whereas these functions weremaintained in E2-treated mice. Peritoneal macrophage IL-1 and IL-6release and splenic macrophage IL-6 and IL-12 release were alsosignificantly depressed in vehicle-treated mice after trauma-hemorrhage, and release of these cytokines was restored by E2treatment. In summary our findings indicate that the depressed splenicand peritoneal immune responses after trauma-hemorrhage can benormalized by a single dose of E2. Thus estrogen appears to be thecausative factor in the maintenance of immunocompetence in femalesafter trauma-hemorrhage, and its administration to ovariectomized orpostmenopausal females should be helpful in preventing immunedepression under such conditions.

     

The relationship of age and ovarian development to mating of Delia antiqua (Diptera: Anthomyiidae)

Abstract. The relationship between age and sexual receptivity for male and female onion flies, Delia antiqua (Meigen) (Diptera: Anthomyiidae), and factors affecting ovarian development were examined under various conditions. Confinement in small arenas had a significant negative effect on the rate of oogenesis over the first 10 days of adult life and, in some cases, on the percentage of females inseminated. The rate of oogenesis was not affected by male population density, but high density of females in large arenas appeared to have a priming effect. Few males in single-pair mating bioassays conducted over 24 h were sexually mature at 3–4 days post-eclosion, but > 50% mated when aged 6–7 days. Although females first mated at 3–4 days post-eclosion when confined for 24 h with sexually mature males, most females mated at 6–7 days of age when oocytes in the terminal ovariole position comprised 50% of total egg volume (stage 7 or greater on a 10-stage scale). No females aged 3 days were mated in no-choice and two-choice bioassays with sexually mature males over 24 h. Previtellogenic females (stage 3) were not inseminated, and ovarian development was only correlated weakly ( r = 0.48) with mating. Frequency of mating in mixed-sex groups of twenty flies was comparable with that in single pairs. However, more females were inseminated at 3–4 days, probably as a result of multiple matings by a few precocious males. These results do not support the hypothesis that females mate only when ovarioles are mature.     

Causes and correlates of loss and recovery of sexual receptivity inLucilia cuprina females after their first mating

After an initial mating, females of the Australian sheep blowfly, Lucilia cuprina(Diptera: Calliphoridae), rejected mating attempts by males for several days. Almost all (>98%) females were unreceptive 24 h after mating. When tested 9 days after mating receptivity had returned in 24% of females denied the opportunity to oviposit and 45% of females given repeated opportunities to oviposit on liver. Those mated females that regained receptivity mated as readily as virgins. Gravid first-, second-, or third-cycle females that did not oviposit when presented with liver had a higher receptivity than those that laid. These non-layers laid after remating. Injection of 1 male equivalent of an extract of male accessory reproductive glands into virgin females switched off their receptivity within 5 h for at least 8 days. An extract of testis reduced receptivity 5 h after injection but had no detectable effect 3 days after injection. Both extracts increased the tendency of virgin females to oviposit. There was no difference in the sperm stores of females that refused to lay a second egg mass and comprised a high percentage of receptive females and those given no opportunity to lay this egg mass.