Clinical notes on uterine surgery : with special reference to the management of the sterile condition . onditions of the cervix as wemeet commonly and daily in sterile women. At the beginning of this section I said, the cervixshould be of proper size, form, and density. Havingnow spoken of the size and its variations, we may askourselves what is a proper form or shape. It should be rounded and truncated. Now, if weturn back to the table on page 199, we will see thatof 218 sterile women the cervix was flexed in 71. Ofthese, 19 were supra-vaginal curvatures complicated withsome version of the fu
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . onditions of the cervix as wemeet commonly and daily in sterile women. At the beginning of this section I said, the cervixshould be of proper size, form, and density. Havingnow spoken of the size and its variations, we may askourselves what is a proper form or shape. It should be rounded and truncated. Now, if weturn back to the table on page 199, we will see thatof 218 sterile women the cervix was flexed in 71. Ofthese, 19 were supra-vaginal curvatures complicated withsome version of the fundus from a normal position. Theflexure was associated with a conoid iorm in 52 cases,in some of which there were also malpositions of thebody. It was straight, conical, and indurated in 4straight, conical, indurated, and elongated in 109straight, conical, elongated, and not indurated in 7granular and conical in 3. It is thus shown that a conoid form of the cervix,whether flexed, straight, elongated, or not, is found ini,i;e great majority of cases naturally sterile, being here 214 UTERIXE Fig. 81. 175 out of 218. We mustdiscriminate between naturaland acquired, or accidentalsterility; and here let it beremembered that we speakonly of those married womenwho have never conceived. I know not how I canbetter describe what I meanby a conical cervix than bydiagrams. Let fio\ 81 re-present a normal type of arounded, truncated , if we imagine thecervix extended in the direction of the dotted line a,we shall have a not unfrequent form of conoid cervix,which will almost universally be associated with a con-tracted os, and be almost as constantly indurated. Amoderate degree of conoidity like this may be remediedvery easily, and if everything else is right, we may cal-culate with a good deal of certainty on the removal ofthe sterility. For this purpose the operation of incisingthe os and cervix as for dysmenorrhoea will operation does not alone enlarge the
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