The diseases of women : a handbook for students and practitioners . nd to contain saprophytic bacilli and micrococci—viz. DISEASES OF THE VAGINA. 15 staphylococci and often streptococci. The vagina-bacillusand the monilia fungus are never present. A pathological vaginal secretion may be regarded asa favorable cultivation medium for pathogenic performed eighteen inoculation experiments withpathological vaginal secretions on rabbits, and in every casesepticaemia resulted. The transition from a normal to a pathological secretionmay be brought about in two ways : First, by mere
The diseases of women : a handbook for students and practitioners . nd to contain saprophytic bacilli and micrococci—viz. DISEASES OF THE VAGINA. 15 staphylococci and often streptococci. The vagina-bacillusand the monilia fungus are never present. A pathological vaginal secretion may be regarded asa favorable cultivation medium for pathogenic performed eighteen inoculation experiments withpathological vaginal secretions on rabbits, and in every casesepticaemia resulted. The transition from a normal to a pathological secretionmay be brought about in two ways : First, by mere functional increase in the amount of secre-tion, such as arises from sexual excesses. Thus in thirtyprostitrutes examined by Doderlein the secretion was notonce found to be normal, even when there was no specific,gonorrhceal infection. Masturbation, the wearing of rubberpessaries, frequent and purposeless vaginal irrigations, andthe introduction of alkaline substances, such as soap, mayhave the same effect. Second, through pathological organic changes, such as. Fig. 33.—Gonococc are found in endometritis, adenomatous disease of the cer-vix, vaginitis, and cancer. Besides the organisms of sepsis there is sometimes founda specific micro-organism, the gonococcus of Neisser (Fig. u6 diseases of women. «1 It must be remembered, however, that, as Bumm haspointed out, the vagina often escapes gonorrheal infec-tion owing to the resistance offered to the entrance ofaonococci by the stratified squamous epithelium, whosesuperficial portion is hard and horny. But the diseasereadily attacks the urethra and the delicate columnar epi-thelium of the cervix. In cases of gonorrhoea the vaginal secretion is thereforeusually altered indirectly by the admixture therewith ofthe unhealthy cervical secretion, which is abundant alka-line purulent, and consequently albuminous; and thevaginal secretion accordingly acquires these vagina-bacillus perishes under these circumstances ;and
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