The diseases of women : a handbook for students and practitioners . t in the lat-ter variety the posterior fornix ispreserved (Schroeder). In theform which we are now about todescribe both fornices remain. Hypertrophy of the Vagi-nal Portion of the Cervix.—This is often spoken of as theinfravaginal portion; the aboveterm is more correct. A smalldegree of hypertrophy often oc-curs, as previously stated, in connection with chronic cer-vical catarrh and erosion; the enlargement is then morestrictly speaking due to inflammatory infiltration, withthickening of the glandular tissues, and we need not
The diseases of women : a handbook for students and practitioners . t in the lat-ter variety the posterior fornix ispreserved (Schroeder). In theform which we are now about todescribe both fornices remain. Hypertrophy of the Vagi-nal Portion of the Cervix.—This is often spoken of as theinfravaginal portion; the aboveterm is more correct. A smalldegree of hypertrophy often oc-curs, as previously stated, in connection with chronic cer-vical catarrh and erosion; the enlargement is then morestrictly speaking due to inflammatory infiltration, withthickening of the glandular tissues, and we need not dwellon it further. Hypertrophy proper is a developmental or congenitalcondition, but it is described here instead of in the chapteron Malformations for convenience and for the sake of com-parison with the previous condition. The growth takesplace principally at the time of puberty, and nothing isknown as to its causation. It is generally associated withstenosis of the external os, which presents the pinhole type. The elongation may be so great that the cervix. Fig. 39.—Diagram of the threezones of the uterine neck (Schroeder) :a, infravaginal portion ; b, intermedi-ate portion ; c, supravaginal portion. DISEASES OE THE UTERUS. 45 protrudes through the hymen. The vaginal reflection isattached to the base instead of near the apex of the hyper-trophied portion, and consequently the length of the vaginais not diminished (Figs. 38, b, and 40). This serves as astriking distinguishing feature between this and the formof hypertrophy previously described. The bladder andrecto-vaginal pouch retain their normal positions and thus
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