A treatise on the medical and surgical diseases of women, with their homopathic treatment .. . and so diagnoses the case. He next attemptsto replace the organ by pressing the os upwards, and insertssome kind of a pessary to keep it up. This allows the fundusto come downwards more and more, and the patient gets norelief. Another and another pessary is tried without patient consults other physicians, who try a wad of cot-ton saturated with Glycerine, or make local applications to thecervix with a brush (which by this time is much inflamed andenlarged). There is probably by this time co
A treatise on the medical and surgical diseases of women, with their homopathic treatment .. . and so diagnoses the case. He next attemptsto replace the organ by pressing the os upwards, and insertssome kind of a pessary to keep it up. This allows the fundusto come downwards more and more, and the patient gets norelief. Another and another pessary is tried without patient consults other physicians, who try a wad of cot-ton saturated with Glycerine, or make local applications to thecervix with a brush (which by this time is much inflamed andenlarged). There is probably by this time considerable dis-charge from the os, indicating enclo-cervicitis or endo-metritis. This recital possibly looks, a little overdrawn to some,but it is a true picture of many cases which have comeunder my observation, and if it Avas simply loss of timeand money to the patient it would not be so bad; but ithas often broken the constitution of the patient, impaireddigestion and nutrition, and caused cellulitis, peri-metritis,ovaritis, or some ailment which will sooner or later terminate Plate RETRO-FLEXION OF THE UTERUS. RETRO - VERSION AND RETRO- FLEXION. 581 fatally, all of which might have been avoided by a correctdiagnosis and proper treatment in the outset. It is not often that the unmarried woman has retro-ver-sion or retro-flexion, but occasionally cases do occur amongthis class. Rectal adhesions are said by Dr. Barnes to be a causeof retro-version. These rectal adhesions may result fromcellulitis, either with or without the occurrence of recto-vaginal hematocele. While this hematocele exists it crowdsthe uterus forwards and upwards; but when it is evac-uated through ulceration or artificially, the uterus is liable tobend backward against the rectum in the space recentlyfilled with the hematocele, and there being present someinflammatory action, adhesions are liable to occur, and theuterus is permanently retro-verted or retro-flexed. I must not fail to mention the great in
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