. Diseases of women. A clinical guide to their diagnosis and treatment. hthe term hypertrophy may be applied. It has been supposedthat unusual size of the clitoris depended on unusual exerciseof the sexual function; but Parent-Duchatelet showed thatthere is no relation between the size of the clitoris and thesexual activity of the owner. Cases of very large clitorisdescribed in old books were probably males with hypospadias. Hypertrophy of the labia majora.—Simple chronicenlargement of the labia majora without alteration in shapehas been described. This is unknown as a congenitalpeculiarity. S
. Diseases of women. A clinical guide to their diagnosis and treatment. hthe term hypertrophy may be applied. It has been supposedthat unusual size of the clitoris depended on unusual exerciseof the sexual function; but Parent-Duchatelet showed thatthere is no relation between the size of the clitoris and thesexual activity of the owner. Cases of very large clitorisdescribed in old books were probably males with hypospadias. Hypertrophy of the labia majora.—Simple chronicenlargement of the labia majora without alteration in shapehas been described. This is unknown as a congenitalpeculiarity. Sometimes this is due to chronic inflammationor oedema, but it has also been seen without discoverablecause. Emmett * relates a case in which he removed bothlabia, one weighing three pounds, the other two pounds. He * Principles and Practice of Gynaecology, p. 594. SWELLINGS OF THE VULVA. 511 could discover no local cause, but could attribute it only to excess of nutrition. Kemoval is the only treatment of suchhypertrophy, if it be great enough to require Fig. 155.—Descent of perineal hernia in front of broad ligament. (From aphotograph, by permission of Dr. W. Smyly.) Enchondroma of the clitoris.—Three cases have beendescribed under this title; not enough to warrant any general 512 DISEASES OF WOMEN. statements about it. It is a pathological curiosity, if thedescriptions are free from error. Varices of the vulva.—In women who have had manychildren the labia are sometimes enlarged by varicose give rise to a disagreeable sense of fulness in the part,sometimes to itching, but nothing more so long as the patientis not pregnant. If the patient become pregnant, she runsrisk of painful or even fatal results from the bursting of suchveins. But in this work I do not describe the diseases ofpregnancy. The diagnosis is easy. The bluish colour and worm-likeaspect and feel of the veins make their nature clear. Notreatment short of excision can alter this cond
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