The Hahnemannian monthly . ssumes the erect posture she willcomplain of discomfort on walking with a feeling as though theparts were protruding from the vaginal outlet. The uterus sagsdown and often, as time goes on, more or less procidentia takesplace, the organ not infrequently presenting externally. More orless endometritis and metritis, because of the embarrassed circula- 344 The Hahnemannian Monthly. [June, tion, are usually induced, which give rise to leucorrhcea and Men-orrhagia. Disturbance of the stomach and bowels is rarely greatest point of resistance is at the sphincter
The Hahnemannian monthly . ssumes the erect posture she willcomplain of discomfort on walking with a feeling as though theparts were protruding from the vaginal outlet. The uterus sagsdown and often, as time goes on, more or less procidentia takesplace, the organ not infrequently presenting externally. More orless endometritis and metritis, because of the embarrassed circula- 344 The Hahnemannian Monthly. [June, tion, are usually induced, which give rise to leucorrhcea and Men-orrhagia. Disturbance of the stomach and bowels is rarely greatest point of resistance is at the sphincter ani muscle andthe expulsive efforts are wasted on the outlet so that constipationbecomes a prominent symptom. In due time a rectocele, or cystocele,or enterocele, or all combined, result. The entire pelvic circulationis obstructed and embarrassed by the sagging down of the tissues,and hemorrhoids with vesical, urethral and rectal irritation, arecommon symptoms. Nervous phenomena of various kinds arerarely wanting. Showing Rectocele and Relaxation. Upon placing the patient in the dorsal posture, and separatingthe labia on either side with the thumbs, the vaginal outlet will befound everted and gaping. Not infrequently the ostium is sur-rounded by a series of concentric wrinkles and there is a peculiarflatness of the crease between the buttocks in front of the anus. Bypassing two fingers into the canal the structures will be found laxand incapable of resistance ; the separated muscles and fascia? can bedetected in one or both sulci. The uterus will be found low down 1894.] Relaxation of the Pelvic Floor. 345 and not infrequently retro-displaced. By retracting the parts withthe two thumbs the posterior vaginal walls presents itself in theform of a rectocele (Fig. 6.). If the patient be now placed in theSims posture the gaping of the ostium will be most marked andfche cervix easily exposed by making a speculum of the finger, orfingers. The perineal body may be entirely un
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