. Clinical gyncology, medical and surgical. Atresia of the vaginal outlet. Atresia of lower third of vagina. If there is absence or non-development of the uterus, so that men-struation does not occur, there is no excuse for resorting to the operationfor making an artificial vagina. Should there be well-developed ovaries, ANOMALIES OF DEVELOPMENT IN THE GENITAL TRACT. 237 however, with absence of the vagina and uterus, so that there are menstrualmolimina, associated with great pain and nervous distress, oophorectomymay be called for. In a few cases of absent vagina and uterus there hasbeen vica
. Clinical gyncology, medical and surgical. Atresia of the vaginal outlet. Atresia of lower third of vagina. If there is absence or non-development of the uterus, so that men-struation does not occur, there is no excuse for resorting to the operationfor making an artificial vagina. Should there be well-developed ovaries, ANOMALIES OF DEVELOPMENT IN THE GENITAL TRACT. 237 however, with absence of the vagina and uterus, so that there are menstrualmolimina, associated with great pain and nervous distress, oophorectomymay be called for. In a few cases of absent vagina and uterus there hasbeen vicarious menstruation, the blood having been discharged from themucous membranes of the stomach and of the lungs, and in one case throughthe skin of the extremities. Occasionally the vagina is absent in only a part of its course, beingreduced to a solid fibrous cord, usually at about the middle. The resulthere is the same, of course, as though the entire canal were wanting. The Fig. 23.
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