The Hahnemannian monthly . There are manygyromata present. The differentiating qualities of the VanG-iessen stain produce a most brilliant and variously tintedpicture. In some places on the surface of this ovary the germi-nal epithelium may still be demonstrated. The same changesjust recorded as present in the right tube also exist in the oneon this side. If we attempt now to study our case in order to trace thevol. xxxv.—24 370 The Hahnemannian Monthly. [June, progressive stages of the pathological process, the followingbears the stamp of probability. As has been stated, the patientsuffered f
The Hahnemannian monthly . There are manygyromata present. The differentiating qualities of the VanG-iessen stain produce a most brilliant and variously tintedpicture. In some places on the surface of this ovary the germi-nal epithelium may still be demonstrated. The same changesjust recorded as present in the right tube also exist in the oneon this side. If we attempt now to study our case in order to trace thevol. xxxv.—24 370 The Hahnemannian Monthly. [June, progressive stages of the pathological process, the followingbears the stamp of probability. As has been stated, the patientsuffered from pronounced glandular erosion of the cervix. Iam of the opinion that this condition is one which supervenedat the time of or shortly after puberty. It may possibly be truethat this condition was a continuance of a similar state normalto foetal and early infantile life, wherein the glandular epithelialstructure of the cervical canal was continued to an abnormalextent out upon the portio vaginalis. The pathology of this. Posterior Surface of the Left Ovary. condition is not fully understood. As the result ot septic orgonorrhceal infection it is perhaps plainer. But if having thestarting-point as I have indicated, it is comprehensible thatthe advent of puberty and the increased congestion and the as-sociated discharges from the uterus and cervical canal formeda means whereby was furnished a column along which infec-tion could have reached these glands and the endometrium. There existed pronounced endometritis. This may havefor years been the cause of the pain. The soft and readily in- 1900.] A Case of Dysmenorrh<i. 371 filtrated tissues at the internal os may have been the immediatecause. The imperfectly performed function of the uterus doubt-less affected the Fallopian tubes and the ovaries. In the Fallo-pian tubes some form of infection took place, no doubt fromthe endometrium, for, as above stated, the fimbriated extremitiesof both tubes were found occluded, and the tub
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