Gynecological diagnosis and pathology . Clinical Phenomena.—Painful menstruation or dysmenorrhea, datingfrom puberty, and sterility after marriage are the characteristic symptoms. The dysmenorrhea, as a rule, goes hack to puberty, is present duringthe flow, and is sometimes of a spasmodic nature, suggestive of uterinecontraction. These contractions are not related to expulsion of theuterine contents, for the menstrual blood comes away drop by drop. Thespasm is probably of the circular muscular fibres, especially those round. Fig. 31.—Congenital Anteflexion contrasted with Acquired, due
Gynecological diagnosis and pathology . Clinical Phenomena.—Painful menstruation or dysmenorrhea, datingfrom puberty, and sterility after marriage are the characteristic symptoms. The dysmenorrhea, as a rule, goes hack to puberty, is present duringthe flow, and is sometimes of a spasmodic nature, suggestive of uterinecontraction. These contractions are not related to expulsion of theuterine contents, for the menstrual blood comes away drop by drop. Thespasm is probably of the circular muscular fibres, especially those round. Fig. 31.—Congenital Anteflexion contrasted with Acquired, due Cellulitis. Note that in the former there is simply increase of normal Mexion, while in the latterthe uterus is retroposed and the utero-sacral ligaments palpable. The arrowsshow how the increased flexion is produced. the os internum, and might be compared to the painful spasm of the analsphincter present in fissure. The relief given in some cases by forcibledilatation, which is the recognised operative treatment, might be comparedto that produced by stretching the sphincter. The sterility has also been accounted for by the acute flexion or a pin-hole os; but as the spermatozoa are microscopic this explanation is notsatisfactory. A pin-hole os may, however, retain secretions within thecervical canal which prevent fertilisation, and there is no doubt thatdilatation or division of the cervix will in some cases remove sterility. Acquired Anteflexion.—Acquired, or pathological anteflexion asit is sometimes c
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
