Gynecological diagnosis and pathology . Fie. 29.—Conical Vaginal Portion with Pin-hole Fig. 30.—Anteflexion with Stenosis of Os Externum.—(Winckel.)V. Vagina ; B. Bladder : p. peritoneum of pouch of Douglas. therefore doubtful whether the term displacement should be applied tothis condition. Associated with this condition of the uterus, the vaginalportion of the cervix may be conical and show a pin-hole os (fig. 29).Fig. 30 shows the appearance of the uterus in anteflexion. It is difficult 44 GYNECOLOGICAL PATHOLOGY to say how frequent this condition is, as it is a mere question of degree


Gynecological diagnosis and pathology . Fie. 29.—Conical Vaginal Portion with Pin-hole Fig. 30.—Anteflexion with Stenosis of Os Externum.—(Winckel.)V. Vagina ; B. Bladder : p. peritoneum of pouch of Douglas. therefore doubtful whether the term displacement should be applied tothis condition. Associated with this condition of the uterus, the vaginalportion of the cervix may be conical and show a pin-hole os (fig. 29).Fig. 30 shows the appearance of the uterus in anteflexion. It is difficult 44 GYNECOLOGICAL PATHOLOGY to say how frequent this condition is, as it is a mere question of degreeof curvature. The term is usually applied to cases in which, with thisalteration in the form of the uterus, the symptoms of dysmenorrhea andsterility are present. Owing to the sterility, anteflexion is the charac-teristic displacement of nulliparae as retroflexion is of multipara}. 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


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1