. The diagnosis and treatment of diseases of women. married woman thevaginal opening is larger and dilatable and thelabia minora are better marked, being usuallymuch larger and considerably corrugated (). When the patient has had children, thehymen is ordinarily destroyed and the vaginalopening still larger, this being especially notice-able after the labia are spread apart for theexamination. Fig. 211 shows the externalgenitals in such a case before the labia arespread apart. Fig. 212 is a somewhat closerview after the vulva has been shaved, as inpreparation for operation. Fig. 213 sho
. The diagnosis and treatment of diseases of women. married woman thevaginal opening is larger and dilatable and thelabia minora are better marked, being usuallymuch larger and considerably corrugated (). When the patient has had children, thehymen is ordinarily destroyed and the vaginalopening still larger, this being especially notice-able after the labia are spread apart for theexamination. Fig. 211 shows the externalgenitals in such a case before the labia arespread apart. Fig. 212 is a somewhat closerview after the vulva has been shaved, as inpreparation for operation. Fig. 213 showsthe labia separated, bringing into view thevestibule, meatus and vaginal opening. is a closer view with the operating specu-lum in place. This shows exceptionally wellthe relation of the urethral opening to thevaginal entrance and to the labia. Very oftenthere has been considerable laceration of theperineum without any particular loss of sup-port in the pelvic floor. Fig. 215 shows the ap-pearance of the genitals in such a case. Nv ^?\.i. Fig. 210.(Dickinson- External Genitals of a Married Text-Book of Obstetrics.) 172 GYNECOLOGIC DIAGNOSIS
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