Clinical notes on uterine surgery : with special reference to the management of the sterile condition . ered so much from dilata-tion, thought the operation a small affair compared tothe result hoped for. In this case, I was able to say beforehand that shewould almost certainly conceive after the often we can say to one, Yes, you are almost sure to conceive; while toanother we are compelled tosay, Conception is probable ;to another, It is possible;and to others, It is impos-sible. This diagram (fig. 65) re-presents the relative conditionof the os and cervix. The ope-ration was d
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . ered so much from dilata-tion, thought the operation a small affair compared tothe result hoped for. In this case, I was able to say beforehand that shewould almost certainly conceive after the often we can say to one, Yes, you are almost sure to conceive; while toanother we are compelled tosay, Conception is probable ;to another, It is possible;and to others, It is impos-sible. This diagram (fig. 65) re-presents the relative conditionof the os and cervix. The ope-ration was done in April, andconception occurred in Decem-ber following. Here there wasno dysmenorrhcea, as alreadyremarked. And why? Simplybecause there was no mechanical obstruction to the canal of the cervix was small, but straight; and itsmucous membrane was not congested. Had it been alittle crooked, there would probably have been pain, forit was very small. But as small as the os was, it per-mitted the easy exit of the menstrual flow, while itprevented the ingress of the sperm. This is proved by. Fig. 65. OS TINCLE—ABNORMAL. 1S1 the fact that she was sterile for thirteen or fourteenyears, during which time she tried all sorts of remediesto overcome it, and then became pregnant in a fewmonths after the performance of the operation. I have seen many other similar cases, and a greatmany like it artificially produced by the injudicious use ofpotassa fusa, potassa c. calce, and even nitrate of silver. Sometimes the os tincse becomes wholly occluded bythe prolonged use of these agents; more frequently it ispartially closed, and the cervix always feels the induration is due to the action of the reme-dy, or to the inflammation that called for its applica-tion, I shall not pretend to say; but I have generallyfound artificial occlusion of the os to co-exist with indu-ration of the cervix. This produces a state of acquiredsterility. I have met with it more frequentl
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