. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. esias aremost often seated in the lower third of the vagina, itshould be borne in mind that the wTalls of the vaginaltube are very closely approximated just above the seat ofthe hymen, and agglutination is thereby rendered easy. Atresias of the vagina are important only as interfer-ing with menstruation and coition. Hence, althoughexceptionally before puberty these occlusions may giverise to inconvenience or suffering (as in certain cases ofprofuse secretion of m
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. esias aremost often seated in the lower third of the vagina, itshould be borne in mind that the wTalls of the vaginaltube are very closely approximated just above the seat ofthe hymen, and agglutination is thereby rendered easy. Atresias of the vagina are important only as interfer-ing with menstruation and coition. Hence, althoughexceptionally before puberty these occlusions may giverise to inconvenience or suffering (as in certain cases ofprofuse secretion of mucus and the formation of a hydro-colpos, a condition rarely of significance in adults), yetin the majority of cases it is not until the establishmentof the menstrual function, and, more rarely, whengraver rudimentary conditions exist and the catamenia donot appear, not until after marriage, that symptoms mani-fest themselves and a physician is consulted. Certainwell-known general conditions may likewise postponethe ushering in of the first menstrual period, and then ifan accumulation occur it will be of mucus and not Fig. 4400.—Atresia VaginEe—Lower Third, oi,Os internum ; oe, oe, dilated os externum :c, dilated cervical canal; v, vagina ; s, loca-tion of the atresia. (Hart and Barbour.) In atresia of the hymen or of the vagina proper, whenpuberty arrives the usual disturbances which precede andaccompany the catamenia are noticed, but there is nodischarge. At the time of the next period these disturb-ances are somewhat accentuated, and, as the fluid accu-mulates, gradually change to suffering, which is expe-rienced now during the inter-menstrual period as tumor produces pain and a feeling of weight in thepelvis, and by pressure or traction upon the bladderand rectum interferes with micturition and is sometimes, too, no little constitutional disturb-ance. The amount of fluid and the consequent size ofthe tumor determine in large part the
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
