. Essentials of gynecology, arranged in the form of questions and answers prepared especially for students of medicine ... ondition after the menopause, and is producedartificially by the removal of ovaries and tubes. It occasionallyoccurs as the result of a too forcible curettage. It is sometimesassociated with phthisis and other exhausting diseases. It occurs asa superinvolution after childbirth, especially as a result of metritis,peritonitis, ovaritis or salpingitis, or from prolonged lactation. Thissuperinvolution is the variety of most importance. What are the symptoms ?
. Essentials of gynecology, arranged in the form of questions and answers prepared especially for students of medicine ... ondition after the menopause, and is producedartificially by the removal of ovaries and tubes. It occasionallyoccurs as the result of a too forcible curettage. It is sometimesassociated with phthisis and other exhausting diseases. It occurs asa superinvolution after childbirth, especially as a result of metritis,peritonitis, ovaritis or salpingitis, or from prolonged lactation. Thissuperinvolution is the variety of most importance. What are the symptoms ? neuroses. What are the physical signs ? The utenis is small, both in body and cei-vix, and the canal isshortened. What is the treatment ? Attend to the general health. Before the menopause, galvanism of the uterus and ovaries may be tried. The treatment is generally uusatisfactoiy. FIBROID TUarORS OF THE UTERUS. 181 Fibroid Tumors of the Uterus. What are common synonyms ? Fibro-mj^omata and myomata. Strictly speaking, fibro-myomatais the more correct designation, as the tumors are composed of both Fig. IM. Interstitial Submucous. (Schroeder.) fibrous and muscular tissue. They are to be classed as benigngrowths. What is the etiology ? Little is known of the cause of fibroids. They are much morecommon in the African than in the white race ; are most frequentlyfound between the ages 30-45, and are said to be more common in 182 ESSENTIALS OF GYNECOLOGY. married than in unmarried women. They rarely, if ever, beginbefore puberty, and never after the menopause. What is their structure ? Fibroids, or fibro-myomata of the uterus, are tumors composed ofboth fibrous and muscular tissue, either of which may predominateover the other. The fibrous tissue is usually in excess. Those composed chiefly of fibrous tissue are usually more or lessencapsulated, of slow growth, and chiefly of the subperitoneal variety. Those comjDOsed chiefly of muscular tissue are rare,
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