. Essentials of gynecology, arranged in the form of questions and answers prepared especially for students of medicine ... the Uterus (Schroeder). cervix, it runs into a marked angle between cervix and bodj^ Thebodj can be felt hing in front of the cervix, just above the anteriorvaginal wall. The cervix is often long and the os smaU. Thesterility is more dependent upon the long cervix plugged withmucus than any actual stenosis of the internal os. The uterus issometimes both anteiiexed and retroverted. From what must you differentiate an anteflexion ? From—]. A fibroid tumor in the anterior wal
. Essentials of gynecology, arranged in the form of questions and answers prepared especially for students of medicine ... the Uterus (Schroeder). cervix, it runs into a marked angle between cervix and bodj^ Thebodj can be felt hing in front of the cervix, just above the anteriorvaginal wall. The cervix is often long and the os smaU. Thesterility is more dependent upon the long cervix plugged withmucus than any actual stenosis of the internal os. The uterus issometimes both anteiiexed and retroverted. From what must you differentiate an anteflexion ? From—]. A fibroid tumor in the anterior wall of the uterus;2. An inflammatory deposit in front of the cervLs. DISPLACEilENTS OF THE UTERUS. 131 Fig. 23. How would you differentiate an anteflexed uterus from afibroid tumor in the anterior wall ? In an anteflexion j^oii cannot feel the fundus elsewhere, and asound passes when sharply curvedinto the body felt in front of thecervix. In a fibroid in the anterior wall(see Fig. 23) the sound does notpass into the body felt in front ofthe ceiTix, but behind it, and thefundus can be felt above and behindthe Sound passed to show that a Fibroidof the Anterior Wall is not anAnteflexion (Leblond). How would you differentiatean inflammatory depositfrom an anteflexion ? The former is comparatively rare,but when present is usually moresensitive than an anteflexion; inthe case of an inflammatoiy depositin front of the cervix, a carefulbimanual examination will usuallyshow the fundus elsewhere. During the acute, inflammatory period the sound is contraindicated. What is the treatment of anteflexion ? First treat all existing pelvic means of hot-waterdouches, counter-irritation and glycerine tampons. When all inflam-matory symptoms have subsided, dilate the cervix, under antisepticprecautions, with one of the glove-stretcher dilators, and packthe cavity with iodoform gauze, leaving it for forty-eight hours ; ora stem pessary long enough to pass through the inter
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