Gynecological diagnosis and pathology . changes in theuterus or its appendages and will be referred to under these pathologicalconditions. The third group, disturbances of the reproductive function, includesterility and the tendency to abortion. Retroversion is so common inmultiparous patients that it is difficult to say how frequent such conse-quences are. We only see cases which have not conceived or in whichabortion has occurred. The others naturally do not come under sterility may be due to a variety of causes, changes in theuterine mucosa or inflammation of the appendages.
Gynecological diagnosis and pathology . changes in theuterus or its appendages and will be referred to under these pathologicalconditions. The third group, disturbances of the reproductive function, includesterility and the tendency to abortion. Retroversion is so common inmultiparous patients that it is difficult to say how frequent such conse-quences are. We only see cases which have not conceived or in whichabortion has occurred. The others naturally do not come under sterility may be due to a variety of causes, changes in theuterine mucosa or inflammation of the appendages. Reposition of theuterus does not always remove sterility, although occasionally conceptionfollows on replacement. Abortion may be due to the condition of theuterine mucosa or to the uterus not replacing itself, which produces thecondition known in Obstetrics as retroversion of the gravid uterus. PROLAPSE. Prolapse or descent of the uterus may be incomplete or complete. Apatient with prolapse complains of something coming down. If it _. Fig. 35.—Complete of the Uterus. The position of the urethra (see fig. 36) is marked by the black ]irobe projectingfrom it. The os externum is at the apex of the everted vagina. PROLAPSE 49 goes back when she lies down, ii is an incomplete prolapse; a completeprolapse does not go back . As the usual cause is the diminished support of the pelvic floorproduced by the tearing of the fascial and muscular structures which meet in the perineal body, prolapse is, like retroversion, characteristicof multipara?. It may develop within a few months after a usually it is delayed till another factor operates, the relaxation ofthe tissues which occurs towards the change of life. It is in multipara-over 40 years of age that it is usually found. An important factor in prolapse is intra-abdominal pressure. The
Size: 1438px × 1738px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
