Disorders of menstruation / by Edward W. Jenks.

  • Jenks, Edward W. (Edward Watrous), 1833-1903.
Date:
1895
    cause, as in the case of girls at boarding-school, coun- try girls coming to the city, immigrants, and, rarely, of young women recently married. When amenorrhcea is present in chlorotic and anaemic patients it is desirable rather than otherwise, as in such patients if menstruation occurs it is liable to become a profuse haemorrhage. Diagnosis.—In this climate menstruation occurs between the ages of thirteen and fifteen as a rule, but there are many instances of its earlier and of its later occurrence. If a girl has reached the maximum age and there are external signs of development such as enlargement of the breasts, development of the figure, etc., without menstruation making its appearance, particularly if there are indications of the molimen, there is usually some obstruction such as an imperfor- ate hymen, or atresia, which a physical examination alone can determine. It is very important that one should be certain as to the existence or non-existence of pregnancy; and if the physician is in doubt, the wisest course is to wait for time to make its revelations on this point. In extra-uterine pregnancy there is usually either entire absence of, or scanty and irregular, menstruation. The same may be said concerning the existence of ovarian tumors. Lack of development of the ovaries is occasion- ally a cause of amenorrhcea, but it is more often the cause of scanty menstruation.
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