Outlines of the diseases of women / by John Phillips.

  • Phillips, John.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Outlines of the diseases of women / by John Phillips. Source: Wellcome Collection.

    132/332 (page 112)
    Under this heading we may include: Vulvitis and vaginitis. Tender spots and fissures on the vulva, chiefly upon the vestibular space. A tender or rigid hymen, or inflamed carunculse myrtiformes. An extremely narrow vagina. Urethral caruncle. Hemorrhoids or fissure of the anus. Symptoms —Dyspareunia (painful or impossible coition), accom- panied usually by sterility and general depression of the bodily health ; development of nervous ailments, may result at a later P6The Treatment in the first class is extremely unsatisfactory; over-dilatation with the thumbs of the vaginal orifice the patient beine deeply under an anesthetic, may be successful m some Pnses- time and gentle moral freatment doubtless cure others; Absolute sexual rest should be insisted upon, and the usual seda- tives locally and generally ordered. Fig. 56. Glass vaginal dilator. With shallow concavity to obviate pressure upon the urethra. -1 i o+Q rl^annsis of the local cause is In the second class accurate diagnosis 01 v absolutely essential. The painful spot should &st be ^°V£ by means of a blunt probe, an anesthetic should then be ven and the whole vaginal orifice and^vulva exammed ^ ^ or caruncles which may exist. The^e^d be t 7^ ^ with a Paquelin's th^r^atetion performed; to back in the vaginal orifice, thorough ai * intervals the vaginal dilator should be subsequent^ worn ^lartlrition often cures these cases, though not all, even if an extensive perineal laceration ^JM^ conditions, and is not Dyspareunia may result from many otnei conuiwu , necessarily accompanied by vaginismus.