Delayed menopause : its dangers and therapeutic indications : with a table showing the approximate age when the menopause should be established / by A. Ernest Gallant.

  • Gallant, A. Ernest (Albert Ernest), 1861-
Date:
1910
Catalogue details

Licence: In copyright

Credit: Delayed menopause : its dangers and therapeutic indications : with a table showing the approximate age when the menopause should be established / by A. Ernest Gallant. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    How is it that so many unfortunate women are permitted to reach advanced benign or malignant uterine disease? Delay! The dangers incident to delay can best be illus- trated by the following cases taken from our private records. First Danger: Delay in consulting a physician. Many women through ignorance, false modesty, fear of examination, fear of learning the truth, or a wish to hide their condition and suffering from loved ones postpone going to a doctor until too late, as in the following case: Case II.—Carcinoma of uterus and anterior vaginal wall. Mrs. McC. (16), fifty-five years. Patient of Dr. James Campbell. Had had haemorrhage and discharge for a long time. Anterior vaginal wall to the vulva thick and infiltrated; the cervix a cone shaped shell had been ex- cavated by the degeneration of the growth. Rectum not involved. Broad ligament on the right thickened outward to the pelvic wall, the left less so. Complete removal im- possible. Treatment: The softened material was scraped away, and part of the cervical shell was cut away. Vagina packed with iodine gauze. Of this advanced variety of incurables we have come in personal contact with nearly one hundred cases, some of course varying in that the vagina was filled with a cauliflower growth, the rectum, bladder, and vulva more or less involved, but all hopeless so far as any real curative treatment was concerned. Second Danger: Delay due to absence of urgent symptoms. Case III.—Malignant ovarian cystoma. Mrs. R. (22), patient of Dr. James Campbell; aet. forty-two years; men- struated at sixteen, regular ever since, (menopause de- layed two years) as to time and quantity. For the past three months her abdomen had rapidly grown larger; back- ache when lying down; pain on the right and centre of abdomen. Her weight had diminished from 175 to 140 pounds. A firm tumor filled the lower left quadrant, up to the umbilicus, the small uterus was pushed against the