Practical manual of diseases of women and uterine therapeutics : for students and practitioners / by H. Macnaughton Jones.

  • Macnaughton-Jones, H. (Henry), 1844-1918.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Practical manual of diseases of women and uterine therapeutics : for students and practitioners / by H. Macnaughton Jones. Source: Wellcome Collection.

    160/712 (page 114)
    of a few facts, connected with the act of ovulation, which bear on some of the clinical phenomena of menstruation. Most important researches bearing on the part taken by the Fallopian tubes and ovaries in tbe menstrual act have recently been made by Bland Sutton and Arthur John- stone, U.S.A. The former, as the result of his investiga- tions on monkeys, has come to the conclusion that the mucous membrane is not disintegrated to the extent pre- viously represented, and that only the epithelium is shed, while the utricular glands are enlarged and blood is dis- charged from the denuded epithelial surface. Dr. Johnstone regards the endometrium above the os internum as a cyto- genic membrane and belonging to the class of so-called adenoid tissues, ' menstruation being for it what the lymph- stream is to the lymph-gland, or the blood-current to the spleen.' He looks on the simplest definition of menstru- ation as ' a periodic wasting of those corpuscles that are too old to make a placenta.' He agrees with Mr. Bland Sutton that the epithelium alone is shed, and that the mucous membrane is not disintegrated. (Proceedings of the British Gynecological Society, June 23, 1886.) Menstruation and Ovulation.—In a paper read before the Gyneco- logical Society of Great Britain, on 'The Coincidence of Ovulation and Menstruation,' Mr. Tait reviewed the physiological results in fifty:one cases of oophorectomy with removal of the appendages. Miss Clark made most careful dissections of the ovaries, and noted the condition of the corpora alba and corpora lutea. In all, the ovaries were practically destroyed. Mr. Tait comes to the conclusion, from these dissections, that in menstruation we are dealing with a function associated with the uterus and Fallopian tubes, inasmuch as menstruation and ovulation were only 'coincident' in three out of the fifty-seven women : in seven- teen it was not coincident ; eight were doubtful. I must, howevi r, add, that such pathological evidences, while they Biipport the other proofs of the uterus being the prime menstruating organ, do not appear to me to invalidate the clinical importance of other physiological facts that establish the relationship between ovulation, at whatever time it take place, and the menstrual flow. Lemiere explains such persistence of menstruation after removal of the ovaries and tubes by an organic habit f the nerve-centres and uterus, enabling the latter to discharge the unction.