Pathology and treatment of diseases of women.

  • Martin, August Eduard, 1847-1933.
Date:
1912
Catalogue details

Licence: In copyright

Credit: Pathology and treatment of diseases of women. Source: Wellcome Collection.

    96/500 (page 76)
    ovaries inclining to small cystic degeneration), an infantile depth of the' excavatio recto-uterina appears as the characteristic of infantilismus genitalium, together with the inhibition in the circulatory System (chlorosis, Virchow) and Stenosis of the upper ehest aperture (W. A. Freund, 1905, at S. Karger). An atrophy of the uterus alone is also found at times with an other- wise sufficient development of the rest of the genital Organs. The development of the uterus as a whole is imperfect, though its shape is a typically normal one, or during the period of sexual maturity the organ undergoes atrophy with or without disease. A. In so-called congenital atrophy the uterus shows either in form or size the development typical of childhood (Figs. 49 and 50, long collum and small corpus), or we find it in the form of the adult organ, but decreased in size. The congenital atrophy is symptomless until approaching puberty. Even then many bearers of such an infantile uterus—and their number, by the way, is not so small as we are wont to think—experience no diffi- culty. They have in their outer appearance sometimes a very decided feminine type and feminine way of feeling. I have repeatedly seen such women from thirty to thirty-five years old, who enjoyed perfect health, were happily married, and had no complaint except absence or irregu- larity of menstruation and sterility. They are frequently inclined to take on large amounts of fat, while others preserve a virgin—even a childish—exterior tili the mature years of life. Chlorosis, scrofulosis, tuberculosis and neurasthenia are offen found with atrophia uteri. The functional Symptom of development, i.e., menstruation, offen presents peculiarities in such a uterus. So-called molimina menstrualia make their appearance at long intervals, sometimes dependent on the condition of the weather, in other cases on external conditions of life. The molimina last for several days, disappearing either without a flow or FlG. 49.—Atrophia Uteri, after Virchow. oi, ostium internum; oe, ostium externum. Fig. 50.—Uterus Infan tilis.