Disorders of menstruation / By Edward W. Jenks.

  • Jenks, Edward W. (Edward Watrous), 1833-1903.
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Disorders of menstruation / By Edward W. Jenks. Source: Wellcome Collection.

Provider: This material has been provided by the University of Massachusetts Medical School, Lamar Soutter Library, through the Medical Heritage Library. The original may be consulted at the Lamar Soutter Library at the University of Massachusetts Medical School.

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    its normal position. Patients frequently say that they cannot wear any kind of pessary, having attempted it many times. Sometimes this may be the fault of the physician for nothing is truer than that the physician who has mastered the art of fitting pessaries perfectly has mastered the most difficult part of the mechanics of gynecology. Where dysmenorrhoea seems to be caused by the existence of uterine fibroids or polypi, the treatment must depend upon the condition induced by the ad- ventitious growths. If there is obstruction from fibroids, dilatation will usually be of benefit. If any form of intra-uterine growths of small size cause pain- ful menstruation they should be removed if it can be done by ordinarily safe methods. Occasionally cases of dysmenorrhoea are met with, in consequence of partial vaginal atresia. This abnormality may be congenital or the result of some form of disease, not infrequently syphilis. This con- dition may be treated by dilatation by means of tents or, what is better, bougies of graded sizes or, in some instances, by incising the obstruction. If there is an unmistakable syphilitic taint, constitutional treatment will be demanded as well. Occasionally painful men- struation is caused by an imperforate hymen in which event the hymen should be incised, but extreme cau- tion is requisite on the part of the physician, particu- larly if there is much accumulation of the menstrual fluid. The best plan is to aspirate the fluid before