Uterine and tubal gestation : A study of the embedding and development of the human ovum, the early growth of the embryo, and the development of the syncytium and placental gland / By Samuel Wyllis Bandler.
- Bandler, Samuel Wyllis, 1869-1932.
- Date:
- 1903
Licence: Public Domain Mark
Credit: Uterine and tubal gestation : A study of the embedding and development of the human ovum, the early growth of the embryo, and the development of the syncytium and placental gland / By Samuel Wyllis Bandler. Source: Wellcome Collection.
Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.
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![strualia, sickness at the stomach, and rectal bleedings were the indications. In all, Eberlin finds twenty-one cases of this sort associated with vagina] defect to have been operated upon. The ovary in the above-cited case of Eberlin, though containing few follicles, nevertheless secreted sufficiently to cause the severe symptoms. Since no endometrium was present, and no excretion by that channel took place, the ovarian secretion, through cumulative action, was responsible for the severity of the pain. Whatever part the uterus took in these attacks must have deen the result of uterine contraction, since congestion alone is not responsible for so much pain, as is evidenced by the absence of such suffering in pure congestions of the uterus, associated with metritis, etc. B. CONSTITUTIONAL CHANGES DEPENDENT ON THE OVARY. Were we to consider the relation between the ovary and the uterus, and between the genitalia and other organs to exist through the medium of the cerebro-spinal or sympathetic sys- tems, why should we find the walls of the tubes thin and con- taining more connective tissue in cases of poorly developed ovaries and at the menopause, when no primary follicles and no Graafian follicles are present in the ovaries? The uterus then shrinks, the walls become thin and flabby, the mucous membrane atrophies, the connective-tissue elements are more prominent, and the ciliated epithelium disappears. Is it not extraordinary to make the occurrence of these decided changes dependent upon a cessation of ovarian congestion? That these differences are not due to the lack simply of reflex stimulation on the part of the ovary is sufficiently evidenced by the constitutional changes oc- curring at puberty, at menstruation, during pregnancy, and at the menopause. The relation between the changes occurring at puberty and at the menopause, before menstruation and after menstruation, during pregnancy and after pregnancy, show a decided resemblance. Until shortly before each menstrual period, temperature, pulse, muscular activity, lung capacity, and the excretion of urea increase, and reach their maximum two to three days before the appearance of blood. During this period we find hyperemia, edema, increased activity of the ovary, changes in all the mucous membranes, and increased function of the glandular apparatus. The occurrence of swelling of the breasts, tenderness of the abdomen, even pain and the passage from the vagina of increased mucus, sometimes mixed with blood,](https://iiif.wellcomecollection.org/image/b2122934x_0026.jp2/full/800%2C/0/default.jpg)
