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.

    68/712 (page 28)
    resulting in sponginess, vascularity and swelling. Thus is formed a membrana decidua menstrualis, which is not disinte- grated if the ovum is not fertilized, and hence there is no ex- ternal discharge; this negative sign being the proof of fertilization under normal conditions of health. The occurrence of ovulation and menstruation may not be synchronous, and hence there may be ovulation without menstruation, and vice versa. It is not to be forgotten that the uterus is capable of contraction under the influence of sexual intercourse, and the expulsion of some of the uterine mucus may thus take place. This reflex contraction may be associated with corresponding contraction of the Fallopian tubes. This has an important bearing on the question of sterility and excessive or imprudent intercourse, which may thus cause loosening or expulsion of the ovum. 1 have recently had under my care a married lady, who, under certain influences, and generally associated with the catamenial periods, had violent uterine contractions, in which the vagina participated. I have seen the uterus driven down to the vulvar orifice, and it was impossible at these times to keep a speculum in the vagina. A digital examination was sufficient to bring on these contractions. Fearing that there might have been some intra-uterine polypus or fibroid, I dilated the uterus and explored the cavity, but there was no intra-uterine growth. She suffered from an old laceration of the cervix and some corporeal endo- metritis and menorrhagia. Free application of nitric acid to the uterine cavity materially benefited her, and so far has relieved the spasms.