Treatment of dysmenorrhoea and sterility resulting from anteflexion of the uterus / by Thos. Addis Emmet.

  • Emmet, Thomas Addis, 1828-1919.
Date:
1865
Catalogue details

Licence: Public Domain Mark

Credit: Treatment of dysmenorrhoea and sterility resulting from anteflexion of the uterus / by Thos. Addis Emmet. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    1863. She menstruated for the first time at 10 years of age. She remained in good health and free from dysmenorrhcea for five years. In 1860 she was exposed to cold during the cata- menia, which suddenly arrested the flow ; this was followed by an attack of illness, which confined her to the house for several weeks. Since this time the flow had been exceedingly painful; and was always accompanied with violent hysterical attacks, which were regarded by her physicians as being epileptic. The length of the flow had been increased from four days to six and seven in duration, but scanty in quantity, irregular in time, and painful throughout, Her depression of spirits had become so great as to make her fearful at times that she would become insane. During the previous year she had been con- fined almost entirely to her bed, in consequence of an inability to stand, from pressure on the bladder, and had, to a great ex- tent, lost the use of her lower limbs. There had been but little vaginal discharge, except for a few days after the men- strual period, although she suffered constantly from pruritus. On making a vaginal examination, the uterus was found larger than natural, with a well-marked anteflexion, its seat being above the vaginal junction. The sound, after the frequent alteration of its curve, was passed with the greatest diffi- eu Ity. After passing the seat of constriction, the canal was very much dilated. There was no increase of pain from pressure, except when the finger was passed along the base of the blad- der, so as to make pressure on the anterior wall of the uterus and the whole organ was less movable than natural. The dia- gram given as a type was copied from the one that I made at the time, in my ease book, as representing her condition. May 8. 1868, I operated (as shown by the diagram) two days after the cessation of menstruation. May 29 the period