The student's guide to the diseases of women / by Alfred Lewis Galabin.

  • Galabin, Alfred Lewis, 1843-1913.
Date:
1881
Catalogue details

Licence: Public Domain Mark

Credit: The student's guide to the diseases of women / by Alfred Lewis Galabin. Source: Wellcome Collection.

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    siori or anteflexion. Anteversion is therefore especially-i associated with increased weight of the body of the uterus or excessive intra-abdominal pressure, as from tight-lacing or weight of clothing, without a proportionate relaxation of the supports which maintain the centre] of the uterus in its position in the pelvis. While ante-j flexion is frequently primary, anteversion (like retro-j version and retroflexion) is usually secondary; andj the commonest of all its causes is hyperplasia of thoj body of the uterus. Anteversion may also be produced by fibroid tumours in the uterine wall, or adhesions the result of periuterine inflammation. Results and Symptoms.—Slight or moderate ante-^ version in itself generally produces little or no symptoms,! and symptoms associated Avith it are often due rather toj the hyperplasia, hyperemia, or inflammation which was anterior to the displacement. If, however, the dis- placement is considerable—especially if the uterus is] also large and hard—signs of pressure upon neighbour-! ing organs may appear. These may closely resemble those produced by a high degree of retroversion, thej fundus and cervix lying in exactly the reverse direction-] see Fig. 25). From the greater size of the fundus as] compared with the cervix, the bladder symptoms arej commonly greater, and the rectal symptoms less, than* in retroversion, especially when the whole uterus iaj much enlarged and indurated. When, however, the1 cervix especially is enlarged and indurated, and partil cularly when the whole uterus is at the same time, far back in the pelvis, pain in defecation and rectal tenesmus are often marked. Patients may suiter, also, from frequent calls to micturition, and dysuria in addition. The intensity, and indeed the existence, of all these symptoms depends to a great extent, first/ upon the nervous susceptibility of the individual; and, secondly, upon the degree of congestion and consequent tenderness of the uterus. In some persons both bladder and rectum will tolerate a great deal of merely mechanical interference with very little complaint, as