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.

    114/434 (page 96)
    9G DISEASES OP WOMEN. merits of the uterus. The general opinion is, howeverJ that anterior displacements, especially primary ante- flexions, are much commoner, but that of cases of grave displacement, calling imperatively for mechanicaij treatment, retroflexions are the most common. The! discrepancy is explained, in great measure, by the difference between various authors as to the decree] of anteflexion or anteversion which they would regard] as pathological. Causation.—Acquired anteflexion is produced by the same causes as anteversion, with the addition of] softness of the uterine tissue, or it may result from] morbid softness alone, such as is not uncommon in ili-j nourished girls, the uterus yielding from its own! weight, or from the effect of forces which arc normally] in action. Before the age of puberty it is normal, or] at any rate very common, for the uterine axis to have! a greater physiological anteflexion than it has in the] adult, while it straightens itself when the uterus] reaches its full development and becomes firmer! Hence anteflexion is very frequently primary, audi consists in an abnormal persistence or exaggeration ofl a state which, in childhood, is hardly to be consideredI pathological. In this case the anterior uterine wall is J often thinner and less developed than the posteriorjB the anterior lip of the cervix is usually too short, and ] frequently the anterior vaginal wall is itself shoraB Such a condition is often associated with a conical! cervix and small external os, and sometimes with] general smallness of the whole uterus. Frequently 1 there are also signs of imperfect ovarian activity; thfl vagina may itself be small, and even the bony pelviM may share in the want of full development. jui acquired cervico-corporeal anteflexion has been ascribe™ to contraction of the utero-sacral ligaments, the result ] of localized cellulitis ox parametritis posterior, dragging ! the centre of the uterus backwards. Acquired cervical I anteflexion may also result from pressure against thfl posterior vaginal wall, when the whole uterus is dis- j