The medical treatment of gonococcus infection in women / by Ellice McDonald.

  • McDonald, Ellice, 1876-1955.
Date:
1908
Catalogue details

Licence: In copyright

Credit: The medical treatment of gonococcus infection in women / by Ellice McDonald. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    The gonococcus infection may cause dys- menorrhea and profuse menstruation. The dysmenorrhea may result from the involve- ment and alteration of the cervical tissue, which causes a condition analogous to the elongation and stenosis of the cervix. An increase in the amount of menstruation, however, is more commonly a result of in- fection of the uterine cavity and a true gonococcus endometritis. This usually continues, to become an atrophic endo- metritis with lessened menstruation. The I danger of curettage in these conditions may be seen in six cases reported by Holden^® in a study of dysmenorrhea. In these cases at the time of curettage the pelvic organs were noted as “apparently normal,” while months afterward the patients returned with pelvic inflammatory disease and were operated upon and their Fallopian tubes ex- cised. Two cases of tubal disease have been operated upon by the author during the last six months, in which the extension of j the disease dated from such curettage; in both cases the tubes were markedly dis- ' eased. \ Thus it may be seen that surgical means . | have no place in the treatment of gonor- rheal disease until it has first extended to the Fallopian tubes, save when evacuation of a vulvovaginal abscess is necessary. Curettage by baring a raw surface in the uterus and by causing congestion and exu- ] i