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The Pathology, diagnosis and treatment of the diseases of women v. 2

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Pages: 556

Book format: An electronic version of a printed book that can be read on a computer or handheld device designed specifically for this purpose.

Publisher: Date:8/4/2009 - General Books LLC

By: Graily Hewitt

Excerpt from book: CHAPTER XXXIII. Menorrhagia. Definition.—Various Forms of Menorrhagia. Pathology And Etiology.—Relation of Pregnancy and Abortions to Menorrhagia and Metrorrhagia—General or Constitutional Causes— Locality—Lead Poisoning—Sexual Excesses—Pyrexial Disorders— Cancer of the Uterus and allied Affections—Polypi and Fibroid Tumors—Peri-uterine Haematocele—Chronic Inversion of the Uterus— Climacteric Haemorrhages—Flexions of the Uterus—Chronic Congestion of Uterus and Hypertrophy of its Mucous Lining (so-called Fun- gosities)—Relation of latter Conditions to Flexion—Defective Involution—Abnormal Conditions of Os Uteri—Laceration—Eversion— Hypertrophy—Small Mucous Polypi. Diagnosis.—Examination of Uterus—Examination of various Substances expelled. General Treatment.—Tonics, Baths, Medicines and other Measures. Local Treatment.—Intra-uterine Cauterization, and Removal of Mucous Membrane by scraping. The term " menorrhagia" implies an excessive menstrual discharge. The term " metrorrhagia" indicates haemorrhage from the uterus not menstrual in origin. At least this is the ordinary distinction drawn between them. When a discharge of blood occurs from the female generative passages, it may proceed from the uterus, as is generally the case, or it may prove to be a haemorrhage from the vaginal wall, from the vaginal outle, from the bursting of a varicose pudendal vein, or from the urethra. Hence cases of bleeding from the generative passages are not necessarily cases either of menorrhagia or metrorrhagia. The catamenial secretion appears to be naturally more profuse in some individuals than in others, the quantity of the secretion being great, or the period during which it is observed being extended, from the presence of what may be characterized as idiosyncrasy, fr...  


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