August 30, 1913


Author Affiliations


JAMA. 1913;61(9):672-675. doi:10.1001/jama.1913.04350090040014

Even a casual glance over recent literature indicates that the subject of uterine hemorrhage is so complex as to make practically impossible a comprehensive classification of causes. At the same time, the subject is simple enough to be readily understood. Such confusion indicates ignorance of the underlying principles of menstruation—its anomalies and abnormalities. Without accurate knowledge of the regular menstrual function, attempts to treat departures from the normal must depend almost entirely on empiric rules, the result of experience in practice. Such clinical experience, in the treatment of the various forms of uterine hemorrhage, I may claim without unduly violating the canons of modesty. It is on the result of this experience that I wish to speak.

In practice one meets hemorrhage from the non-pregnant uterus during the three important epochs of a woman's life—puberty, the child-bearing period and the menopause. Whatever the time of life at which such bleeding

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