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November 19, 1927


Author Affiliations

Associate Professor of Obstetrics and Gynecology, University of Iowa IOWA CITY

JAMA. 1927;89(21):1761-1765. doi:10.1001/jama.1927.02690210027008

Development and advance in our knowledge of obstetrics and gynecology have been among the outstanding achievements in the field of medicine in the past twenty-five years. Analysis of this advance will show that it has been confined chiefly to the more uncommon and unusual conditions. Among methods of treatment, the tendency toward conservatism is probably the most noteworthy recent advance. Diagnosis and diagnostic procedures have in general kept pace with this progress. On the whole, however, it would seem that the advance is more apparent than real, since we are still faced with most of the common gynecologic complaints which have existed unchanged for hundreds of years. Young women are still suffering from dysmenorrhea, menorrhagia, leukorrhea, backache, and vague pains in the sides, while older women have grown to look on these conditions as normal. Many physicians have come to consider these common complaints as more or less natural and

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