In a recent statistical study of a large series of patients with abnormal uterine hemorrhage,1 it was observed that a pelvic inflammatory disease accounted for the disorder in 16 per cent of the patients who had not passed the menopause. This large number and the fact that the hemorrhage manifested itself clinically in a variety of ways, suggested pelvic inflammatory disease as an important field for investigation of the factors concerned in uterine bleeding. The present study is an analysis of the clinical manifestation and pathologic observations in a series of fifty-two patients with pelvic inflammatory disease of gonorrheal origin, and associated with menorrhagia, polymenorrhea, or some form of metrorrhagia.
Although there are comparatively few figures in the literature giving the incidence of menstrual disturbances and uterine bleeding associated with acute or chronic salpingitis, it is generally recognized that these conditions are found in a high percentage of
FLUHMANN CF. UTERINE HEMORRHAGE IN PELVIC INFLAMMATORY DISEASE. JAMA. 1931;97(10):694-698. doi:10.1001/jama.1931.02730100018007