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This book is divided into three parts. In the first the author deals with the physiology of normal and abnormal uterine hemorrhages and the physiology of the menopause; in the second he takes up abnormal uterine hemorrhages before the change of life and in the third section he discusses abnormal uterine hemorrhages after the climacterium. The author is of the opinion that when the menses have ceased for one year the menopause has already set in. In cases of doubt, hot flashes set the definite time of appearance of the menopause. The hemorrhages that occur before the climacterium are the most frequent ones. Among every hundred women who have hemorrhages between the age of 40 and the completion of the menopause, only thirty have objective lesions which require surgical intervention. In the remaining seventy the bleeding is functional and these women respond only to medical or roentgenologic therapy but not
Les hémorragies utérines avant et après la ménopause. JAMA. 1937;109(1):74. doi:10.1001/jama.1937.02780270076030