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July 31, 1948

A Text-Book of Gynaecology for Students and Practitioners

JAMA. 1948;137(14):1263. doi:10.1001/jama.1948.02890480083032

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In the seventh edition of this popular book changes were made particularly in the chapters on sex endocrinology, menstrual disorders, sterility, leukorrhea, pain and backache.

In the endocrine therapy of dysmenorrhea, Young prescribes 9.5 mg. diethylstibestrol daily for the ten days before the onset of menstruation. Nearly all American Gynecologists who prescribe this drug for the relief of painful menstruation tell their patients to take the tablets for fifteen or twenty days beginning shortly after the onset of bleeding. The theory is that such medication inhibits ovulation and thereby relieves pain at the next menses. How the administration of diethylstibestrol during the last ten days controls dysmenorrhea is not clear. In the chapter on leukorrhea there is no mention of moniliasis. In fact, the only discussion of this condition is in the chapter on inflammation of the vulva and vagina, where the word thrush is used. There is one illustration

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