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August 2, 1884


JAMA. 1884;III(5):124-125. doi:10.1001/jama.1884.02390540012001d

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Mrs. C. consulted me in October, 1882, for what she supposed to be some uterine disease. She was English by birth, 39 years old, and the mother of four children. She had suffered three miscarriages. Her youngest child was four years old. I treated her nearly three months for subinvolution previous to her last pregnancy. For the past eight months her menstrual flow had been scant, and followed by a somewhat profuse leucorrhœa. She had no flow in September, but when she consulted me, had recently ceased from her October period, and was suffering from dragging pain, lassitude, etc. I found the os flabby and patulous, readily admitting the point of the index finger. The cervical canal seemed filled with tenacious mucus. The depth of the uterine cavity including the cervix was five inches. Three times each week for the first month, and twice each week for the second month,

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