July 13, 1912


JAMA. 1912;LIX(2):100-104. doi:10.1001/jama.1912.04270070101007

The belief that all diseases or pathologic conditions of the fallopian tubes cause symptoms is fallacious. Pathologic changes in the tubes may be present for some time without giving rise to disturbing symptoms. It is important, therefore, to examine carefully, for the possible existence of pathologic conditions of the fallopian tubes, all women who consult us about diseases of the generative organs. This is particularly exemplified, for instance, in cases of catarrhal and interstitial salpingitis caused by gonorrheal infection, in which the tubal inflammation causes no marked symptoms and the physician is consulted only as to the cause of sterility. Should the physician, in such a case, make use of intra-uterine treatment, without realizing what the true condition is, a pelveoperitonitis is liable to result.

It is likewise fallacious to suppose, as many do, that women whose fallopian tubes are the seat of gonorrheal infection, particularly so if it be

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