Many inquiries by physicians in different parts of the country in reference to the use of the stem pessary have prompted me to write another short article on the question. There is no doubt that the bane of the general practitioner, and even of the gynecologist, is the treatment of stubborn cases of amenorrhea and dysmenorrhea, as they last for months and years and often persist after all the known modes of treatment have been tried.
If this occurs at the age of puberty, time and hygienic management will generally bring about a normal condition.There are certain types of this disease that are very troublesome, as, for example, when menstruation occurs only at long intervals and then is scanty, or when the function has been thoroughly established for some years and then becomes irregular and slight, often accompanied by pain. This generally causes a great deal of mental
CARSTENS JH. THE STEM PESSARY FOR AMENORRHEA AND DYSMENORRHEA.SOME FURTHER OBSERVATIONS.. JAMA. 1906;XLVII(26):2133-2135. doi:10.1001/jama.1906.25210260003001a