The subject of ovarian neurosis is one of the most difficult the gynecologist has to deal with to-day, because of his inability to fix a standard from which to determine the beginning of surgical treatment. Hence the question is of diagnosis rather than of surgery, and the thing to decide is whether the woman's symptoms arise directly or indirectly from pelvic disease. This decided, the treatment is simplified, but should the pelvic disease not enter into the case further than one of many other factors, then it is not a surgical case, and should be treated accordingly; and it is this very factor which complicates the subject and has given discredit to legitimate surgery and brought to view the shining light of the operator, while the conscientious surgeon prevents damage to the patient and injury to his profession.
It is my purpose to emphasize the importance of a better knowledge
COKENOWER JW. A PLEA FOR CONSERVATIVE OPERATIONS ON THE OVARIESFROM A NEUROTIC STANDPOINT, WITH REPORT OF CASES.. JAMA. 1904;XLIII(25):1839-1841. doi:10.1001/jama.1904.92500250002a