Sterility in the absence of a clinically demonstrable pathologic condition of the pelvis is of common occurrence. It is probable that infection, in contrast with noninfective conditions, may be held responsible for most of these cases, if carefully employed therapeutic measures fail to relieve the sterility.1
In further attempts to find evidence of pathologic changes in the pelvis in women who fail to become pregnant, we have carefully searched for minor tubal lesions. A study of fallopian tubes removed from a series of 300 patients revealed that tubes without evident gross alteration, or at the most presenting only slight adhesions, quite often are crippled by healed inflammatory changes of the mucous membrane. Such lesions within the tubes easily escape detection in the operating room; palpable thickening may be wanting, and probing of the tube is a gross procedure at best.
During the last two years, when it has been
CURTIS AH. DIAGNOSIS AND RELIEF OF STERILITY: A NEW PROCEDURE. JAMA. 1923;80(6):393. doi:10.1001/jama.1923.02640330029013
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