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September 29, 1928


Author Affiliations


From the Gynecologic Departments of Loyola University School of Medicine, Mercy Hospital and Cook County Hospital.

JAMA. 1928;91(13):955-959. doi:10.1001/jama.1928.02700130033009

Uterine hemorrhage is one of the most important clinical signs of diseases of women. The causative, functional and pathologic disturbances are of equal importance, as the indications for treatment and the methods employed should be based on them.

The clinical aspects of uterine hemorrhages have usually been discussed from a symptomatic classification; namely, menorrhagia when the menstrual flow lasts too long, is too profuse or occurs too soon, and metrorrhagia if the hemorrhage occurs independently of the menses. Modern gynecology should discard this time worn custom and study disease along functional and structural pathology.

Since the advent of radiation therapy, the impression has been created that radium and x-rays have displaced medical and surgical treatment of gynecologic diseases accompanied by bleeding. It is obvious that each method of treatment has definite indications and limitations, and the indications should not overlap each other.

The treatment of uterine hemorrhages caused by infections,

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