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December 24, 1938

Dysmenorrhoea: Its Aetiology, Pathology and Treatment

JAMA. 1938;111(26):2419. doi:10.1001/jama.1938.02790520075041

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This subject, surrounded by so many theories as to both etiology and treatment, has been handled admirably by Davis in this treatise. The total amount of incapacity and the days of disability among women affected by dysmenorrhea each month are truly of vast economic as well as physical importance and more than warrant the attention which has been given the subject by many writers. Davis's book reviews the historical phases and the innumerable attempts at classification of dysmenorrhea. He finally sums up the latter as being symptomatically "spasmodic" and "congestive" or pathologically "primary" and "secondary" His summation along these lines is primarily for therapeutic reasons. He continues with an analysis of its etiology, including the hormone and neurogenic theories and a comprehensive discussion of the immediate causes of the pain. Nearly half the book is devoted to treatment, logically based on etiology as far as possible. For the cases requiring

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