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September 8, 1956

The Management of Menstrual Disorders

JAMA. 1956;162(2):149. doi:10.1001/jama.1956.02970190065026

This is the author's second book on menstrual disorders; the first one appeared in 1939. Even though some of the data and illustrations of the first book have been retained, this is a new book, with the emphasis on clinical management. The first chapter, which is most interesting, deals with a historical review of the concepts of menstruation. Fluhmann says that a negative influence is probably responsible for menstruation, not a substance that induces the bleeding. This formed the basis of Edgar Allen's "estrogen-deprivation" theory of menstruation. It is generally believed that the cyclic bleeding of Old World monkeys is the only variety that is identical with menstruation in the human being, but the author mentions the African "elephant shrew," a small rodent that some investigators believe undergoes a true menstrual process. Fluhmann is opposed to the use of vaginal tampons during menstruation when there is an intact hymen, and

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