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January 30, 1886


Author Affiliations


JAMA. 1886;VI(5):118-120. doi:10.1001/jama.1886.04250010126003

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In May, 1884, I was called to Mrs. T., æt. 30, who was suffering with severe dysmenorrhœa. She had not borne a living child for thirteen years, but had had several abortions, certainly two within the past four or five years, since the last of which she had menstruated regularly, but with increasing pain, as she reports, each month, until the period mentioned, when it became so violent as to require medical aid. Bridging over this attack with palliatives, I deferred an examination into its cause until after the menstrual flow had ceased, when I found almost an entire occlusion of the cervical canal, not so much from engorgement or hyperæmia, as the result of an inflammatory condition, which probably had existed for some time, and still existed to some extent. Devoting attention more particularly to this during the early part of the month, I delayed any attempt at dilatation

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