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July 29, 1905


Author Affiliations


JAMA. 1905;XLV(5):322-326. doi:10.1001/jama.1905.52510050026001b

Gynecology sprang into existence as an offshoot from medicine to meet the demands of suffering womankind for more successful treatment of a train of symptoms, presumably due to disturbed conditions of the pelvic organs. Gynecologists first learned that a certain number of these symptoms could be relieved by replacing misplaced pelvic organs and by supporting them through mechanical means, but they soon learned that this relief was only temporary, and that better and more permanent relief could be obtained by repairing the faulty natural supports by means of a surgical operation, which soon led to the abandonment of pessaries. They then learned that many patients referred to them by physicians, who had been cured of all abnormal pelvic conditions, still had a train of grave disabling symptoms unaccounted for. These unfortunate patients were referred back to the physician, who pronounced them hysteric or dyspeptic, and treated them accordingly and with