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September 27, 1902


JAMA. 1902;XXXIX(13):776-777. doi:10.1001/jama.1902.02480390042008

Five years ago Fliess published a monograph on the connection between nasal and menstrual conditions, the main thesis being that in the nose there are two "genital spots," one the tuberculum septi and the other on the inferior turbinated, which in many women show congestion and sensitiveness during menstruation. In some cases of severe dysmenorrhea Fliess found he was able to control the pain by application of cocain to these "spots," and more rarely he permanently cured the menstrual difficulty by cauterization of the same region.

The idea of relationship between the upper respiratory tract and the genital organs in woman is much older than the contribution by Fliess. Bleeding from the nose and pharynx during menstruation has often been noted, and the same periodic phenomenon has been recorded in cases of amenorrhea caused by pregnancy, the menopause, or pathologic conditions. Since the publication by Fliess of his findings the