On So-Called Ulcerations of the Os Uteri

1876 Boston Medical and Surgical Journal  
It has fallen to my lot, as assistant at the New York Hospital for Women, and as a specialist, to have under observation a large number of patients who have been treated at one time or another for so-called "ulcérations of the womb." The histories of these cases, coupled with the fact that the chapters upon the subject in the various text-books of the diseases of women are unsatisfactory, tending to mislead rather than to assist the student to an appreciation of the true condition, have led me
more » ... o think that a few words concerning the affection might not come amiss. The time at my disposal will not allow of any attempt to give the history of the subject, nor shall I quote extensively from what has been written. I shall try simply to present some practical truths, prefacing my remarks with a statement that I claim nothing whatever as original. The facts were all explained and demonstrated to me by the gentlemen under whom I have served, and repeated observations have confirmed their correctness. What is commonly considered and treated as ulcération of the womb is not ulcération at all, but one of two conditions, both of which, once clearly understood, are simple enough. In the first condition, frequently found in its typical form in women who have not borne children, and where the cervix and os retain the normal shape, there is seen a red abrasion often entirely encircling the os ; it is occasioned by the irritating discharge poured out by a uterus affected with catarrh, or, as is commonly said, endometritis. We all know how often comes a so-called cold in the head, with its accompanying discharge from the nose ; the uterine mucous membrane is liable to a similar catarrhal discharge. The woman affected with a discharge from the nose removes it by the use of the handkerchief, and so prevents it from excoriating the upper lip and the edge of the nostril; if the discharge is still sufficiently irritating or excessive to cause some excoriation, perhaps the use of the handkerchief is supplemented by an application of cold cream or other unguent to the
doi:10.1056/nejm187603160941101 fatcat:5eucdpkyxjdlhamnsi54bptiyy