A Graafian vesicle cannot be converted into a corpus luteum except by
actual and effective sexual intercourse; and the strange and discrepant
accounts which have every now and then been published, even by authors of
considerable repute, of corpora lutea having been found in the ovaries of
virgin and even newly-born animals merely prove that the true
characteristics of the corpus luteum were not sufficiently known. The
irregular cysts, cavities, or deposites of whitish or yellowish structure
which are frequently found in the ovary, independent of impregnation, and
which have been improperly enough called virgin corpora lutea, present
points of difference so marked that they can scarcely be mistaken by an
experienced eye. The angular cavity opening externally, the stellated,
radiated, cicatrix-like appearance, which a section of the corpus luteum
presents, its soft and delicate structure as described by Dr. Hunter, and
above all its vascularity, and the facility with which its vessels can be
injected from the general tissue of the ovary, are characters only found
in a true corpus luteum. Virgin corpora lutea frequently occur under
circumstances of disease, especially those of a tubercular character. They
frequently appear as distinct cysts, the walls of which are
semi-cartilagenous; at other times they seem to be nothing more than a
coagulum of blood: they seldom project much from the ovary, and in no
instance have they the peculiar structure of the corpus luteum, nor the
external cicatrix, nor are they capable of being injected.
After awhile the cavity of the corpus luteum contracts, and the opening
into it closes. The surrounding stroma loses its vascularity, the
prominence at this part of the ovary gradually subsides, and the ovary
returns to its former size. The periods at which these changes take place
vary, but with the exception of those first mentioned they proceed slowly
whilst pregnancy lasts, after which time, now that the increased activity
of the pelvic circulation peculiar to that period has ceased, they advance
more rapidly.
[Illustration: Corpus luteum at the end of the ninth month. _From Dr.
Montgomery._]
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