"If an examination be made within the first three or four months after
conception, we shall, I believe, always find the cavity still existing,
and of such a size as to be capable of containing a grain of wheat at
least, and very often of much greater dimensions: this cavity is
surrounded by a strong white cyst (the inner coat of the Graafian
vesicle,) and as gestation proceeds the opposite parts of this
approximate, and at length close together, by which the cavity is
completely obliterated, and in its place there remains an irregular white
line, whose form is best expressed by calling it radiated or
stelliform."[5] Dr. Montgomery adds, "I am unable to state exactly at what
period the central cavity disappears, or closes up to form the stellated
line. I think I have invariably found it existing up to the end of the
fourth month. I have one specimen in which it was closed in the fifth
month, and another in which it was open in the sixth: later than this I
never found it."
When pregnancy is over, the corpus luteum gradually diminishes and
disappears. Dr. Montgomery states that "the exact period of its total
disappearance I am unable to state, but I have found it distinctly visible
so late as at the end of five months after delivery at the full time, but
not beyond this period." Hence it will be seen that in a few months after
the termination of pregnancy, all traces of the corpus luteum are lost,
and that, therefore, it will be impossible to decide as to how frequently
impregnation has taken place, merely by examining the ovaries, as has been
supposed. There is also another point to which Dr. Montgomery has alluded,
which is well worthy of notice: in mentioning the fact that a vesicle may
contain two ova, and thus a woman be delivered of twins, and yet there be
but one corpus luteum, he observes that "the presence of a corpus luteum
does not prove that a woman has _borne a child_, although it would be a
decided proof that she has been impregnated, and had conceived, because it
is quite obvious that the ovum, after its vivification, may be, from a
great variety of causes, blighted and destroyed, long before the foetus
has acquired any distinct form. It may have been converted into a mole or
hydatids: thus, however paradoxical it may at first sight appear, it is
nevertheless obviously true, that a woman may conceive and yet not become
truly with child, a fact already alluded to, as noticed by Harvey; but the
converse will not hold good. I believe no one ever found a foetus in utero
without a corpus luteum in the ovary; and that the truth of Haller's
carollary, 'nullus unquam conceptus est absque corpore luteo' remains
undisputed."
Public-domain text, read in full here on John Shaqi.
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