Medical Jurisprudence, Volume 1 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 1 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
_Ovaria, absence of, or diseased condition of._ There is a specimen in
Dr. Hunter’s museum, in which one ovarium is wanting; other instances
have been recorded in which no vestige of an ovarium could be observed
on either side.[334]. The case of this kind published by Mr. _Pears_ in
the Philosophical Transactions for 1805, we have before described: to
this may be added another instance from the writings of _Morgagni_.
Instances of diseased ovaria are very common, and may arise from a
variety of causes: the _Fallopian tubes_ may also, in consequence of
peritoneal inflammation, become obliterated, and lose the power of
conveying the ovum from the ovarium to the uterus; they may besides be
originally defective in structure; Dr. _Baillie_ has seen them, without
any aperture, or _fimbriated_ extremity, terminate in a cul-de-sac.
_Morgagni_ noticed these tubes in some courtesans having been entirely
obliterated by the thickening of their parietes; an evident consequence
of the habitual orgasm in which they had been kept by too frequent
excitement. _Richerand_ on dissecting a subject at La Charité that had
been sterile, found the fringed margins, or expanded extremities of the
tubes, adhering to the lateral and superior parts of the pelvis, so that
it had been impossible for them to perform the motions necessary for
fecundation.
2. _Functional Causes._
These are constitutional debility, leucorrhœa, or an excess, or
deficiency of the menstrual discharge. Observation has fully established
the fact, that women who do not menstruate cannot conceive; this
discharge appears to be essentially necessary for the due and healthy
state of the uterus, and Dr. _Denman_[335] has also observed that in
cases of painful menstruation, a membranous substance is often
discharged, and that no woman, in the habit of forming such a membrane
has been known to conceive, although, he adds, that as it is not
uninterruptedly formed at each period of menstruation, the capability of
conceiving may exist at any interval of freedom from its formation.
Women who are very corpulent are often barren, for their corpulence
either exists as a mark of weakness of the system, or it depends upon a
want of activity in the ovaria; thus spayed, or castrated animals
generally become fat.
A state of exhaustion of the uterine system, occasioned by frequent and
promiscuous intercourse with the other sex, is also a very common cause
of barrenness in women, and hence few prostitutes conceive.
In some cases the uterine system is capable of being acted on by the
semen of one individual, but not by that of another, for many instances
are on record where persons have lived in wedlock without offspring, and
being, after divorce, re-married, have each had families.
3. OF THE LEGITIMACY OF CHILDREN.
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