The Education of American GirlsBrackett, Anna C. (Anna Callender)
General
The Education of American Girls
Brackett, Anna C. (Anna Callender)
Women -- Education -- United States
It is noticeable that a slighter disturbance of normal conditions is
needed to render digestion painful than to cause painful ovulation, that
is, pain preceding the menstrual flow. Pain in menstruation, which is
much more frequent, is dependent upon other conditions than the activity
of the ovaries, and lasts a very much shorter time than does either the
function of ovulation, or even than the uterine congestion secondary to
it. Outside of actual uterine disease, the pain at this moment is most
often dependent on uterine cramp, itself excited by a spasmodic
contraction of blood-vessels that interfere with its circulation. As
these remarks are addressed to non-medical readers, a word of
explanation is here necessary.
It has been shown by experiment that the sudden arrest of the
circulation in muscular fibre is sufficient to induce in the latter
violent contractions. Thus, the cramps of the legs in cholera patients
are due to the stagnation of blood in their muscles. These cramps are
even more easily induced in the muscular fibre of the viscera--the
unstriped, involuntary muscles--such as exist in the intestine, bladder,
and uterus. Anything that will cause a sudden contraction of the
blood-vessels in the uterus will, therefore, by cutting off the supply
of blood, cause the muscular fibre of the uterus to contract in painful
cramps. The small blood-vessels are themselves provided with circular
muscular fibres, whose contraction necessarily draws the walls of the
vessels together, obliterates their canal, and shuts out the blood. This
contraction is effected by stimulation of the fine nerves, called
vaso-motor, that are distributed to these muscular fibres, and which are
derived from the sympathetic ganglia, that form part of that same
ganglionic system from which the nerves of the ovaries and other viscera
are supplied. The utero-ovarian blood-vessels derive their nerves from
the hypogastric plexus, which, formed by branches from both sympathetic
ganglia and spinal cord, is the exclusive source of the innervation of
the uterus and ovaries. The ganglionic nervous excitement coincident
with the maturation of the ovule and the congestion of the uterus, is
easily communicated to the vaso-motor nerves of the latter organ. At the
very moment, therefore, that the uterine blood-vessels are dilated, and
blood is being exhaled into the uterine cavity, an excessive stimulation
of the vaso-motor nerves may cause the blood-vessels to contract; the
flow is then temporarily arrested, the circulation in the uterus
disturbed, and its muscular fibres thrown into cramps.
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