The sexual life of woman in its physiological, pathological and hygienic aspectsKisch, E. Heinrich (Enoch Heinrich)
Science
The sexual life of woman in its physiological, pathological and hygienic aspects
Kisch, E. Heinrich (Enoch Heinrich)
Gynecology; Menstruation; Women -- Diseases
2,998, that is 66.006 per cent., in whom the composition was regular.
1,544, that is 33.994 per cent., in whom the composition was irregular.
and among the latter the discharge was
Scanty and for the most part pale in 511; that is 12.250 per cent.
Profuse or profuse and coagulated in 838; that is 18.428 per cent.
Variable in 196; that is 4.315 per cent.
Investigation regarding the individual variations that occur in this
respect among women, showed that blondes usually menstruate more
profusely than brunettes, and that in the former also the duration of
the individual periods is longer.
The loss of blood must be considered less in respect of its absolute
quantity than in respect of the effect which continued observation shows
its loss to have upon the organism. If the loss of blood continues to
have an effect after the flow has ceased, if a woman recovers but
slowly, or even fails to recover fully from one loss before another
begins, if symptoms of increasing anæmia become apparent, the bleeding
must be regarded as a pathological perversion of normal menstruation.
Pathological is it also if the menstrual flow does not exhibit the
normal slowly rising and slowly declining curve, but sets in profusely,
ceases or almost ceases for a time, and then again suddenly recurs. In
some cases the flow is not profuse, but lasts for a long time, and owing
to this long duration it has a debilitating effect, especially in anæmic
and chlorotic individuals.
As a rule, in normal menstruation, the admixture of the alkaline
cervical mucus suffices to keep the menstrual discharge fluid and to
prevent the formation of fibrin. On the other hand, the discharge of
coagulated masses of blood will alone suffice to indicate an abnormally
free and rapid flow of blood.
The commonest type of menstruation is the more or less regular
recurrence of the flow at intervals of twenty-eight days. Variations in
this respect are, however, very frequent, and are dependent upon
constitution, position in life, and race. In general it may be said that
in persons of strong constitution, the type of menstruation is much more
regular, than in persons of a weakly, delicate constitution; that in
vivacious, ardent natures the menses more readily anticipate the
expected period of their return, whereas in those of a flaccid,
lymphatic temperament a retardation is more likely to occur; and that
amongst women of the upper classes of society the type of menstruation
is far more frequently irregular than amongst women of the working
classes and amongst countrywomen. Whereas in many women the regularity
of the menstrual rhythm is so precise that the flow recurs, not merely
at regular intervals of twenty-eight days, but even time after time at
exactly the same hour of the day—in other cases the interval between two
periods may vary from twenty-one to thirty days.
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