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
_Strassmann_ bases on clinical facts and on experiments the following
view of the connection between ovulation and menstruation. The principal
processes in the organism of the sexually mature woman run their course
in a periodic rhythm resembling an undulatory movement, the acme of
which occurs in the antemenstrual period with the aim of preparing for
the development of an infantile organism. Whilst an ovum is maturing in
the ovary, in the uterus, in dependence upon this maturation, the
antemenstrual mucous membrane, fitted for the reception and nutrition of
the fertilized ovum, is also undergoing development. At the acme of the
undulatory movement, the graafian follicle ruptures and the ovum is
liberated, to undergo fertilization in the infundibulum of the Fallopian
tube. If fertilization fails to occur, or if for any reason the graafian
follicle fails to rupture, then, in consequence of and at the time of
the highest intra-ovarian tension, at the time, when the rupture of the
follicle usually occurs, the extrusion of blood from the capillaries of
the uterine mucous membrane begins. The intermediation between the ovary
and the uterus is probably effected by means of the sympathetic ganglion
in the ovary discovered by _Elizabeth Winterhalter_, and effected in
this manner, that the stimulus proceeding from the ripening follicle
passes along the nerve-fibrils surrounding the follicle to the processes
of the nerve cells of this sympathetic ganglion, accumulating in these
cells till a certain degree of intensity has been reached, and then, by
means of other processes and of the vasomotor nerves, influencing the
vessels of the uterus.
_Gebhard_ likewise believes menstruation to be dependent on the ovarian
function, and thinks that it is probably brought about in a reflex
manner by the gradual growth of the ovarian follicles. It appears that
most commonly at the time of menstruation a graafian follicle ripe to
bursting is to be found in the ovary, but to this rule there are many
exceptions. We cannot exclude the possibility, that the ovum from a
follicle that burst after the commencement of the menstrual flow may be
fertilized; but more commonly the ovum that is fertilized is that of the
first period missed. The sudden decline in vital energy that occurs just
before menstruation is explained by _Gebhard_ as a kind of atavism,
dependent on the fact that many of the lower animals, butterflies, for
instance, succumb as soon as they have fulfilled their duty of
reproducing the species.
A number of modern investigators, however, deny that any relation,
temporal or causal, exists between ovulation and menstruation, and
affirm that the latter process is quite independent of the former.
Public-domain text, read in full here on John Shaqi.
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