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
Credible observations even exist, indicating that among many primitive
peoples, in whom at the time of puberty no social laws hinder the
limitless exercise of the reproductive functions, this capacity on the
part of woman to conceive at any time has no existence, and that the
reproductive capacity of such human beings is, like that of the lower
animals, confined to a certain season of the year. Thus, _G.
Schlesinger_ reports of the Ainus of the island of Yezo, “A friend of
mine in Sapporo believes himself to have observed that the Ainus have a
certain definite rutting period, and that in them, as in many of the
lower animals, the process of reproducing the species occurs only at a
certain season of the year.” An identical statement is current
concerning the Indians of Western America.
The mucous membrane of the uterus undergoes during menstruation
important changes, and a question much disputed is, whether in the
course of menstruation the whole of the uterine mucous membrane is
removed, or a part only, whether it is shed in its entire thickness, or
is at least deprived of its epithelium. According to the observations
made by _Leopold_ on dead bodies, the mucous membrane of the uterus
becomes swollen shortly before the commencement of the menstrual
discharge, until, partly in consequence of cellular proliferation,
partly in consequence of œdematous infiltration, and partly in
consequence of enlargement of the lymph-spaces, it attains a thickness
of 6 to 7 millimetres (¼ of an inch). The superficial capillaries are
notably enlarged, and an effusion of blood-elements continues for
several days, without the occurrence of any fatty degeneration in the
tissues. The epithelium and the most superficial cell-layers of the
mucous membrane are, however, undermined and shed. No complete
destruction of the mucous membrane occurs, however, and fatty
degeneration forms no part of the menstrual process as such.
_Möricke_, who examined portions of the uterine mucous membrane removed
with the curette during menstruation from living women, found the
superficial layers of the mucous membrane to be intact, and he regards
the shedding of the epithelium described by other authorities as
cadaveric phenomenon. _Sinéty_, who also found the uterine mucous
membrane intact during menstruation, adheres to the same view.
_Von Kahlden_ concludes, as a result of investigations made post mortem,
that during menstruation the greater part of the mucous membrane, not
the superficial epithelium only, but the stroma itself down to its
deepest layers, is shed. According to _von Tassenbroek_ and _Mendes le
Leon_, however, the most superficial layers only are shed during
menstruation.
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