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
To the same category belong the cases formerly described by _von Leyden_
under the designation of neuralgia and hyperæsthesia of the stomach,
which he observed in young girls as a sequel of menstrual disturbances,
and more particularly of _suppressio mensium_. In these circumstances,
the sensibility of the stomach may become so extreme that every time
food is taken the patient suffers from such severe pains, or from so
distressing a sense of anxiety and oppression, that she comes to eat
less and less, and an extreme degree of emaciation and marasmus results.
In one such case, congenital atrophy of the uterus was discovered on
gynecological examination.
According to _R. Arndt_, it is especially in chloro-neurotic individuals
that the stimuli proceeding from morbid conditions of the reproductive
organs frequently induce, by reflex action, all kinds of disturbances of
the alimentary tract, such as constipation and flatulence, gastric
uneasiness and loss of appetite, weakness of digestion, cardialgia, and
stricture of the œsophagus. Even simple menstruation suffices to give
numerous proofs of this fact, but still more do such consequences arise
from serious diseases of the reproductive organs, such as changes in
form, displacements, and inflammatory states, and also, on the other
hand, more or less pronounced hypoplasia.
_G. Braun_ has published three cases illustrating the connection between
neurosis of the stomach and uterine disorders. In the first of these
cases, severe digestive disturbances occurred after every meal, with
occasionally violent vomiting, in a woman, aged twenty-five years. No
changes were found in the stomach or other digestive organs, and the
symptoms obstinately resisted all direct treatment. Gynecological
examination showed extreme mobility of the uterus, and for the relief of
this a suitable pessary was introduced. The vomiting thereupon
immediately ceased, all the other digestive troubles passed completely
away, and the general state of nutrition, which had before been so much
impaired as to necessitate the use of nutrient enemata of meat-solution,
now became normal. The second case was that of a woman aged thirty, who,
since her last confinement two years before, had continually suffered
from disagreeable gastric sensations and from vomiting, which latter had
proved quite uncontrollable. Gynecological examination disclosed
extensive laceration of the cervix with ectropium of the mucous
membrane. An operation was performed for the relief of this condition,
and the vomiting of two years standing was also thereby cured. In the
third case, that of a woman twenty-eight years old, vomiting began three
months after her confinement, and recurred whenever the patient left the
recumbent posture, in which latter she felt quite well. On local
examination, the uterus was found to be prolapsed, the vaginal portion
of the cervix moderately enlarged and just within the vaginal orifice.
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