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
_His_ has formulated the theory that in the human species fertilization
is possible only in the uppermost segment of the tube; an assumption
that is probable enough, but cannot be regarded as definitely
established. An analogy certainly exists among the lower divisions of
the animal kingdom, for _Coste_, _His_, and _Ohlschläger_ have proved
that an ovum which passes through the Fallopian tube without being
fertilized, undergoes notable alterations. Further, _Coste_ has shown,
in the case of the ovum of the domestic fowl, that this is no longer
capable of being fertilized after it has passed through the upper
segment of the oviduct. Other authorities, however, namely _Löwenthal_,
_Mayrhofer_, and _Wyder_, oppose the extension of this rule to the human
species. _Löwenthal_ assumes that in the human female, fertilization
ordinarily occurs in the cavity of the uterus, in the wall of which the
unfertilized ovum has already embedded itself; and he supports his
contention by the statement that spermatozoa are not to be found in the
Fallopian tubes or on the surface of the ovaries. _Mayrhofer_ and
_Wyder_ point out that the movement of the cilia of the ciliated
epithelium is in the interior of the uterus in an upward direction, but
in the Fallopian tubes is downwards in the direction of the uterus.
The contention of _Löwenthal_ was disproved by _Birch_ and _Hirschfeld_,
who, in a prostitute dying during the act of intercourse, found, fifteen
hours after death, living spermatozoa in the Fallopian tubes. On the
other hand, more recent investigations, those, for instance, of
_Hofmeier_, _Mandl_, and _Bonn_, have confirmed the data given above
with regard to the direction of the ciliary movement in the interior of
the genital passages. Moreover, _O. Becker_ has shown that the ciliated
epithelium of the tubes extends over the fimbriae and even on to the
adjoining pavement epithelium of the peritoneum; and he believes that
the ciliary movement of this region keeps up a constant current, the
purpose of which is to sweep the ovum into the ostium of the tube, and
thence down towards the uterus. _Lode_ has adduced positive experimental
evidence of the occurrence of such a movement of translation.
The general result of anatomical investigation is, that the conjugation
of the ovum with the spermatozoön takes places in the ampulla of the
Fallopian tube; but it is established that fertilization may also take
place lower down in the tubes, or in the uterine cavity, or even on the
surface of the ovary, _i. e._, in the abdominal cavity.
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