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
In the further course of development of the graafian follicles at this
period, the most advanced now reapproach the surface of the ovary, so
that a fully-matured follicle comes to occupy almost the entire
thickness of the cortical substance, and may even give rise to a
localized bulging of the surface of the organ. In such a mature
follicle, which has attained nearly the size of a pea, we recognize an
outermost connective-tissue investment (_theca folliculi_), consisting
of condensed ovarian stroma, in which two layers are distinguished,
sometimes called simply _outer tunic_ and _inner tunic_, sometimes known
by the names of _tunica fibrosa_ (outer) and _tunica propria_ (inner),
respectively; within this is the cellular layer known as the _membrana
granulosa_ (or _stratum granulosum_), the portion of which, now greatly
enlarged, immediately surrounding the ovum is known as the _discus
proligerus_ (or _cumulus oöphorus_); the interspace between the _discus
proligerus_ and the membrana granulosa is filled with a clear fluid, the
_liquor folliculi_. In consequence of the continued increase in its
fluid contents, the graafian follicle ultimately bursts along the most
prominent portion of the superficial wall, and the ovum passes out
through the rupture, finding its way under normal conditions into the
Fallopian tube and through this into the uterus. The follicle itself
then undergoes a regressive metamorphosis, forming the _corpus luteum_,
the rent in the envelope of which, after the absorption of the yellowish
semi-fluid contents, undergoes cicatrization. Contemporaneously with
this development at puberty of the process of ovulation, menstruation
also for the first time makes its appearance, recurring thenceforward at
four-weekly intervals as the regular catamenial discharge.
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