There is a _home treatment_ for mild cases which I recommend to my
patients, with satisfactory results. It consists principally of
dissolving one teaspoonful of the Femina uterine lotion in a cupful of
boiling hot water, after which this should be added to a gallon of warm
water of a temperature of 105 degrees F.; these irrigations are to be
taken every night, and if the water can be borne hotter the temperature
may be gradually increased to 107 degrees F. A napkin should be worn
and the bed warmed with a hot water bag before retiring. Ten to fifteen
minutes later a Femina vaginal capsule is to be introduced high up into
the vagina, by first quickly dipping the capsule into warm water.
In obstinate cases I have used electricity with the greatest success.
This is administered by means of a broad dispersing electrode applied
on the abdomen, and another electrode, covered with a sponge, is
carried up the vagina, to the womb. In this manner I employ an
intensity of sixty to one hundred and fifty milliampères, for ten to
fifteen minutes. This is repeated several times a week, and from three
to six weeks, and with other hygienic treatment the patient recovers.
When women are in moderate circumstances, and can spare neither time
nor money to visit the office, for the length of time that is required
for the electrical treatment, I follow the plan of the Berlin clinic,
which originated in Vienna, with Prof. Carl Braun, and is strongly
recommended and practiced by Dr. Martin, in Berlin. This consists in
an _amputation of the cervix_, or, in other words, the abnormally
elongated and enlarged uterus is trimmed down, and the diseased
membrane is scraped out. While the cervix is recovering from the
operation, there is also a diminution in the size of the body of the
organ, and the chronic inflammation subsides with it. This operation
is not dangerous to life, and in my experience I have as yet never
had a bad symptom to interrupt the recovery. In obstinate cases, it
is, perhaps, one of the most useful surgical measures that was ever
devised, and we owe it to the genius of Professor Braun, that all
obstinate cases of this nature are amenable to successful treatment.
CHAPTER XVII.
ENDOMETRITIS OR CATARRHAL INFLAMMATION OF THE WOMB.
_Endo_ means within, and metritis signifies _womb_ and _inflammation_,
and when all are combined, the compound term denotes inflammation of
the lining membrane of the womb, which is the affection that I am now
to consider.
It would be impossible to find a single person of middle age who has
not experienced sometime during life the discomforts of a catarrh or
cold of some part of the respiratory passages, whether in the head or
bronchial tubes.
The mucous membranes are especially sensitive to noxious influences,
and sound a timely note of warning by an _acute catarrh_, which, if
heeded, will in many instances save the person from a dangerous, if not
fatal sickness.