The adage, “Prevention is better than cure,” is one of the most
truthful sayings in the English language, and, if persons would profit
from the admonitions of a “_slight cold_,” many a fatal pneumonia or
bronchitis could be averted.
What is true of the mucous membrane that is common to both sexes is
true of that which is peculiar to the female organs alone.
There is no mucous membrane that is more liable to catarrhal
inflammations than that lining the uterus. There never was a woman
who was not some time in her life afflicted with a transient uterine
catarrh. It may have been of so mild a form that the symptoms which it
occasioned were hardly noticed, or, perhaps, ascribed to some other
ailment.
There are several varieties of endometritis; some of these are based
upon the length of time that the affection has lasted, while others
owe their classification to the anatomical division of the uterus into
body and cervix. Those that relate to the duration of the disease are
either acute or chronic.
Acute endometritis is the most common form; it has also been described
under the names of acute uterine leucorrhœa, acute uterine catarrh,
and acute internal metritis. It usually runs a rapid course, ending in
recovery or in the chronic form. It undoubtedly passes unrecognized in
many instances, and in this way many cases of painful menstruation or
suppressed menstruation are explainable.
It can be said that at each and every menstrual period there is a
_physiological catarrh_, which belongs to the natural process of the
menstrual function. During each menstruation there is a hyperæmia,
or congestion of the mucous membrane, so that the turgent blood
vessels rupture, and this constitutes the menstrual flow. Before this
congestion reaches the point of bursting the capillaries, and about
the time that the sanguineous flow ceases, there is an increased and
altered mucous secretion of the mucous membrane. If this secretion
is prolonged beyond the normal period that constitutes healthy
menstruation, or if it continues to be present at any time between
the menstrual periods, it constitutes a disease or a catarrh. Now
when we consider the close relation that the normal functions of
the womb have to those that are _abnormal_, and that the one may
be the stepping-stone to the other, we need not be surprised that
endometritis, or catarrh of the womb, is one of the most common
affections to which women are liable.
Chronic endometritis is where the disease has lasted for a long time;
some authorities consider it a rare affection, but this is a great
error. Any disease so frequent as acute endometritis must, in the very
nature of inflammatory processes, become chronic, in a large proportion
of cases.