Endometritis of the body of the womb, in contra-distinction to a
partial inflammation, located and confined to the mucous membrane of
the neck or cervix of the womb, forms another or third variety of
this affection. This disease has been described under the names of
chronic corporeal endometritis, uterine catarrh, uterine leucorrhœa,
and internal metritis, and the seat of it is confined to the lining
membrane of the cavity of the womb, without complicating the cavity of
the cervix; but there is no doubt that when either the one or the other
is the seat of a stubborn catarrh, the remaining portion of the uterus
must become sooner or later more or less compromised in the diseased
process.
Chronic cervical endometritis is where the inflammation affects the
membrane of the neck; this has been described under the names of
cervical catarrh, cervical leucorrhœa, and endocervicitis. These terms
are all derived in composition from the Latin word _cervix_, neck.
The uterus is really divided into two cavities that run into each
other; one of these is the cavity of the body, while the other is the
cavity of the cervix, a fusiform canal, measuring about one inch and
a quarter in length. The cervix partly projects into the vagina, and,
as a result, is liable to injury and irritation, to which the other
portion of the organ is not exposed. Friction and other influences
aggravate the inflammatory process, so that erosions, granular and
cystic degenerations, follicular ulcers and chronic enlargements,
become complications of the catarrhal inflammation of the cervix.
To return again to a consideration of the general aspect of catarrh
of the womb, for it is one and the same pathological process that
underlies the different forms. There is a simplicity in the relation
of cause and effect, that will strike the casual student as one of the
most instructive lessons that it is possible to learn, because it also
suggests the simplicity of the measures of which persons can avail
themselves for the prevention or cure of this affection.
From the physiological reasons that were mentioned as a cause
of endometritis, it follows, as a natural consequence, that the
predisposition to catarrh of the womb, varies greatly with the age of
persons, so that before the age of puberty, at a time when there are
no periodical congestions of the womb from the menses, it occurs very
rarely, while from the period of pubescence, and during the functional
activity of the pelvic organs, it is very prevalent, but at the
approach of the menopause and sexual decadence the predisposition is
again lost.
As far as the character and nature of uterine catarrh is concerned,
that which in technical language is termed the _pathological anatomy_
is no different from what it is in catarrhal inflammations in other
organs, so that the remarks that were made on similar affections of
other organs, apply with equal correctness to catarrh of the uterus.