The exciting causes laid down by the same eminent authority are “displacement of the womb; excessive or intemperate coition; the use of intra-uterine pessaries; puerperal endometritis; exposure or fatigue after confinement; efforts at production of abortion and prevention of conception; vaginitis either simple or due to gonorrhœal infection; painful obstructive menstruation; exposure during menstruation; sudden checking of the menstrual flow; and tumors in the uterine cavity or walls.” Some of the causes here enumerated are much more fruitful of the disease than others. A woman whose constitution has been weakened, and whose digestion is deranged, by habits of indolence and luxury, whose style of dress so depresses the abdominal viscera that her uterus is pressed down into the vagina, is particularly liable to develop a catarrhal inflammation from connubial approaches. When these are not without pain, then there is some predisposition that should be inquired into and righted. Uncleanliness is not spoken of by authorities as among the causes of uterine catarrh, yet it is a very frequent one. I have succeeded in curing so many catarrhal affections of the vagina and uterus by simply advising the use of vaginal irrigations with _borated_ warm water, that I am convinced that a lack of personal cleanliness is a very prolific cause of this affection. The accessible generative organs, both of the female and male, should be the object of thorough rinsings so as to reduce the possibility of infection to the least degree. All mucous membranes have their natural secretions, and these are on light provocations abnormally increased. The vagina is always the seat of more or less bacterial fermentation or decomposition, and if this is retained for any length of time, it becomes not only putrid and offensive, but also a direct source of infection to the mucous membrane of the womb. This is more so in a married woman, who is exposed to the carelessness of her male consort, who has not been apprised of the dangers of septic infection, that may be innocently communicated to the wife by negligence of his own person. The wife is exposed to all and every impurity that the male has on his person, and thus she is in constant danger of having her internal organs infected, from the outer organs of the male.