There is no doubt that many women become infected from this source, and that obscure and stubborn catarrhs of the vagina and womb are strictly traceable to personal uncleanliness of the male. From the researches of Dr. Noeggerath of New York, it would seem that in a great many cases of pelvic diseases in women, the affections can be traced to a _latent gonorrhœa_ in the male. This phrase means a gonorrhœa in the male apparently cured, which even two years after the supposed cure infects a healthy vagina, causing a discharge and a complication of the uterine mucous membrane. I have seen some cases that fully corroborate the views of Noeggerath, so that before we put the blame of uterine disease solely on the shoulders of the wife, let us find out how much the husband is to blame. Specialists in particular, but doctors in general, often forget that a woman has other organs besides a womb and ovaries; there is a relation of cause and effect between valvular lesions of the heart or diseases of the lungs, that obstruct the return of the venous systemic circulation to the right cavity of the heart, and catarrhal diseases of the pelvic organs. Biliousness or an affection of the liver, that interferes with the portal circulation, or the pressure of tumors or swellings on the uterine veins, are also among the causes, while the accumulation of feces or habitual constipation is often overlooked as too trivial to deserve professional notice, and yet its removal is often the only successful means to cure the patient. The various eruptive and infectious diseases, like smallpox, scarlatina, measles or typhoid fever, may excite in their course a uterine catarrh, that will remain behind as a chronic complaint, after the acute affection has subsided. The acute variety of endometritis is much more prevalent as a disease than is commonly supposed, but, owing to an absence of specific or definite signs, pointing directly to the mucous membrane, which the woman herself can recognize, it is generally mistaken for something else.