IF one desires to familiarize himself with a thorough understanding
of this subject, it is absolutely necessary to bear in mind what was
said of the natural support of the uterus, for unless one has a full
knowledge of the foundation of a structure, how can he comprehend its
defects and remedy them when the structure falls? The workman who
potters on a building that has shifted from its foundation without
first devising means for a new and solid basis for it to rest upon,
would be considered a fool. The term “falling of the womb” has no
longer the significance that it once had, for it is only a symptom that
something is wrong, and in the present state of our knowledge it is
misleading and a misnomer, inasmuch as it conveys the impression that
it is due to an affection of the uterus, when as a matter of fact it is
not due to any disease of the womb at all. If the prolapsed uterus has
become involved in a morbid process, it is the result of the abnormal
conditions that have brought the prolapsus about, and in which the
uterus was in no way concerned.
Professor Schroeder, of Berlin, takes a similar view of these cases,
and he groups into one chapter three distinct varieties, yet, because
one is depending on the other, he considers them all as one disease.
These affections are: prolapse or falling of the womb; prolapse or
falling of the vagina, and an inflammatory elongation or _hypertrophy_
of the cervix or neck of the womb. He says “that the displacement of
the womb is very seldom a primary affection, but that it is oftener the
consequence of a prolapse or falling of the vagina, and a giving way of
other structures, or of the pelvic floor, and, as such, ‘falling of
the womb’ cannot be properly separated into an individual affection of
the womb.”