The prominent symptoms of anteflexion are painful menstruation and sterility. Dysmenorrhœa or painful menstruation is the first sign of the existence of anteflexion at the age of puberty. It happens that young girls are thus tortured for days with violent uterine colic, that is occasioned by spasmodic efforts of the uterus to force through the constricted canal the pent-up secretion. This lasts until the menstrual fluid has sufficiently dilated the cervical constriction to allow its escape. These painful paroxysms of uterine colic repeat themselves at each recurring menstrual period, and through these repetitions of pain and suffering, the general health becomes greatly deranged. The nervous system becomes the seat of functional disturbances, and hysterical disorders are not uncommon. The organ becomes involved in chronic inflammatory processes that make the uterus exceedingly sensitive, so that the colicky pains become aggravated and prolonged far beyond the cessation of the menses. Some of these patients suffer for several weeks, from the time the courses ought to begin, so that they are actually sick half the time. Sterility is not an absolute certainty in all these cases, but it is traced so often to an aggravated flexion, that it may be accepted as one of its most prominent signs. Conception has taken place in extreme flexions, because the spermatozoa can gain admittance into the uterine cavity for several days after the uterine colic and menstrual fluid have forced the canal open. And if the uterus has not become involved in inflammatory processes, then conception is the means by which nature effects a cure through her own resources. During the menstrual period, the anteflected uterus becomes greatly congested and swollen, and, having already grown considerably larger from the chronic inflammatory conditions which the anteflexion has induced, it impinges on the bladder, so as to interfere with its free expansion. This occasions a frequent desire to void urine, and this becomes a very distressing symptom in a certain proportion of cases. Treatment for this affection is not within the sphere of the original purpose of this work, for the efforts at home treatment must be aided by mechanical methods of the physician. From what we are taught of the physical cause of this affection, the fact seems self-evident that the acute or sharp flexion must be modified to give permanent relief. The employment of rings, pessaries, sponges or medical applications are nonsensical, and the method of introducing a stem in the uterine cavity, for the patient to wear for an indefinite length of time, is not without great danger. Even though a woman cannot give herself all the proper treatment, it must be a great satisfaction to her to be informed of the proper methods that should be adopted. The vagina should be thoroughly rinsed before each and every treatment of the uterus, so as to guard against the possibility of infecting the cavity of the uterus.