Sometimes it is traced to the fiery stage of the acute affection, while in other instances it can be laid to some indiscretion during the menstrual flow, then, again, it may have developed itself so stealthily that the greatest acumen and skill are required to detect its origin. The most important and constant sign is a steady pain in one or both ovaries. When this pain is violent, it shoots toward the back and rectum and down the thighs. The pain becomes heightened from an accumulation of feces in the rectum, which a habitual constipation entails. Marital excesses near the approach of the menstrual period or shortly after the disappearance of the menses are quite likely to precipitate the painful symptoms. The bladder sympathizes in a certain proportion of cases, so that there is a frequent desire to pass water. In the course of time the distressful symptoms that have been enumerated derange the digestive apparatus; the patients lose their appetite and decline into a debilitated and nervous state, so that one or the other hysterical phenomenon become more or less prominent in persons of a nervous temperament. Sterility is a rule with this class of women, even if there is only one ovary affected; this would indicate that the apparently healthy one sympathizes with the other, or an accompanying catarrh of the uterus or tubes may prevent the passage of the fertilizing germ. If both ovaries are inflamed, then it is quite natural to suppose that the delicate follicles and their contents, the ova, become destroyed or so altered that they no longer answer the purpose of reproduction. It is seldom that one meets a chronic ovaritis without a uterine catarrh, and how much this contributes to the sterility is not easy to tell. TREATMENT. The course of this affection in the majority of cases is favorable. If the treatment is intelligently administered, the pain and congestion gradually subside, and as this class of patients have generally learned from sad experience that negligence or indiscretion on their part will excite a relapse, they soon learn to avoid these, so that they enjoy comparative immunity from suffering for a considerable length of time. There is a smaller proportion of cases whose unfortunate surroundings or lack of intelligence makes remedial measures of no avail. These poor women have neither respite from physical labor nor freedom from the animal passions of their husbands, and thus living in constant pain they become drooped in spirit and reduced in vigor, so that they fall an easy victim to any intercurrent affection that may attack them. In proportion as the patients can give their diseased ovaries freedom from irritating influences are the chances for their complete recovery increased.