A Text book of Gynecology

Cover A Text book of Gynecology
A Text book of Gynecology
James Young
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Haemorrhage before the ordinary time of puberty may mean nothing but a premature puberty. It should be remembered that pregnancy may occur before the onset of menstruation, and haemorrhage may, in these cases, be due to threatened abortion.
After Puberty Haemorrhage after puberty is usually divided into two classes : 1. Menorrhagia — Excessive loss at menstruation.
2. Metrorrhagia — Haemorrhage between the periods.
This subdivision has some advantages from the point of ease in clinical descript
...ion, but it has little foundation in pathology. In general terms it may be said that in many gynecological ailments the excessive loss commences as menorrhagia. But the same ailments, if more marked, or if operating over a long time, result in metrorrhagia.
Etiology. — The causes of uterine haemorrhage are : 1. Puberty.
2. Pregnancy.
{a) Interruption of the course of pregnancy.
(6) Post-partum haemorrhage.
(c) Retention of pieces of placenta.
72 SYMPTOMS OF GYNECOLOGY 3. Chronic Infection of the Uterus.


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