The Endocrines

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It is only when we collect on a cotton tampon placed around the cervix the secretion of the cervix and uterus for a period of twenty-four hours, and subsequently examine this discharge under the microscope, that we can with any certainty express an opinion on this all-important question. One has only to see a case of early gonorrheal infection respond favor- ably to conservative treatment — consisting at first of douches — to note how within a few months or perhaps even a few weeks, all signs o...f the original vulvar, vaginal, or cervical in- volvement have disappeared ; and it would be a bold man who could express an authoritative opinion on the areas further up without the just mentioned method of examination. It is by collecting the secretion discharged upon this cotton tampon from the cervix and uterus over a period of twenty-four hours, and examining it under a microscope, that we remark how often a smear of pure pus cells is obtained; and if, after a period of months or years the cervical uterine discharge is negative, we still may have to deal with a latent inflammatory condition in the tubes.

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