File:Gynecology (1916) (14592113430).jpg

Identifier: gynecologygrav2 (find matches)
Title: Gynecology
Year: 1916 (1910s)
Authors: Graves, William Phillips, 1870-1933
Subjects: Gynecology Genital Diseases, Female Women Gynecology
Publisher: Philadelphia and London : Saunders
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
ially in cases of hypoplasia.That orgasm and libido are not essential factors in conception is proved by thefrequency with which- frigid women become mothers, and by the recordedinstances of impregnation during narcosis. Physiologic Anatomy of the Menstruating Endometrium.—That the uterinemucosa passes through definite cyclic changes each month is a comparativelyrecent addition to our knowledge, due chiefly to the researches of Hitschmannand Adler, who rediscovered facts that had already been announced yearsbefore. The cycle of change is divided into three phases: (1) Premenstrual con-gestion, (2) period of menstruation, and (3) postmenstrual involution. The premenstrual congestion begins about ten days before the expectedperiod. By this process there is a marked thickening of the mucosa, due toan hypertrophy and hyperplasia of the endometrial glands and a transudationand exudation into the stroma. The mucosa becomes two or three times thicker PHYSIOLOGY OP THE UTERUS AND OVARIES 25
Text Appearing After Image:
Fig. 1.—Premenstrual Endometrium.Low power. At the bottom is the muscle of the uterine wall, sharply demarcated from theendometrium. The glands in the deepest part of the endometrium are small, their epithelial cellslow, for this part of the gland remains inactive. The stroma cells are small and lie close together.At the middle of the endometrium the glands are dilated, the epithelium wavy, and the epithelialcells swollen and actively secreting mucus. The stroma cells are larger and lie further apart. Onthe right the dilatation of the blood-vessels is well shown. Near the top the glands have the samecharacteristic as at the middle, but there is more edema of the stroma. Throughout there is a slightinfiltration with round cells. 26 GYNECOLOGY than the normal, and may reach 6 to 7 mm. in depth. The surface becomesirregular and furrowed as a result of the general swelling beneath. At thisstage the endometrium resembles closely an early decidua vera. The stromacells are large, pale andgynecologygrav2

Note About Images