File:Cyclopædia of obstetrics and gynecology (1887) (14595798567).jpg

Identifier: cyclopdiaofobs11gran (find matches)
Title: Cyclopædia of obstetrics and gynecology
Year: 1887 (1880s)
Authors: Grandin, Egbert H. (Egbert Henry), b. 1855, ed Bandl, Ludwig Billroth, Theodor, 1829-1894 Börner, Ernst, 1843-1914 Breisky, A Charpentier, Arthur Louis Alphonse, 1836-1899 Chrobak, Rudolf Gusserow, A Hegar, A. (Alfred), 1830-1914 Kaltenbach, Rudolph, 1842-1896 Müller, Peter, 1836-1922 Olshausen, Robert Michaelis von, 1836-1915 Winckel, F Zweifel, Paul
Subjects: Obstetrics Women Gynecology Obstetrics
Publisher: New York, W. Wood & Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ted. Spermatozoa alsoare found in wliic^ the head has become detached from the body; andalthough, as has been claimed, these are in many cases artificial produc-tions, they will be found in some of the most carefully made prejDarations,and demand our consideration. The addition of moderately dilute solu- 154 STERILITY. tions of tincture of iodine, or staining with ammonia carmine, will renderthese abnormal formations more distinct. The microscope will not afford us the important and often conclusivehelp in cases of impotence that it does in cases of aspermatism and zoo-spermatism. Yet it may be useful in cases of impotence, where thereoccur involuntary urethral discharges, a condition formerly called sper-matorrhcjea. Is this fluid the abnormal secretion of the accessory glands,especially of the prostate (prostatorrhcea), or is it really semen? Theabsence of zoosperms upon the one hand, and the presence of bodies de-rived from the accessory glands upon the other (as the amyloid bodies
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Fig. 2.—Semen op Azoospermatism. (After A. Peyer ) found in prostatorrhosa), will decide, though repeated examinations mayhe necessary. Fiirbringer has demonstrated that the transparent rhom-boidal spermacrystals, which were supposed to be characteristic of thesemen, are found in the prostatic and other fluids, but are not present inthe testicle at all; they are, therefore, useless for diagnostic purposes. Electricity will be rarely needed for the diagnosis, though it may benecessary for the treatment of impotence. But many other organs andthe general system must be carefully examined, in cases of sterility. Theurine must be examined if diabetes or Brights disease is suspected. CHAPTER XXII. THE PROGNOSIS OF STERILITY IN TtENERAL. A FTER having considered the various causes, frequency, and distin--^^-^ guishing marks of sterility, we must say a few words as to its prog-nosis before proceeding to the treatment. The Hippocratic axiom as tothe importance of tlie prognosis is certainly

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