File:The Cleveland medical journal (1913) (14590183938).jpg

Identifier: clevelandmedical12clev (find matches)
Title: The Cleveland medical journal
Year: 1913 (1910s)
Authors:
Subjects: Medicine Medicine
Publisher: Cleveland : The Cleveland Medical Journal Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

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mall Notts dilator, dilating the uterustwice a week for a few minutes and continuing this for severalmonths. However, this is quite painful and many women willnot submit to it very long, and then they will relapse. Some ofthese cases of dysmenorrhea also are suffering from amenorrhea,skipping a period or two, or flowing very little. I read years ago(and I am sorry I never could find the article again) that puttinga small string of beads in the uterus would produce an irritationand active flow. The thought finally came to me that if I couldput a stem into the uterus and keep it there, I would produce agreater flow, develop the uterus, as I did with the dilator, couldkeep the uterus straight if it was anteflexed, and thus cure thepatient. Thus I began to try various stems, from the so-called electric,composed of copper and zinc, to the straight rubber, until finallyI settled on the Chambers two branch, hard rubber stem. ThisI used for many years, but found that it was quite difficult to
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Silver Stem Pessary and Introducer keep in place, and I had to add a retroversion Thomas-Hodgepessary to keep the stem at a right angle to the vagina, so that itwould be retained. I would keep these in three, four, six monthsor a year, and I took one out the other day that had been in for Carstens—Dysmenorrhea 239 four years. These patients would travel all over the country, orto Europe, or anywhere else, without knowing that there wassuch a thing in the uterus if I had not told them. The only trouble I ever had was that the two arms wouldcome together and the pessary would drop out, hence requiringthe use of the retroversion pessary also. So lately I have triedsilver stems, made in the same shape. These are alloyed to beelastic and to retain their shape after they are introduced. I havehad only one come out so far, and I think they will work betterthan rubber. Xow, the great principle involved in the use of the stempessary, as I look at it, is the development of the uterine muscles

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