A Text-book of Diseases of Women

Cover was created by the transcriber and was placed in the public domain.
Set up, electrotyped, printed, and copyrighted July, 1897. Revised, reprinted, and recopyrighted May, 1898. Reprinted December, 1899. Revised, reprinted, and recopyrighted December, 1900. Revised, reprinted, and recopyrighted July, 1901. Reprinted January, 1902. Revised, reprinted, and recopyrighted, June, 1904. Reprinted August, 1905. Revised, reprinted, and recopyrighted March, 1908.
Copyright, 1908, by W. B. Saunders Company.
PRINTED IN AMERICA
PRESS OF W. B. SAUNDERS COMPANY PHILADELPHIA
I have carefully revised this book for the sixth edition, and have made those changes and additions that have been rendered necessary by the increase of our knowledge of gynecology.
CHARLES B. PENROSE.
1720 Spruce Street, Philadelphia. March, 1908.
I have written this book for the medical student. I have attempted to present the best teaching of modern gynecology, untrammelled by antiquated theories or methods of treatment. I have, in most instances, recommended but one plan of treatment for each disease, hoping in this way to avoid confusing the student or the physician who consults the book for practical guidance. I have, as a rule, omitted all facts of anatomy, physiology, and pathology which may be found in the general text-books upon these subjects. Such facts have been mentioned in detail only when it seemed important for the elucidation of the subject, or when there were certain points in the pathology that were peculiar to the diseases under consideration. I am indebted to Dr. H. D. Beyea for several pathological drawings, and to Dr. Wm. R. Nicholson for the preparation of the Index.
CHAS. B. PENROSE.
Gynecology is the study of diseases peculiar to women. As woman possesses organs which man has not, and as the parts—physiological and social—that she plays in life differ from those played by man, we should expect to find her afflicted with a certain number of diseases, peculiar to her, which are dependent upon her anatomy, physiology, and mode of life. Such diseases occur in barbarous as well as in civilized women; and similar diseases, peculiar to the female, occur in the lower animals. Thus, in the cow and the mare we find tumors of the vagina, prolapse of the vagina and uterus, fibroid tumors, sarcoma and cancer of the uterus, and some forms of ovarian cysts. Cysts of the tubes and the ovaries are exceedingly common in old mares; cats and goats are similarly affected.