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This excessive flow, aside from actual local disease, is brought about by excessive muscular exercise during menstruation; by the use of all stimulants, whether alcoholic beverages or quinin; as well as by the thinness of the blood. When the flow is excessive, it must be considered a pathologic condition, which needs the physician's attention.
After this she is washed and new clothed, but confined to a solitary life for two months, at the close of which she is declared marriageable." Again, among the Cheyennes, an Indian tribe of the Missouri valley, a girl at her first menstruation is painted red all over her body and secluded in a special little lodge for four days.
It has even been suggested that it is the persistence of these ovaries that causes the menstruation of which we sometimes hear as taking place after ovariotomy. Sippel records an instance of third ovary; Mangiagalli has found a supernumerary ovary in the body of a still-born child, situated to the inner side of the normal organ.
The Bribri Indians regard the pollution of childbed as much more dangerous even than that of menstruation. When a woman feels her time approaching, she informs her husband, who makes haste to build a hut for her in a lonely spot. There she must live alone, holding no converse with anybody save her mother or another woman.
Hollerus has seen a woman who had two nipples on the same breast which gave milk with the same regularity and the same abundance as the single nipple. The Ephemerides contains a description of a triple nipple. Barth describes "mamma erratica" on the face in front of the right ear which enlarged during menstruation.
It is now known that the menstrual flow is not the whole of menstruation, and that the changes going on in the uterus are almost as continuous as the process of digestion. The whole of the reproductive life of woman has been divided into cycles of twenty-eight days each; these cycles have been divided into four stages. Stages of the Menstrual Cycle.
Menstruation returned three months after the operation, and in fifteen months the patient was in good health in every way, with no apparent danger of recurrence of the disease. Self-performed Surgical Operations. There have been instances in which surgeons and even laymen have performed considerable operations upon themselves.
Too many lives have been sacrificed by suppressing the monthly flux; external ablutions should be plentiful, but only sufficient, as in the case of boys, for cleanliness. If menstruation should not become healthfully established at the proper time of age, consult a judicious physician who will see that any abnormal condition, preventing such consummation, is properly removed.
Astbury says he has seen a case of menstruation by the hemorrhoidal vessels, and instances of relief from plethora by vicarious menstruation in this manner are quite common. Rosenbladt cites an instance of menstruation by the bladder, and Salmuth speaks of a pregnant woman who had her monthly flow by the urinary tract.
In view of these facts it is not surprising that sometimes ovarian disorders abolish menstruation. An impoverished state of the blood, or nervous shock and strain, or constitutional debility may also interrupt the regular appearance of the menstrual discharge. The value of menstrual suppression as an evidence of pregnancy is not, however, to be discounted to the extent that we might expect.
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