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Updated: May 15, 2025
Hæmorrhage is rarely a prominent feature, but discharge of blood may constitute a symptom of considerable diagnostic importance in cancer of internal organs such as the rectum, the bladder, or the uterus. [Illustration: FIG.
And all the instances lately given the concentration of ganglia, the replacement of many pulsating blood-sacs by fewer and finally by one, the fusion of two uteri into a single uterus have the same implication.
The change in character of the lochial discharge is due to the quantity of blood decreasing and its place being taken by fatty granules and leucocytes. The os uteri is soft, patulous, and its edges are torn. The uterus may be felt for two or three hours above the pubis as a hard round ball, regaining its normal size in about eight weeks after delivery.
A non-medical correspondent in Australia, W.J. Chidley, from whom I have received many communications on this subject, is strongly of opinion from his own observations that not only does the uterus take an active part in coitus, but that under natural conditions the vagina also plays an active part in the process.
At the very moment, therefore, that the uterine blood-vessels are dilated, and blood is being exhaled into the uterine cavity, an excessive stimulation of the vaso-motor nerves may cause the blood-vessels to contract; the flow is then temporarily arrested, the circulation in the uterus disturbed, and its muscular fibres thrown into cramps. Or the opposite event may occur.
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