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Updated: June 21, 2025
About 3 1/2 inches above the umbilicus there was a sulcus with its convexity downward. There was dulness over the whole abdomen, except at the sides parallel with the lumbar spines, and a resonant band over the stomach. The greatest girth was 54 1/2 inches. By vaginal examination the cervix was found to be pulled up and obliterated; the anterior vaginal wall was bulged downward by the tumor.
The reaction of the normal vaginal mucus is always acid, that of the cervix alkaline; but as the result of the inflammatory condition, the reaction of each is often intensified, especially that of the vagina, which has an exceedingly sour and penetrating odor.
Percy reports an instance in which semen was found issuing from the os uteri eight and one-half days after the last intercourse; and a microscopic examination of this semen revealed the presence of living as well as dead spermatozoa. We have occasional instances of impregnation by rectal coitus, the semen finding its way into an occluded vaginal canal by a fistulous communication.
Tragedy, desire, and longing for a new life that she could truly call her own, all drew her toward him as irresistibly as childbirth. Added to this was the knowledge, confirmed by the vaginal thermometer, that this night, this very hour, her body was as ready to conceive as it had ever been since the long sleep, as it might ever be again.
The husband of the woman said that he had coitus without difficulty by the rectum, and examination showed that the vagina opened into the rectum, by which means impregnation had been accomplished. Bonnain and Payne have observed analogous cases of this abnormality of the vaginal opening and subsequent accouchement by the anus.
We can readily see how this condition might lead to a diagnosis of extrauterine pregnancy, but as the patient insisted on a thorough examination, the doctor found by the stethoscope the presence of a beating fetal heart, and by vaginal examination a double uterus.
BLOOM AND GRACE OF YOUTH. The regular bathing of the body will greatly improve woman's beauty. Remember that a perfect complexion depends upon the healthy action of all the organs. Vaginal injections are just as important as the bath. A beautiful woman must not only be cleanly, but robust and healthy. There can be no perfect beauty without good health.
Now, in its virgin state, the vulva has another part, not yet named, and this is the hymen, or "maiden-head" as it is commonly known. This is a membrane that grows across the forward, or upper part of the vaginal opening, and so closes up nearly all that part of the vulva. This hymen is not always present, however, even in a state of undoubted virginity.
In the other, menstruation had always been irregular, intermissions being followed by a profuse flow of black and tarry blood, which lasted sometimes for fifteen days and was accompanied by severe pain. The septum was 1 1/2 inches from the vaginal orifice and contained an opening which admitted a uterine sound. It was very dense and tight and fully 1/8 inch in thickness.
According to this theory, it was believed that the spermatozoa were, as Wilkinson expresses it, in a history of opinion on this question, "endowed with some sort of intuition or instinct; that they would turn in the direction of the os uteri, wading through the acid mucus of the vagina; travel patiently upward and around the vaginal portion of the uterus; enter the uterus and proceed onward in search of the waiting ovum."
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