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Updated: June 14, 2025
It often happens, however, during the first critical epoch, which is isochronal with the technical educational period of a girl, that after a few occasions of catamenial hemorrhage, moderate perhaps but still hemorrhage, which are not heeded, the conservative force of Nature steps in, and saves the blood by arresting the function. In such instances, amenorrhoea is a result of menorrhagia.
Her husband died when thirty-six years old, and ever since the catamenial flow had shown itself with great regularity. She had borne twins in her second, fourth, and eighth confinement, and altogether had 16 children. Holdefrund in 1836 mentions a case in which menstruation did not commence until the seventieth year, and Hoyer mentions one delayed to the seventy-sixth year.
Le Conte quotes five similar cases, and mentions one in which a lightning-shock to a woman of twenty-nine produced amenorrhea, whereas she had previously suffered from profuse menstruation, and also mentions another case of a woman of seventy who was struck unconscious; the catamenial discharge which had ceased twenty years before, was now permanently reestablished, and the shrunken mammae again resumed their full contour.
The last described form of dysmenorrhœa is sometimes attended with spasmodic contraction of the os uteri, thus preventing the catamenial flow. This may be readily relieved by applying P. P. to uterus, and N. P. to lower dorsal and upper lumbar vertebræ.
While a student, she wrought continuously, just as much during each catamenial week as at other times. As a consequence, in her metamorphosis of tissue, repair did little more than make up waste. There were constant demands of force for constant growth of the system generally, equally constant demands of force for the labor of education, and periodical demands of force for a periodical function.
Hence they have stronger bodies, a reproductive apparatus more normally constructed, and a catamenial function less readily disturbed by effort, than their student sisters, who are not only younger than they, but are trained to push "brain-activity to an extreme."
Hence the resulting clinical fact that sudden cessation of the menses is, in the majority of cases, attended with pronounced symptoms of discomfort, and it is in these cases that untoward results are most likely. James Oliver believes that the catamenial flow eliminates from the body substances whose presence in the blood would exert a deleterious influence on the animal economy.
During the catamenial period, i.e., during one week out of every month, a woman should abandon intellectual or physical labor, either because she is already incapacitated for it, or because she will be so ultimately, if she does not take the precautionary rest. 2d.
Aristotle said that the very look of a menstruating woman would take the polish out of a mirror, and the next person looking in it would be bewitched. Frommann mentions a man who said he saw a tree in Goa which withered because a catamenial napkin was hung on it. Bourke remarks that the dread felt by the American Indians in this respect corresponds with the particulars recited by Pliny.
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