Excerpt from The Medical Bulletin, 1895, Vol. 17: A Monthly Journal of Medicine and Surgery
Delayed memtraatian.-this patient is so years of age, whose family history is negative; she has never menstruated. Every two weeks, however, she has a profuse mucous discharge from the vagina, which continues for a day at a time, and is attended with a feeling of pelvic discomfort and fullness. She has coronal head ache, a fair appetite, her bowels are regular, and she sleeps well. She has been married one year and has never been pregnant. Examination discloses the uterus as small and undeveloped. So far as the ovaries are concerned, whether they are rudimentary or fully developed, our ex amination is negative, as we have been unable to palpate them. There are numbers of cases in which the development of the individual is slow, and the patient may go on to 23 or 24 years of age before menstruation occurs. There are some individuals in whom it does not take place until subsequent to marriage, when the increased excitement induced by the Sexual relations leads to the development of the sexual organs. In some patients menstruation may not take place until subsequent to gesta tion, so that the performance of the function of menstruation is preceded by gestation. In this patient we will make a more careful ex amination, possibly under an anesthetic, in order to determine whether her ovaries are rudimentary and are the cause of the delayed performance of the function.
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