The diagnosis, pathology, and treatment of diseases of womem : including the diagnosis of pregnancy / by Graily Hewitt.

  • Hewitt, Graily, 1828-1893.
Date:
1872
Catalogue details

Licence: Public Domain Mark

Credit: The diagnosis, pathology, and treatment of diseases of womem : including the diagnosis of pregnancy / by Graily Hewitt. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    the follicle distended with blood and containing the ovule. This condition of the follicle is present at the time menstruation occurs. The next event is the rupture of this follicle and passage of its contents into the Fallopian tube—the ovipont—provided for in the manner already described. Fig. 5 (from Dr. Farre) shows a Graafian follicle preparing for rupture ; fig. 6 a section of the same follicle, exhibiting its cavity and a blood clot within. Eupture of one or more follicles probably occurs at, or shortly after, each menstruation, though not limited absolutely to that period. After the follicles have discharged their contents, the cavity of the follicle and the interior of the Fallopian tube may or may not remain in connection with each other : if further bleeding from Fig. 6. the interior of the follicle occurs, the blood will or will not find its way into the uterus according to circumstances. It is obvious that the continuous application of the Fallopian tubes to the ovary is expedient during the whole time follicles are liable to become ruptured, or there might be escape of the follicular contents into the peritoneal cavity. Such escape and consequent failure of the ovipont is not very uncommon, leading to sterility, to extra-uterine foetation, to effusion of blood into the peritoneal cavity, and other disorders. The Graafian follicle, having discharged its contents, the blood within it ordinarily coagulates, the cavity shrinks up^ and by the successive growth of follicles lying deeper in the ovarian stroma, the used-up follicle sinks back towards the middle of the ovary, becomes smaller and smaller, and disappears at the end of three or four months. The retrogTession of the follicle is marked also by changes of colour due chiefly to the transformation the blood-clot undergoes, and to the changes in the very vascular lining of the follicle. After bursting, the follicle is known as a false corpus luteum. From what has been stated it will be gathered that ovulation