Fibroids of the uterus : their pathology, diagnosis and treatment / by Sir John Bland-Sutton.

  • Bland-Sutton, John, Sir, 1855-1936.
Date:
Science Reviews :
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Licence: In copyright

Credit: Fibroids of the uterus : their pathology, diagnosis and treatment / by Sir John Bland-Sutton. 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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    especially to women under forty years of age, for the retention of an ovary is of striking value in warding off the severity of an artificial menopause (Crewdson Thomas). The conservation of a healthy ovary in the course of hysterectomy for fibroids is important on three [joints : 1. To secure the patient freedom from flushings/' 2. If she be married, her marital relations. 3. If single, her nubility. In regard to marital relations in women with a belated ovaiy nothing trustworthy is forthcoming, but I believe the retention of an ovary is an additional factor in jDromoting domestic bliss. The question of nubility is interesting. I am able to state that spinsters who have had subtotal hysterectomy performed with conservation of one ovary have subsequently married and lived happily with their husbands ; and I am of opinion that the preservation of the vaginal segment of the neck of the uterus is an important factor, as it leaves, the vagina intact, and though such women are sterile they are certainly nubile. Without over-stating the case it may be said that a belated ovary is a very precious possession to a Avoman under forty years of age, whether she be married or single. Some exper- .enced observers maintain that an ovary is valuable to any woman who menstruates, even at the age of fifty years, the persistence of menstruation being an indication that the gland is functional. Although I have left one or both ovaries in the per- formance of abdominal hysterectomy on several