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Of course the result depends largely upon the extent the atresia, and the amount new connective tissue which formed after the operation. The first condition indeed beyond our control but may perhaps be able limit the scar attempting secure a completely aseptic course for the operative wound. essay writing service usa Where suppuration occurs, extensive strata of the surrounding tissues will become transformed into cicatricial masses.

The table succeeding writing services business pages gives the results the cases which I have operated upon in accordance with the above principles. Congenital vaginal stenoses are less dangerous life than are the atresias.

They cause no permanent retentio mensium, and only when the stricture very tight they lead a temporary retention. These temporary retentions are overcome the uterine and vaginal contractions from time time, marked dysmenorrhoeal symptoms being present. The less the stenosis, and the nearer the introitus vaginas located, the less prominent will the symptoms irregular menstruation. Thus vaginal stenoses are generally brought our notice as obstacles to They may occur at the hymen as a narrow opening that membrane, or in the lumen the vaginal canal. In the latter case find at one or more, rarely at several places, contractions, usually small breadth and perceive that the vagina narrowed prominent transverse or spiral ring-shaped folds.

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The broader stenoses are usually acquired but there are some instances broad congenital stenoses record.

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As the case with atresia, the cause congenital vaginal stenoses is sought in foetal inflammatory processes.

They probably most often occur during the later period intra-uterine development, for in the earlier ones the smaller width and less abundant epithelial desquamation my essay writer offer more favorable conditions for total obliteration. Hymenal stenosis, hymen with only a small orifice, has a different writers online origin as with the imperforate hymen, due the rapid growth and too extensive pay you to write my essay union of the hymenal folds. Although a number them have been recorded, the hymenal are among the rarer the partial congenital strictures. This probably partly due the fact that they only come under observation when they form an obstacle coitus, or in the rare cases in need to write an essay which pregnancy has occurred with a persistent hymen.

G-. Braun has recently given the history two such cases.

I myself recently had occasion see a woman twenty-two years old, and pregnant for the first time, in whose distensible and skin-like hymen there was only a central opening into which a uterine sound could just passed. The edit essay elasticity might course partly due the softening consequent upon her pregnant condition. During the delivery the hymen became very tense, and was incised. In cases hyperassthesia the vaginal entrance, and of vaginismus, I have seen hymenal stenosis a few times in young women but the membrane was always very tough and resistent and this, as is well known, would alone sufficient an obstinate hindrance cohabitation, and form the starting-point a vaginismus. I have encountered a number circular stenoses in women pregnant for the first time, persuasive essay writing help in whom there was no history which would point an acquired affection. They rarely offer any serious hindrance coitus or childbirth. As a rule, the softened tissues give way before the pressure the head, as I have recently again had occasion see in a case spiral stenosis the vaginal vault that active interference unnecessary.