The Diagnosis, Pathology And Treatment of Diseases of Women Including the Diagnosis of Pregnancy

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202 DIAGNOSIS, larity to other conditions of less serious import. But in cases of cancer of the os uteri, the opening has lost its symmetrical shape ; there is, moreover, irregularity, of a kind to be particularly de- scribed presently.
On the other hand, the opening of the os may he too small, or altogether wanting. If there be any reason to suspect that either of these conditions be present, as in cases of sterility, dysmenor- rhoea, &c., &c., it will be necessary to resort to another method
...of examination, and to use the uterine sound as a probe. (See "Examination by Sound.") DIMINUTION IN THE LENGTH OF THE VAGINAL PORTION.
Variations in respect to the length of the vaginal portion of the cervix are important from a diagnostic point of view. In preg- nancy there is a diminution in the length of the vaginal portion, the nature and degree of which must be now explained. In the first place, it is a mistake to suppose that there is always a perfect regularity in the degree to which the abbreviation of the vaginal porti/)n proceeds at the same period of pregnancy in all instances ; in the second place, it must be recollected that comparative, not positive, measurements are only to be relied on.


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