The Sexual Life of Woman in Its Physiological, Pathological And Hygienic Aspects

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The hyiiertrophy is less a|)t tn cause sterility when it is limited to one lip of the ccr\ix, unless, indeed, the affected lip (more commonly the anterior) is so greatly enlarged that it bends over and occludes the external os, whilst conducting the penis into the fornix and away from the orifice. Cases have been known The Sexual Epoch of the Menacme. 505 in which a single lip of the cervix was l-iypertrophied to such an extent as to protrade between the labia.
The commonest malformation of the
... cervix is the conical cervix, when the cervix is not merely elongated, but tapering; associated with this condition is usually found a notable diminution in size of the OS uteri externum. According to Sims we find " conical cervix in 85% of all cases of natural sterility." According to the same author, even in the absence of the conical form of cervix, " sterility is probable in cases in which the portio vaginalis projects fully half an inch into the vagina ; if the cervix projects more than one inch, sterility almost inevitably results ; whilst if elonga- tion is even greater than this, so that the vaginal portion measures from one and a half to two inches, sterility is absolutely certain." On the other hand, congenital smallness of the portio vaginalis, the condition in which this organ appears merely as a slightly pro- jecting nodule on the upper part of the anterior wall of the vagina, the anterior vaginal fornix being almost non-existent, and the posterior fornix very extensive — a wide cul-de-sac — is also un- favourable to conception.

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