The Relationship of the Normal and Hyperactive Ovary to Menstruation and to Endometrial Hyperplasia1

ON JANUARY 14, 1909, Frau S. M., aged 26, came into the Woman's Clinic at the University of Heidelberg and submitted to a curettage and suspension of the uterus because of dysmenorrhea, persistent backache and general weakness. She gave the following menstrual history. The menstrual periods began at 15; at first they were scanty, lasting two days. There was an intermenstrual discharge. After her last (second) delivery she nursed the baby for nine months; then there was a one-day period, followed by nine weeks' amenorrhea and this by a 14-day period of bleeding. Thereafter, every 14 days a five-day to six-day episode of bleeding accompanied by severe pain occurred. In October a moderately profuse bleeding lasted three to four weeks and then five-day to six-day menses continued at 24-day intervals, with above-mentioned symptoms of dysmenorrhea, backache and weakness. After the operation menstruation was regular and painless.