THE TREATMENT OF PELVIC INFLAMMATION

Local symptoms of gonorrhea in the female are often so mild that the patient is unaware of her condition. When the inflammation attacks the tubes, she knows that something is wrong and presents herself for treatment. After acute symptoms subside, she considers herself well and pays no further attention to the mild local symptoms of the disease. This attitude on the part of the patient is no doubt responsible for the view that if the tubes are removed the patient will be well. This is true to some extent, but what a price to pay for a symptomatic cure. I have seen some of these patients return years after salpingo-oophorectomy and even hysterectomy, and on examination I find that the cervical smear is still positive. The end-results of conservative surgery on the tubes and ovaries have