MEMBRANOUS ENDOMETRITIS.

The unsatisfactory results of all forms of treatment for membranous endometritis directed to the uterus, have been so commonly noted that it seems strange its pathology is still in doubt. So far as I know the idea that this condition may be a secondary trophic one has not been suggested. Within the past few months a number of cases coming under my care in close succession in which membranous casts, either partial or nearly complete, were among the symptoms noted, caused me to look carefully over my records for several years back. The first surprising thing I found was that in 42 cases on which I had operated for the removal of tubal and ovarian diseases, membranous casts accompanying painful menstruation were noted as a prominent symptom. The second thing found was that in 19 of the 42 cases the tubal or ovarian disease was unilateral. The third thing found