The name given to this disease is Irritable Uterus, as due to " Disorders of Females, connected with Uterine Irritation." These terms are used to express a state or condition of the womb where in Irritable uterus is all painful; —
pain more or less severe at all times, these, with certain functional derangements,
and various sympathetic affections are some elements of this condition.
I shall first describe irritable womb.Irritable womb ap-
pears in two very different classes of patients, and it would be very useful in the management of each case, could we ascertain beforehand to which class it belongs.
This exists in some degree in the majority of cases of irritable uterus ; but rarely in any to such an extent as would give rise to any serious inconvenience, if existing alone.
WHEN DO YOU GET IRRITABLE UTERUS ?Uterine irritation rarely occurs before twenty,though it has been observed as early as the eighteenth year. It requires for the most part, for its perfect development, a state of the womb which is rarely produced by a short or temporary continuance of disturbing causes. Months and even years may elapse under the operation of such causes, before the organic predisposition has been brought about. Thereis much however in the previous condition of the individual which deserves notice. From the establishment of menstruation, there may have existed marks of bad uterine health.
IRRITABLE UTERUS & IRRITABLE TODDLERWHAT ARE THE SYMPTOMS OF IRRITABLE UTERUS?
These have regard to the womb and its neighbourhood, and to the system generally.Of the first is pain in the lower part of theabdomen, referred to the brim of the pelvis, most severe just above the symphysis pubis, and always in- creased by pressure. The course of this pain will be very distinctly pointed out by the patient, and her account will be abundantly verified by passing the hand or finger in the direction thus indicated. Other neighbouring parts are seats of pain, as the loins, the sacrum, and the thighs. Bearing down, at times, accompanies these last, especially during the menstrual periods.These symptoms are aggravated by exercise, and by the erect posture, and the patient nowfinds added to them lancinating pains through the pelvis, shooting from the neighbourhood of the symphysis on the inside, to the opposite point in the hollow of the sacrum.Headache is a frequent symptom of irritable womb.It may take a chronic form, being in some cases al- ways present in variable degrees ; in others occurring from very slight causes after various intervals of ease. Confusion of head,-— imperfect vision,— ringing in the ears,— throbbing,— depressed spirits, with difficulty of fixing the attention long on any thing but the pa- tient's own personal troubles, are also among the symptoms which may be referred to the head, and the cerebral functions.CURE FOR IRRITABLE UTERUSA patient who has suffered from this disease, and in whom salutary changes have occurred, will still demand much attention during convalescence. She is to be guarded from the existing causes of the ma- lady, and is, at the same time, to use means for the restoration of health. Among these are diet, tonics, change of air, and exercise. The best tonics are chalybeates ; and these, as they exist in natural mine- ral waters, are best. They frequently contain mild cathartic salts, which add to their usefulness. The situation of such waters, and a moderate indulgence in the gaiety which is almost native to them, are high- ly salutary. I have said nothing of the benefit fre- quently derived from the use of preparations of iron at an earlier period in the disease. The solution of the sulphate of iron is particularly to be recommend- ed. I have never known it do harm after excitement has been subdued. On the contrary, I have found it highly useful as an aid to the other treatment of the functional derangements of the uterine system so common in irritable womb. The pessary will also become a very important means of preventing relapse when the removal of the local irritation allows of its use.