Cauterization of Cervix

CAUTERIZATION OF CERVIX

Ulceration existing on the cervix uteri, or within the
cervical cavity, has a remarkable tendency to perpetuate itself indefi-
nitely, notwithstanding the subdual of all acute subacute inflammatory
action. This tendency is, no doubt, increased by the periodical san-
guineous congestions to which menstruation physiologically exposes the
inflamed tissues. Should it not yield, and it seldom does, to antiphlo-
gistic means directed as above, the most efficacious treatment, indeed
the only one that can be depended upon, is by direct stimulation of the
diseased and ulcereted surface, to modify its vitality in such a manner
as to induce a healthy action, and finally cicatrization. This end is ob-
tained by the use of caustics of varied strength, according to the nature
and extent of the dis3ase, its chronicity, and the effects obtained.

In the application of these two principles resides the entire theory
of the treatment of ulcerative inflammation, not only in the neck of the
uterus, but in any other part of the economy. We must first subdue
subacute inflammatory action by emollients, depletion, and astringents ;
and then modify by direct stimulation the diseased surface, so as to
substitute healthy reparative inflammation for morbid ulcerative inflam-
mation.

Although as I have stated these principles apply to ulcerative inflam-
mation in any region of the body, it is more especially in the treatment
of ulceration existing on the mucous surfaces at the various openings
of the body, that they are exemplified. Thus it is that we find cau-
terization to be the principal rescource in all ulcerations of the nares,
mouth, fauces, and anus, as well as in those of the external genital
organs, both of the male and the female. In all these situations,
cauterization presents an additional advantage to those which it offers
on a free ulcerated surface. The eschar which forms on the ulcerated
surface protects it efficiently from the contact of the various fluids
excreted through, and secreted by, the organ, the mucous membrane
of which is attacked, and thus allows the process of reparation to take
place undisturbed.

The progress of inflammation and ulceration is, generally speaking,
at once arrested by cauterization. The congestion and redness of the
cervix diminish visibly, the granulations become smaller and healthier,
the escape of blood is stopped, and the purulent secretion assumes the
character of laudable pus, if it has not presented it before. When
cauterization is suspended, the ulceration generally remains stationary
for a time ; but if left entirely to itself it is nearly certain to relapse,
after a variable period, however advanced the healing process may have
previously been.

'
SYMPTOMS OF CAUTERIZATION

The first symptom of cauterization always takes place at the circum- 
ference. The margin of the ulcerated surface loses its well-defined
character, and mingles imperceptibly with the red, inflamed, but not
ulcerated, mucous membrane. As the latter returns to its natural
pale colour, a film of white cicatricial tissue appears around the ulcera- 
tion, and gradually progresses towards the centre. Towards the end 
of the treatment, points of cicatrization will occasionally appear in the
centre of the ulceration, and by their gradual extension abridge the
process. When the ulceration is cicatrized, it presents a pale rosy,
or ash-coloured hue, which is pretty nearly the natural colour of
the healthv cervix, and soon becomes so much like the surrounding
tissues, that it is often next to impossible to say where the ulceration
existed.

The fibrous frame of the mucous membrane covering the cervix is so
slight, that the healing of an ulceration, however deep, is never follow-
ed by the formation of hard fibrous cicatrices, as in the healing of ulcer-
ations of the skin when they involve its fibrous structure. The mucous
membrane of the cervix, indeed, seems, as it were, to be renewed.
Even when a deep slough has been formed by the action of a powerful
caustic, such as potassa fusa, or the actual cautery, in the course of a
few months, or even weeks, all trace of the cicatrix disappears, and the
cervix again becomes soft and supple.

Inflammation of Cervix - Causes & Symptoms

We have hitherto been considering inflammation as affecting the 
whole substance of the womb, but cases every now and then 
occur, where the upper parts are perfectly healthy, the disease 
being confined to the mouth and neck of the organ. The general 
symptoms very nearly resemble those of hysteritis, described in the 
former part of the lecture, but they occur in a slighter degree : 
patients complain, for example, of the same kind of uneasiness in 
the back and loins, great irritability of the bladder, with derange- 
ment of stomach, A dull heavy pain, at the upper part of the 
vagina, is also complained of, with an uncomfortable bearing-down 
sensation, this latter feeling often extending to the rectum. A 
white, opaque, slimy mucous discharge from the vagina is always 
present, the peculiarity of which will always assist the practitioner 
in his diagnosis, as it is present in no other variety of uterine 
disease. I will read to you a very accurate definition of its cha- 
racter, from the work of Sir Charles Clarke, " On the Diseases of 
Females," a book which ought to be in the library of every medi- 
cal man, anxious to obtain information upon those subjects on 
which it treats, for it is clearly the product of experience and ob- 
servation, not the act of a compiler. " This discharge," he observes, 
"is opaque, of a perfectly white colour, and it resembles, in con- 
sistence, a mixture of starch and water made without heat, or thin 
cream ; it is easily washed from the fingers after an examination, 
and is capable of being diffused through water, rendering it turbid. 
A morbid state of the glands of the cervix of the uterus, probably 
gives rise to this discharge ; at least the cases, in which it comes 
away, are those in which the symptoms are referred to that part ; 
and when pressure is made upon it, the woman experiences con- 
siderable pain." In order to judge accurately, it is necessary, as Sir 
Char es Clarke rightly observes, to make the examination after the 
female has been for some time perfectly quiet, as the common 

air becoming entangled with it.

drawn by Sir C. C. : — " Such a mixture of mucus and air will not 
render the water turbid with which it may be combined, and this 
forms a distinguishing mark between hand the white mucous dis- 
charge." The great difference in the quantity will also assist in 
the diagnosis between this and the leucorrhceal discharge, the latter 
often flowing in large, whilst the former always occurs in small 
quantities. After the disease has existed for a lengthened space of 
time, this white discharge is no longer observable, the secretion 
becomes decidedly purulent, and sometimes streaked with blood, 
so that, in ordinary cases, we do not perceive the diagnostic dis- 
charge, for the female at the beginning of the affection feels no 
inconvenience, with the exception of trifling pain ; this, probably, 
too little to excite apprehension, or even attention, much less does 
she think it necessary to send for medical advice. Still, however, 
on inquiring into the early symptoms, you will be told that this 
appearance has been observed. 

A very careful vaginal examination is necessary before giving 
an opinion respecting the nature of the complaint. You will feel 
the os uteri to be tumid, the lips of which communicate to the 
finger the feeling of ^edematous effusion. Pressure, I have already 
told you, gives a certain degree of pain, though, in many cases, 
this is not a very urgent symptom. The finger when withdrawn, 
is sometimes mixed with purulent matter, mingled with blood. 
The freedom of every part but the os uteri from disease, and the 
total absence of fcetor, will prevent you from confounding the 
disease with carcinoma of the uterus. From what has been 
already said, with regard to the few unpleasant symptoms pro- 
duced, it is reasonable to believe that many of the cases get well 
without the medical man being referred to at all ; at the same 
time it must be acknowledged, that the consequences of the disease 
are occasionally most painful, and, therefore, when the opportunity 
is afforded, means for arresting the progress of the inflammation, 
or for removing its effects, ought to be promptly had recourse to. 
The functions of the uterus are not necessarily interfered with, at 
any rate until the disease has existed for several months ; menstrua- 
tion and conception appear to take place just as readily as at other 
times.

Bulky Uterus Size and Measurements

BULKY UTERUS SIZE :

When you call that uterus gets bulky and increases in size what is the exact size or approx for it ?

Bulky Uterus size is not always exact and it depends only on the size of fibroids present inside their uterus and their functioning.

A Uterus doesnt get bulky by itself,The fibroids inside the uterus determine the size of bulky uterus.

Here is a picture of size of bulky uterus with 2 fibroids inside themm.

Signs of Fibroid Tumors - Bulky Uterus

Fibroid tumors can come in many different shapes, sizes and colors. In fact some can be as small as a marble and others can be as big as a grapefruit. However we should all be aware of one fact; they can be extremely painful and uncomfortable.

In fact an enlarged uterus is one of the many signs of fibroid tumors that many women will experience. Research has shown that a uterus of a woman can become extremely large; in fact it can grow to the size of someone who is pregnant.

I wanted to list some of the signs of fibroid tumors that you can expect to notice if you are suffering from this condition. However you should be aware that a lot of the times you will never be able to detect if you have fibroid tumors; unless you get a physical from your doctor.

1. Enlarged Uterus: You will of course experience a lot of pain in that area and discomfort.

2. Painful Urination: If you are constantly in pain when you urinate; it could be one of the symptoms of fibroids.

3. Heavy Or Long Menstrual Cycles: Many women will experience long and heavy periods each and every month. This is known to be one of the signs of this condition.

4. Abnormal Bleeding: Even though I already mentioned that you could experience longer periods; you may even begin to notice some spotting in between your periods

5. Infertility And Miscarriage: Unfortunately fibroid tumor have been known to prevent the birth of a normal healthy baby; because they can easily block the fallopian tubes which can prevent the cycle or development of your baby.

These of course are just some of the symptoms of fibroids that you may begin to experience. Of course some women may not ever experience any signs of this condition until it is too late. Every women definitely needs to be made aware of this condition and what they can begin doing to prevent it and how to begin treatment of fibroids from home.