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The subsequent dangers of ovariotomy likely to
arise are collapse, hemorrhage, septic poisoning, and
peritonitis.
Collapse usually occurs immediately after or during
the operation. The treatment has already been
alluded to in detail.
Hemorrhage, when internal, will require the wound
to be reopened, and the bleeding vessels sought for
and tied.
Septic poisoning Ethinylestradiol And Desogestrel is indicated by a frequent pulse,
an elevated temperature, feebleness, mild delirium,
and, at times, marked chills. The treatment is a
brisk saline cathartic, and the administration of
large doses of quinine. This complication of the
case, as a rule, ends fatally.
Peritonitis is the greatest cause of the mortality in
this operation. Its symptoms are well known : a
wiry pulse, extreme abdominal tenderness and dis-
tention, etc. The prognosis in a case of peritonitis
complicating ovariotomy is not usually grave.
Saline cathartics, poultices over the abdomen, and
stimulants are called for, and is the treatment usually
pursued.
In concluding this article, I wish to make a few
remarks about menstruation after both ovaries are
removed, and to discuss briefly the question, whether
ovariotomy, after puberty, unsexes a woman.
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A CASE OF ARSENICAL NEURITIS,
[Medical Nbws
It is an undoubted fact that some women do men-
struate after their ovaries are extirpated. There is a
case in the University Hospital now who, for two
years and two months after her ovaries were removed,
saw regularly her monthly sickness. Some authorities
explain this unexpected condition by saying it is
due to force of habit, to a law of periodicity ; others,
to some fragment of ovarian stroma left behind by
the operator ; whilst a few claim its existence to be
due to a third or supernumerary ovary. Any of
these theories might be accepted, for they are all
plausible enough, but the exact truth is not known,
and probably never will be.
Finally, as to a woman being unsexed by the
operation of ovariotomy. I think most authorities
agree to the fact that, after the removal of the ovaries,
a woman's sexual feelings gradually lessen, but are
at no time entirely lost.
Dr. Goodell replies so aptly to Buy Desogestrel this question that
I cannot do better than quote his own words upon
the subject : " So far as can be ascertained, spaying
after puberty does not unsex a woman ; at least not
more than castration after puberty unsexes a man.
In the one, the ability to inseminate is lost ; in the
other, the capability of being inseminated ; but in
both, the sexual feelings remain pretty much the
same."
Mores OM THE USE OF STfiOPHAMTHUS.
Bt J. Y. DALE, M.D.,
OP LBMOMT, PA.
Last summer I was called upon to treat a case of
exophthalmic goitre, in a married woman aged about
thirty-five, the mofher of half a dozen children.
The disease, which had been of several months'
duration, was progressing Desogestrel Tablets rapidly, and, as a result, Desogestrel Vs Levonorgestrel
the patient was very nervous and anaemic. The
action of the heart was so tumultuous and irregular
that the sounds could not be differentiated, nor
could the frequency of the pulse be accurately de-
termined, though when the patient was at rest it did
fall below Desogestrel Price 120.
Tincture of strophanthus was prescribed in doses
of five drops t. i. d., to control the action of the
heart, which it did effectually — at least after two
weeks' employment the heart became regular in
rhythm, though not in force, the pulsations were re-
duced to 80, and the murmur in the goitre lessened
in intensity. At that stage of the disease I gave a
mixture containing six drops of tinct. ferri chloridi
and two drops of liquor, arsenici chloridi, at a
dose, three times daily, but in three days such
general and extensive anasarca had developed that
it was omitted. Under the continued use of the
strophanthus, and of tonics, with the faradic current
applied to the goitre, there was a Ethinyl Estradiol Desogestrel decided ameliora-
tion of all the symptoms ; the action of the heart
became steadier, the goitre lessened in size, the ap-
petite improved, and the strength increased. Unfor-
tunately, after being so much benefited, my patient
declined to submit to further treatment.
Amongst the cases of typhoid fever treated during
the past season, I had eight patients in Desogestrel Acne whom, after
the first few days, a condition of apyrexia super-
vened, continuing, unless there was a relapse, until
the commencement of convalescence. These cases

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